Role
The Care Coordinator is responsible for coordinating and managing the delivery of person‑centred home care services to clients, ensuring that their needs are appropriately assessed, planned, and supported. The role involves conducting care assessments using the InterRAI assessment tool, developing individualised care plans, liaising with multidisciplinary partners, and ensuring the smooth execution of services to improve clients’ quality of life and support ageing‑in‑place.
Key Responsibilities
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Client Assessment and Care Planning
- Conduct comprehensive client assessments using the InterRAI Home Care (HC) or relevant modules to identify functional, medical, and psychosocial needs.
- Develop and implement individualised Care Plans that reflect clients’ preferences, goals, and care priorities.
- Review and update care plans periodically or when clients’ conditions change.
- Provide input and recommendations for service eligibility and care service allocation.
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Care Coordination and Service Delivery
- Coordinate and schedule home‑based care services.
- Liaise with support care staff, nurses, and social workers to ensure a multidisciplinary approach to client care.
- Monitor the quality and timeliness of services provided by care staff or volunteers.
- Follow up on clients’ progress and make necessary care adjustments.
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Stakeholder Engagement and Case Management
- Serve as the primary point of contact for clients, family caregivers, and external partners.
- Work closely with government agencies and community partners to facilitate referrals and funding applications.
- Support clients and families in navigating community resources and support schemes.
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Quality Assurance and Documentation
- Maintain accurate, timely, and confidential documentation in compliance with agency and organisational standards.
- Ensure assessments and reports meet data integrity and audit requirements.
- Participate in internal audits, service reviews, and outcome evaluation processes.
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Staff Support and Development
- Provide guidance to care staff on care delivery standards and client handling.
- Participate in training and development activities to stay updated with best practices in eldercare and community care.
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Other Duties
- Assist in programme development and improvement initiatives.
- Support community outreach, education, and volunteer engagement efforts where needed.
- Undertake any other responsibilities as assigned by the supervisor.
Requirements and Qualifications
- Minimum Diploma in Business Administration, Healthcare Management, or equivalent.
- Certification or training in InterRAI assessment preferred (e.g. InterRAI Home Care Assessor).
- Minimum 2–3 years of experience in care coordination, case management, or community‑based eldercare.
- Prior experience working in a Social Service Agencies or community care setting is advantageous.
- Strong knowledge of aged care, home personal care, and community support services in Singapore.
- Excellent interpersonal, communication, and coordination skills.
- Proficiency in MS Office and case management systems.