Care Coordinator Nursing Home
Job Summary
The Care Coordinator supports the medical social work team by managing non-complex cases, facilitating resident admissions, and monitoring psychosocial well-being. This role acts as a ward liaison to ensure residents remain meaningfully engaged through organized activities. Additionally, the position involves assisting with Advance Care Planning (ACP) and coordinating with multi-disciplinary teams to provide holistic care.
Responsibilities
- Manage non-complex casework and financial counseling
- Conduct psychosocial assessments and care planning
- Organize resident engagement activities
- Facilitate Advance Care Planning (ACP)
- Document and report resident progress
Required Skills
- Diploma/Certificate in Social Sciences or Counselling
- Proficiency in Microsoft Office
- Strong communication skills
- Meticulous and reliable
- Ability to work independently
Job Details
KEY RESPONSIBILITIES
1. Pre-admission/Admission Support
- Orientate new residents and their NOKs to the nursing home.
- Ensure residents settle well in the nursing home.
- Conduct financial counselling and apply for grants and financial assistance as needed.
2. Casework (non-complex case)
- Engagement and Assessment: Establish rapport, identify key issues, conduct bio-psycho-social-spiritual assessments, and gather holistic information to support care plans.
- Goal Setting and Intervention Plans: Analyze courses of action, formulate strategies, conduct care planning, set clear goals, apply assistance schemes, and mobilize community resources.
- Case Review and Documentation: Review care plans, provide recommendations, evaluate outcomes, document assessments/interventions, and work with MSWs on social reports to ensure continuity of care.
3. Keep residents meaningfully engaged
- Understand interests of individual residents.
- Organize activities that are of interest to residents.
- Engage and motivate residents to participate in the activities.
- Work with the Volunteer Manager and volunteers in the planning and implementation of activities.
- Review and evaluate the effectiveness of activities in improving the well-being of residents.
4. Support volunteer programme
- Provide feedback on possible new volunteering opportunities based on the needs observed on the ground.
- Work closely with the Volunteer Manager on effective mobilization of resources to support volunteer programme.
5. Support during activities
- Provide supervision during implementation of activities.
- Provide feedback to volunteers on areas of improvement via Volunteer Manager.
6. Support Advance Care Planning (ACP) programme
- Initiate ACP awareness with residents and their NOKs.
- Facilitate General ACP or PPC with residents and their NOKs for those who are ready.
- Review ACP plans regularly.
- Assist residents in fulfilling their care preferences and last wishes.
JOB REQUIREMENTS
EDUCATION, TRAINING AND EXPERIENCE
- Preferably Diploma / Certificate in Social Sciences and/or Counselling.
- Proficient in Microsoft Office, good spoken and written communication skills, meticulous, reliable and independent.