Care Coordinator

Join Our Growing Team at Holstep Health!

Merri Health is now Holstep Health - a new chapter in delivering high-quality healthcare to our communities.

• Employment Type: Fixed-term full time (subject to funding) commencement 1st July until 30 June 2027.

• Location: various GP clinics in Hume LGA region

• Team Environment: Work collaboratively with GPs, multi-disciplinary care teams and community agencies to effectively support clients with complex chronic health and mental health conditions.

• Advantages: Excellent opportunities for professional development and clinical supervision. Opportunity for flexible working arrangements.

• Benefits: Excellent salary packaging benefits.

(At this stage, we are seeking expressions of interest only. Appointment to this role is subject to the success of our tender application and confirmed funding).

Your new organisation:

At Holstep Health, we strive to enrich diverse communities through the provision of quality health care and support services. A career at Merri will see you contributing to a culture that affects change for our clients and the wider community. We are committed to supporting the talent and skills of our employees because we know their capability is the key to our success.

Your new role:

This role is a unique opportunity to be a part of a passionate and highly skilled team, focused on prevention of chronic conditions and facilitating health behaviour change.

The Care Coordinator is responsible for organising and managing the multi-disciplinary team meetings. They will provide care coordination and navigation services and work collaboratively alongside GPs within a multi-disciplinary team care approach.

The Care Coordinator is the key contact for the patient. They are responsible for working with patients to identify their goals and to coordinate services and providers to meet those goals.

The Care Coordinator work in a holistic model to link patients to accessing the supports they need utilising motivational interviewing and social prescribing techniques in addition to values-based health care approaches.

The candidate will have the knowledge, skills and experience to support patients managing chronic conditions and/or psychosocial complexities including self-management strategies.

Opportunities for supervision and professional development are also available to support you in your role.

You will be responsible for:

- Complete holistic client-centered comprehensive assessments with clients who may present with complex or multiple chronic health conditions

- Support clients in identifying their needs, encourage steps towards taking an active self-management approach and linking them in with necessary services or supports

- Provide holistic care and service coordination with stakeholders in the Hume LGA and surrounds

- Engage meaningfully with multiple stakeholders including GPs, other health care professionals, external services for clients to meet their health care needs

- Working collaboratively with GP practices to support processes and workflows

- Patient advocacy & referrals onto additional or external services following discharge

- Patient engagement, follow up and retention

- Collecting patient reported outcome measures

- Effectively manage a caseload and actively communicate within the multidisciplinary team, including at case conference, to ensure coordination of services and facilitate discharge pathways.

- Supporting key practice staff in building capability in assessment and support of patients with chronic conditions and psychosocial complexities

- Scheduling and coordinating MDT meetings

- Managing all administrative tasks related to MDT meetings in addition to clinical administrative duties

- Actively participating in professional development to maintain and enhance clinical knowledge and technical skills relevant for the role

To succeed in this role, you will have:

- Relevant tertiary qualification as a registered nurse or allied health clinician

- Full AHPRA registration or other relevant registration body

- Demonstrated experience in delivering care coordination and patient-centred comprehensive health assessments

- Significant experience working within a general practice setting

- Expertise in chronic disease self-management and health behaviour change strategies

- A detailed understanding of primary care and general practice settings and effective multidisciplinary team care

- Knowledge of the local community and allied health services

- Strengths in patient advocacy, navigating complex systems and communicating with people across a broad range of sectors

- Strong organisational, time management and planning skills

How to apply:
Please start by reviewing the attached position description. Please send your CV and a cover letter outlining your experience to jobs@holstephealth.org.au.

If you have any questions about the role, please contact Rebekah Pedersen, Team Leader - Prevention & Chronic Illness Care, at rebekah.pedersen@merrihealth.org.au.

We encourage early applications as interviews may commence before the closing date.

Applications close: 16/05/2025

Additional Information:
Preferred candidates will undergo comprehensive reference and background checks, including a criminal record history check and Key Personnel screening. All candidates must have the right to work in Australia.
We are an equal opportunity employer and strongly encourages applications from diverse backgrounds, including Aboriginal and/or Torres Strait Islander peoples, those from culturally and linguistically diverse backgrounds, the LGBTIQA+ community, and individuals with disabilities.