Case Management Officer, NCIS 1

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Institution: National University Hospital

Overview
The National University Cancer Institute, Singapore (NCIS) is a national specialist centre under the National University Health System (NUHS). It is the only public cancer centre in Singapore treating both paediatric and adult cancers in one facility.
We are seeking an outstanding and highly motivated Case Management Officer to be part of our incredible team, supporting NCIS in the deliveries of 2030 Cancer Plan.
The case management officer applies advanced knowledge of the health needs, preferences and circumstances of patients with cancer to navigate the patient and family through the health system and optimize the individual’s health and well-being at various phases across the continuum of cancer care, including diagnosis, treatment, rehabilitation, follow-up, survivorship and palliative care.
The case management officer will always stay in close communication with the patient across the care continuum to ensure care coordination, efficient care delivery, and removal of care barrier.

Job Responsibilities
You will be responsible for the following:

1. Direct care
   Provide individualized assistance (informational and emotional support) to patients and their families to overcome healthcare system barriers, improve continuity of care and quality of cancer care.
   Identify and navigate needy (high-risk) patients through the journey to ensure that they do not fall through the gaps and have access to the resources they need.
   Follow-up with patients through phone, where necessary. This will enable patients easier access to the medical team hence reducing unnecessary re-attendances to Emergency Department and potential admissions.
   Assist patients and their families to transit across different services and location.
   Communicate effectively with health care professionals in providing smooth transitions.
   Perform assessment to identify patients’ physical, psychosocial and spiritual needs, and barriers in accessing to health care system. Initiate interventions to address the identified barriers, and in meeting the physical, psychosocial and spiritual needs.
   Perform patient navigation outcomes evaluation.
2. Coordination of care
   Ensure compliance to care pathways and to streamline cancer care between NUH, NTFGH and community.
   Ensure smooth transition of care and right-siting of patients based on care pathways.
   Ensure timely and appropriate referral to specialist, allied health and support services.
   Assist in coordination of care between services (medical, surgical or allied health), and between settings (inpatient, outpatient and community).
   Involve in close liaison with Medical Oncologists, Surgical Oncologists, Radiation Oncologists, Radiologists and other specialists, involved in the patient’s care.
3. Multi-disciplinary (MDT) clinic or tumor board management
   Multi-disciplinary clinic or tumor board coordinator for the weekly meeting.
   Administrative management of multi-disciplinary clinic or tumor board including preparing patient list to be discussed at the weekly meeting, and documenting decisions made in the electronic hospital system and in the database.
   Assist in coordination of care between services (medical, surgical or allied health) based on decisions made at the weekly meeting.
   Ensures database is complete.
   Manage and audit database.
   Cross-cover other tumor boards or MDT clinics, if main case manager / coordinator is away.
4. Education
   Patient and family education pertaining to cancer journey.
   Triage patients to subspecialty care resources (eg. stoma nurse, oncology APN, MSW, financial counsellor, etc.)
   Advise and guide patients regarding estimated treatment costs and financial counselling.
   Develop and update patient education materials in collaboration with multidisciplinary team.
5. Data management
   Obtain key clinical and operational data at checkpoints (transitional points along patient journey) and enter into cancer database in a timely manner.
   Compile data (from care pathways) from NUH and NTFGH (collaborating with Cancer Program Coordinator, Cancer Survivorship team) and build database with annual audits.
   Assist in simple data analytics and participate in quality improvement projects that aim to improve coordination of care and optimize outcomes for individual and services.
   Work with VDO teams to measure tumor group outcomes.
6. Research
   Liaise with research assistants, residents and research fellows working on projects related to cancer.
7. Leadership and professional development
   Lead and facilitate quality improvement activities.
   Induct new cancer care coordinators / case managers into the specialty role.
   Actively design and facilitate role and service expansion in cancer care coordination and cancer navigation.
   Actively participate and facilitate strategic planning in cancer care.
8. Secondary responsibilities and duties (20%)
   Undertake additional duties / responsibilities as assigned by reporting officer or Head of Dept., contributing to team and organizational priorities as needed.

Requirements
Bachelor Degree in Science, with preferably experience in a healthcare setting (especially in Oncology or Hematology), or Degree in Nursing or Allied Health relevant to the job.
Essential to have excellent interpersonal and communication skills with good command of English (spoken and written).
Additional languages spoken is highly regarded.
Mature and pleasant personality.
Possess drive and initiative, with a can-do attitude.
Adaptable to change and work in a fast-paced environment.
Ability to work independently, multi-task with efficient time management.
Collaborative and can work well in a team.
Computer proficiency is essential – M365 (Microsoft Word, Excel, Powerpoint, Teams, Outlook).
Proficiency in database management and use of database tools eg. RedCap, and EPIC EMR system, is highly regarded.