Overview

The Senior/Care Coordinator (Senior/Care Manager) is responsible for managing operational requirements and upholding exceptional service standards within their designated service support area. In this role, they provide strategic support to the Clinical Director(s) and relevant Clinical Programme Leads, serving as a key advocate, liaison, and collaborative planning partner to facilitate holistic patient care across Alexandra Hospital's seven specialized programs. Through effective stakeholder engagement both within and beyond the department, they integrate operational oversight with strategic planning and inter-program coordination to help drive better care delivery with a primary focus on case management and care coordination.

The incumbent may also support the department in collaborations with internal and external stakeholders, such as community service providers, government agencies, and multidisciplinary healthcare teams to constantly review and improve the coordination and continuity of patient care across the healthcare continuum relevant to his/her support area.

The incumbent may provide supervision and support to Care Coordinators and Care Coordinator Associates in their clinical work, while fostering a healthy environment that embodies the department's philosophy - one that advocates for, supports, and provides holistic, individualized, and coordinated care to patients and their caregivers, to help them to cope better within their community and improve health outcomes and quality of life.

Job Responsibilities

You will be responsible for the following:

C3U-Clinical Programme (Co-)Lead and Liaison for case management and care coordination

Work closely with Clinical Director(s) for Community, Clinical Programme Lead(s) and relevant functional leads to develop and refine care models and workflows
Advocate for case management and care coordination work as an important contributor for driving programme and hospital objectives
Work closely with Ops counterparts to improve programme fidelity by tracking outcomes and streamlining processes
Work closely with other stakeholders/ professional job groups to continually integrate and optimise care manager work in relation to other workflows by the rest of the care team to optimise patient experience

Case management and care coordination

Understand patient's medical, psycho-social and functional needs in collaboration with the multidisciplinary care team to ensure alignment with the patient's overall goals
Initiate conversations with patient, if required, to identify potential care gaps
Promote and guide positive changes in patient's lifestyle to stay healthy in the community
Advocate for advance care planning and facilitate discussions between patients and caregivers, ensuring that their preferences are reflected in their individualized care plans
Suggest interventions and appropriate referrals to transitional care, including but not limited to VCC, ESD, NUHS@Home, NUHS Community Care Team (NUHS CCT), and community support services in discussion with patients and caregivers
Follows up on patients in a timely manner to ensure smooth care transitions
Follows through the workflow processes to maintain consistency, ensure accountability, and accurate documentation
Participate in case discussions and sharing sessions with the rest of C3U to encourage consistent learning and prompt sharing of updates

One Referral Point for transitional services and support in community

Understands the inclusion and exclusion criteria for community case and transitional care referrals. Triage all referrals received via the hospital messaging system and allocate appropriate patients to members within the One with Community Team.
Updates database in an accurate and timely manner. Follow-up with assignment of referral to the relevant Care Manager where appropriate.
Acknowledge and responds to the referral source via the hospital messaging system accordingly.

Other Responsibilities

Keep updated about the details of transitional care and community support services available
Seeks collaborations with internal and external transitional care and community support service providers
Provides supervision and support to Care Coordinators and Care Coordinator Associates in their clinical work
Participate in professional development programmes to enhance areas of knowledge, skills and expertise
Support community-based events organized by Alexandra Hospital or community partners to raise awareness and promote public health
Participate and contribute to the department's quality improvement efforts and research
Participate and contribute to the department's learning and education activities
Any other duties as assigned by Reporting Officer

Requirements

Degree or equivalent professional qualifications in Nursing, Social Work or Allied Health.
Those with nursing or case management or related field in acute and/or community setting in Singapore is preferred.
Minimally 6 to 8 years of work experience in healthcare industry with leadership experiences preferred.
Experience working with and/or co-developing programmes or projects with clinicians and care team members will be an advantage.
Knowledge in hospital specialised medical or surgical services, such as rehabilitative medicine, psychological medicine, surgical specialties, etc, and experience in home medical care and community will be an advantage.
Strong team-player, with natural ability to interact with healthcare staff and community partners of all levels.
Organised, analytical, able to fit different pieces of the puzzle together.
Pleasant disposition, approachable, with strong interpersonal and relational skills.
Good verbal and written communication skills. Ability to use local languages and dialects will be an advantage, especially coupled with experience interacting with and managing patients and caregivers.
Independent worker, with strong initiative.
Comfortable with ambiguity, unchartered territory, enjoy challenges and problem solving.
Equipped with basic computer skills in MS Words, Excel and PowerPoint. Familiarity with hospital computer systems is advantageous.

If the role sounds interesting to you, please contact [HIDDEN TEXT] to understand more on the role. Please indicate the position that you are interested in the subject heading.

.Only Singapore Citizens and Singapore Permanent Residents may apply.

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Senior Care Manager - Alexandra Hospital