Chronic Disease Care Coordinator
Core
Coordinate care for high-risk patients with complex chronic conditions, focusing on renal failure and Indigenous health in regional/remote communities.
Role type
Senior IC chronic disease care coordinator (case management)
Builds
Person-centred, strengths-based care plans and holistic patient support services
Domain
Healthcare + Indigenous community services
Deliverable
physical/clinical work
Required skills
culturally safe care, trauma-informed practice, care coordination, patient advocacy, health education, self-management support, clinical governance compliance, audit participation, conflict management
Preferred skills
experience in Aboriginal organisation, regional/remote community knowledge
Technologies
follow-up systems, patient record management
Responsibilities
Develop person-centred care plans aligned with patient goals; coordinate appointments and manage healthcare services for complex chronic conditions; advocate for patients and promote preventive healthcare; maintain accurate patient records and proactively follow up on missed appointments; collaborate with stakeholders to ensure continuity of culturally safe care; participate in clinical audits and continuous quality-improvement activities.
Seniority
Mid-level, hands-on IC