The Clinical Care Partner collaborates with clients, their families and informal supports, and other service providers to facilitate consumer-directed support and services tailored to achieving each client’s goals. This role focuses on assisting older individuals in maintaining their independence at home, ensuring alignment with our principles and relevant funding guidelines.

Utilising strong clinical and relationship building skills, and in partnership with the client, this role will support clients to achieve their wellbeing goals. The role will ensure the delivery of care and support that is safe, effective, and tailored to the needs of the individual.

This position will also lead our service programs through a period of transformation, aligning service delivery with the new Support at Home Framework and funding model. As part of a dedicated team, you will drive excellence in service quality and client experience while fostering program growth. This is a new role to meet SAHP changes, Aged Care Nurse - Case Manager Level 3 plus NFP salary packaging.

KEY SELECTION CRITERIA

The incumbent must have:

• Registered Nurse with demonstrated experience in a similar role as a Clinical Care Partner/Case Manager.
• Extensive understanding of the challenges, needs, and issues affecting older people, their families, and carers.
• Strong knowledge and understanding of the Support at Home Program, Home Care Packages (HCP), and support systems within the aged care sector, including funding mechanisms and associated requirements.
• Proven experience in delivering person-centred care and support and ability to work within service models that promote client empowerment.
• Capacity to work with a diverse range of people, including people with a disability, diverse communities, allied health and other service providers, assessment agencies and referrers.
• Excellent interpersonal skills and ability to work in a multidisciplinary team.
• Ability to genuinely embody and promote our values.

About us

• We have a supportive management team that encourages ideas and feedback.
• Build mutual trust through respect, openness, and transparency.
• Work collaboratively on shared responsibilities.
• Internal training, learning & development opportunities.
• Diverse and inclusive office culture with flexible work arrangements.
• Salary Packaging and Super.
• Not for profit, values-based organisation.
• We are an inclusive employer and values the contribution of people with disabilities to our workplace.

ROLE ACCOUNTABILITIES

KRA 1: Service Delivery & Client Outcomes

• Complete comprehensive clinical, care and risk assessments to develop an appropriate care plan in support of achievement of the client’s stated goals.
• Establish a care and service plan within the Commonwealth Government Support at Home guidelines and the client’s package budget.
• Complete referrals to required allied health and service providers to fulfil the client’s agreed service plans.
• Oversee the management of the client’s available resources to meet their needs and goals, and undertake submissions to short term programs, including Short Term Restorative Care (STRC), End of Life Pathway (EOLP) and the AT-HM program as their needs indicate.
• Conduct regular and timely goal and care planning reviews in collaboration with the client, their informal supports and the client’s multidisciplinary team.
• Undertake timely reviews of care plans when clients’ condition changes, after hospitalisations or clinical events.
• Ensure the timely documentation of client related activities and communications.

KRA 2: Quality, Compliance & Service Improvement

• Engage with our quality management systems and processes, including to support quality assurance and continuous improvement activity as required.
• Support the timely and satisfactory resolution of client complaints and concerns as relevant.
• Seek and support each client to provide feedback on service quality improvement.
• Participate in program and policy review and development.
• Contribute to the development of innovative, flexible services.
• Ensure adherence to our quality and operational policies and procedures.

KRA 3: Risk and Clinical Governance

• Undertake comprehensive clinical risk assessments for each client.
• Establish effective plans in support of evidence-informed management of each risk identified, including risks related to medical conditions, mobility issues or behavioural challenges to ensure a safe and effective support environment.
• Report serious concerns about client related risk to management as soon as possible.
• Ensure the effective management of client incidents including, immediate management, investigation, follow up and care plan reviews according to our incident management, risk management and open disclosure policies and procedures.
• Ensure all client feedback and incidents are comprehensively documented.
• Identify vulnerable clients and report through to the General Manager Quality and Clinical Governance

KRA: Financial Responsibility

• Ensure clients’ care and service plans are accurately budgeted within the parameters of the client’s package.
• Maintain accurate administrative records to meet audit compliance standards.
• Work according to government funding regulations and guidelines.