Co-Ordinator

MAIN DUTIES AND RESPONSIBILITIES

SPECIFIC (80%)

• Liaise with Clinicians, Nurses or Operations with regards to patients who are identified for right siting to primary care and community care.
• Prepare all relevant documents required during counseling of patients or/and their family.
• Counsel and assist patient with discharge and/or enrolment (e.g., Healthier SG) to a primary care doctor.
• Facilitate patients’ care at primary care/ community care upon discharge from hospital.
• Maintain and update patients’ database for monitoring and reporting.
• Provide monthly statistics to Supervisors and submit KPIs and clinical indicators as and when required.
• Facilitate care discharge discussions with patients/caregivers and assist with the care siting process (e.g., to primary care and community care partners)
• Monitor, update and highlight these queries or feedback regularly so that revisions of work processes may be continuously performed.
• For returned visits to the hospital, triage urgency with Clinician and schedule outpatient review as instructed.
• If needed, arrange pre-appointment screening tests at referral source to minimise patients’ hospital visits and ensure results are available prior to outpatient appointment.
• Coordinate and maintain a database on patients so as to track their progression into the various stages of the program for audit and registry.
• Demonstrate knowledge and the ability to monitor and coordinate care processes for patients.
• Provide periodic right siting updates and new workplans to Clinicians, Nurses and Operations.
• Collaborate closely with Clinicians, Nurses and Operations to establish structured right-siting workflow and processes for SOC, Inpatient and ED, when new disciplines come onboard. Perform regular reviews and patient data clarifications for various programme reporting, such as drug subsidy report and leak back report.
• Maintain and update discharge planning repositories (e.g., list of service providers, referral flow details etc.) and proactively communicate updates and required information to patients/caregivers and colleagues involved in the discharge processes.

GENERAL (20%)

• Communicate with referring physicians, other health care providers, Primary Care Partners Office and other organisations regarding the patients’ status and outcome.
• Support in training new care coordinators on daily activities and patient care within the programme.
• Collect, ensure accuracy of registry data for planning team’s review.
• Assist to coordinate monthly team and department meetings to raise agenda for discussion

OTHER DUTIES AND RESPONSIBILITIES

• Identify areas for improvement and participate in quality improvement initiatives
• Attend training courses as deemed necessary for work assigned.
• Prepare to undertake any suitable task as assigned by the Supervisor.