Post Acute Care Coordinator

Better Health Network; Melbourne; On-site; AUD 90,000 - 110,000; Full time

Benefits offered by this job

Flexible work arrangements

Salary packaging

Professional development

Team culture

Job summary

Better Health Network is seeking an experienced Post Acute Care Coordinator to join our Home Care Services team, supporting the Inner South East Post Acute Care (ISEPAC) program. This role coordinates short-term post-acute care for eligible clients after hospital discharge, delivering coordinated and client-centred care in the community.

You will work with clients, carers, hospital teams and service providers to assess needs, develop care plans and arrange services that support recovery and

Qualifications

• Minimum of three years' experience in hospital and/or community service settings.
• Experience in clinical care coordination within acute or sub-acute settings.
• Experience supporting people with complex needs.
• Strong written and verbal communication skills.

Responsibilities

• Coordinate intake, assessment and care planning for Post-Acute Care.
• Identify needs and develop short-term, goal-focused packages of care.
• Collaborate with clients, carers, hospital teams and community providers.
• Broker and oversee approved clinical and in-home services.
• Monitor and review care plans and support transition to longer-term services.
• Advocate for clients and participate in discharge planning and family meetings.
• Maintain documentation and support program reporting and KPI requirements.
• Contribute to multidisciplinary practice and quality improvement.

Skills

Clinical care coordination

Communication

Interdisciplinary collaboration

Trauma-informed approach

Time management

Written communication

Education

Relevant tertiary qualification in allied health or nursing

Tools

Fixus software

Job description

Make a real difference in your community.

We are seeking an experienced Post Acute Care Coordinator to join our Home Care Services team and support the delivery of the Inner South East Post Acute Care (ISEPAC) program.

This role provides an opportunity to support clients following hospital discharge through coordinated, responsive and client-centred care in the community.

As a not-for-profit organisation, Better Health Network supports people and families at different stages of life and works with communities to strengthen health and wellbeing. We believe that better health and wellbeing is built around community.

About the role

You’ll coordinate short-term post-acute care for eligible clients following discharge from hospital.

Working collaboratively with clients, carers, hospital teams, community agencies and service providers, you’ll assess client needs, develop goal-focused care plans and coordinate services that support recovery and reduce the risk of hospital readmission.

Your responsibilities will include:

• Coordinating client intake, assessment and care planning for the Post-Acute Care program.
• Identifying client needs and risks and developing short-term, goal-focused packages of care.
• Working collaboratively with clients, carers, hospital teams and community service providers.
• Brokering and overseeing approved clinical and in-home support services.
• Monitoring and reviewing care plans and supporting transition to longer-term community services where required.
• Advocating for clients and contributing to discharge planning, case conferences and family meetings.
• Maintaining accurate documentation and supporting program reporting, KPI and VINAH requirements.
• Contributing to multidisciplinary practice and quality improvement activities.

About you

You’ll be an experienced allied health professional or nurse with strong clinical care coordination skills and the ability to work collaboratively across hospital and community settings.

To be successful, you’ll bring:

• A relevant tertiary qualification in allied health or nursing, with current registration or eligibility under the relevant professional body.
• A minimum of three years' experience working in hospital and/or community service settings.
• Demonstrated experience in clinical care coordination within acute and sub-acute settings.
• Experience supporting people with complex needs.
• Strong communication and interdisciplinary collaboration skills.
• A client-centred and trauma-informed approach.
• Strong organisational, problem-solving and time-management skills.
• Well-developed interpersonal and stakeholder engagement skills.
• The ability to work effectively within a multidisciplinary team and provide clinical guidance and advice to others.
• Strong written communication, computer and database skills.
• Experience working within Post-Acute Care.
• Experience using Fixus software.

At BHN, you’ll join a values-driven organisation that genuinely cares about its people and the communities it serves. We offer:

• Flexible work arrangements to support work-life balance
• Salary packaging benefits to increase your take-home pay
• Professional development and learning opportunities
• A collaborative and supportive team culture

The opportunity to make a meaningful impact every day

Location

This role is primarily based at the Victorian Pride Centre, 79–81 Fitzroy Street, St Kilda, with work across additional sites as required.

For enquiries about the role, please reach out to Chris Ritter, Team Leader, Home Care Services *******@bhn.org.au

We value Accountability, Collaboration, Respect and Courage, and we strive to create an inclusive environment that welcomes people from all backgrounds, including those from Aboriginal and Torres Strait Islander, culturally and linguistically diverse, and LGBTQIA+ communities.

Pre-employment requirements for this position include a National Police Check, Working with Children Check, evidence of right to work in Australia, relevant professional/AHPRA registration and a current full or probationary driver's licence.