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NHG Health is seeking a Care Transition Coordinator in Singapore to bridge acute hospitals and community care settings. You will ensure appropriate placement for discharged patients and maintain robust links with General Practitioners, Family Medicine Centres and Polyclinics.
You will work with clinicians and clinic managers to identify suitable patients, facilitate seamless transfers, and provide information to patients while coordinating access to local primary and community care resources.
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The Care Transition Coordinator serves as a vital bridge between acute hospitals and community care settings, working to ensure discharged patients from inpatient wards, outpatient clinics, and Emergency Departments are appropriately placed in primary or community care facilities such as General Practioners, Family Medicine Centres and Polyclinics.
This role involves collaborating with clinicians and clinic managers to identify suitable patients for community placement, enrolling them with primary care providers, facilitating seamless care transfers in both directions when necessary, and maintaining comprehensive repositories of community healthcare resources.
The coordinator also works extensively with various healthcare stakeholders including Specialist Outpatient Clinics, Community Health Teams, NHG Population Health and Ministry of Health to produce regular administrative reports on patient indicators, whilst providing patients with essential information and serving as the key liaison for accessing available primary and community care resources.