Patient Pathways Telehealth Case Management Nurse

This role is part of a national telehealth nurse case management pilot program called Patient Pathways that is being coordinated by the Centre for Community-Driven Research. The first point of call for many patients when they are diagnosed with a condition is to go to local non-profit organisations for information and support. The Patient Pathways pilot project aims to make the most of this relationship by establishing a central point of contact within non-profit organisations – a specialist, Patient Pathways telehealth case management nurse – to help patients and their families access existing services and connect them with opportunities to participate in medical research and patient feedback initiatives.

Nurses will provide case management to patients via telephone using a protocol developed as part of the pilot, and also be part of a network of nurses so that they are supported in their role. 

Summary of duties

• Assists patients to navigate through the healthcare system and to access all the services that are available to them
• Support patient empowerment through education and information provision
• Supports patient’s to proactively manage their condition or disease
• Support continuity of patient care with external healthcare organisations and facilities
• Support continuity of patient care with patients and families following hospital admission, discharge, and accident and/or emergency visits
• Participate in data collection, health outcomes reporting and program evaluation and improvement related to the Patient Pathways pilot
• It is important to note that the nurse in this role must not give treatment advice. The primary role is to develop care plans based, provide education and connection with existing services. Where there are questions about treatment, the nurse can support the patient by developing a prompt list of questions to take back to their treating clinician

Education and experience

• A Bachelor of Nursing degree
• Registered nurse – Level 2
• Registration with AHPRA
• Proficient computer skills, including Microsoft Office (specifically Word and Excel)
• 3 years minimum experience in a clinical setting
• Self-disciplined, energetic, passionate, innovative
• Highly organised and well-developed oral and written communication skills
• Demonstrates sound judgment, decision-making and problem-solving skills
• Able to maintain confidentiality with all aspects of information in accordance with practice, State and Federal regulations
• Confidence to communicate and outreach to other community health care organizations and personnel

Job Requirements

• Desirable is an understanding of Amino Acid IEM
• Ability to Travel (interstate few times p/year)
• Place of work Croydon, Victoria, Monday – Friday with flexibility and adaptability of hours