Complex Care Coordinator

PositionDescription

Area: / ALL Miwatj Health East Arnhem Region
Job Title: / Complex Care Coordinator
Classification:
Work Unit: / Outreach Program
Reports to: / Nhulunbuy-Chronic Condition Coordinator Yirrkala-Clinic Manager
Present Incumbent:
Direct Reports: / < NTML
Employment Conditions / Miwatj Health Aboriginal Corporation EA 2013
OUR VALUES
Compassion care and respect for our clients and staff and pride in the results of our work / Accountability and transparency
Cultural Integrity and safety while recognizing cultural and individual differences / Continual capacity building of our organization and community
Driven by evidence-based practice

Primary Objective

The primary objective of the care coordinator is to facilitate improved health outcomes for Aboriginal and Torres Strait Islander people with chronic health conditions. The care coordinator will enable clients to gain better access to holistic, culturally appropriate multidisciplinary primary health care, health education and self management strategies.

Staffing and budget responsibilities

The care coordinator will be expected to manage other members of complex care team which may include an aboriginal health worker or community worker to assist in coordination of services.

A flexible funding pool (Supplementary services) is also available for use by the Care Coordinator in collaboration with Business Services Manager and NTML. Funds can be utilized to expedite a patients access to urgent/essential allied health or specialist service where this is not publicly available.

Engagement with Aboriginal and Torres Strait Islander people and communities will be central to the design and delivery of program and services.

Reporting Relationships

The program will have regular and transparent performance monitoring, review and evaluation. This will entail regular reporting to NTML on the MMEX reporting tool and at dedicated regional care coordinator meetings. This tool is evaluated by NTML quarterly. May also be required to participate in additional evaluation activities, established by the Commonwealth.Monthly reports to line mangers and clinic meetings also required.

Key Responsibilities:

Care coordination activities must be in accordance with care plan developed by referring GP.

  • Provide appropriate clinical care, consistent with skills and qualifications of the care coordinator
  • Arranging required services as outlined in client’s care plans
  • Ensuring that there are arrangements in place for client to get to appointments
  • Involving clients family and carer as appropriate
  • Maintaining accurate patient medical records in a timely manner
  • Facilitate client participation in regular reviews by primary care providers
  • Empowering client to:

-Adhere to treatment regimes

-Develop chronic condition self management skills

-Connect with appropriate community based services

  • Providing feedback to clients GP or other relevant health professionals
  • Case conferencing with relevant co-care providers
  • Addressing the social determinant factors impacting on client health

Qualifications/Professional registration/other requirements

  • Applicant must be a Registered Nurse, Specialist Nurse or Registered Aboriginal Health Practitioner eligible to practice in Australia
  • Current Ochre card
  • Current Police check

Selection Criteria

Essential minimum requirements:

  • Knowledge of health issues and health services, including the delivery of primary healthcare services for ATSI people
  • Highly developed interpersonal skills, including demonstrated liaison and negotiation skills in an environment requiring cultural sensitivity
  • Demonstrated effective communication skills within ATSI community and relevant primaryhealth care providers
  • Strong data-gathering and analytical skills and the ability to contribute to reporting and evaluation of health programs and initiatives
  • Strong organizational skills with ability to set priorities and implement strategies to achieve best outcomes within specified time frame
  • Ability to work effectively both autonomously, and collaboratively within team framework
  • Demonstrated ability to manage administration and budget requirements
  • Personal qualities including energy, initiative, genuine enthusiasm, respect for others, commitment to improving health outcomes for Aboriginal and Torres Strait Islander people..

Desirable

1. Experience working in a remote Aboriginal community.

2. Ability to speak an Aboriginal language from the region and/or knowledge of traditional kinship systems operating in the region.

3.Demonstrated understanding of Aboriginal workforce training issues in an NT context.

4. Demonstrated project management experience and organizational skills with ability to use initiative and to meet timelines with limited supervision

5. Demonstrated experience working with clients with chronic conditions

6. Previous experience in care coordination

7. Has undertaken cultural safety training

8. Experience delivering chronic condition self management training and information

Delegation Authority / Other Functions
ONLY IF APPLICABLE

Delegations are attached to positions rather than occupants of positions. Delegations are to be exercised within the framework of MHAC policies and guidelines. Tables of delegates and delegations will be accessible on MHAC's internal information systems, together with associated policies.

  • If a delegate is found to have exercised a delegation improperly, he or she may be subject to discipline and the delegation(s) revoked.

The applicant will be required to hold a current Working with Children Clearance notice and undergo a criminal history check. A criminal history will not exclude an applicant from this position unless it is a relevant criminal history.
Acceptance of Responsibilities

I have read the requirements and responsibilities outlined in this position description, MHAC Code of Conduct and Employment Terms and Conditions and agree to meet and adhere to these and have my performance monitored and evaluated in relation to my performance in the role as detailed throughout this document.

Name: / (Employee) / (Manager)
Signed:
Date:
Created: 26/06/2014 / Reviewed: / Version: v01.1.4

DOCUMENT CONTROLLED – Human Resources Dept. 2014