Job Description: 0.9FTE Fixed Term until 6th March 2026 Challenging and rewarding work environment Friendly and supportive team environment North Richmond location About the Role As a Registered Nurse or Allied Health Professional, you will conduct discipline specific assessments and provide appropriate, discipline specific, interventions and clinical management including discharge planning and referral on to other services where appropriate. Complex Care Coordination: you will provide person-centered care coordination for eligible, high-risk clients living with chronic disease, comorbidities, complex aged care and other health and wellbeing needs. You will conduct comprehensive holistic health assessments, coordinating all aspects of health and social care needs, monitoring achievement of client goals, facilitating intervention from other health care professionals and ensuring appropriate linkages with hospital and community services. Direct clinical provision of high quality and evidence-based patient centered care. Provide discipline specific assessment and intervention for clients and secondary consultations to staff across HIP sites. Undertake holistic comprehensive assessments in collaboration with the client using motivational interviewing and self-management approaches. Collaborative care planning with clients, carers and/or families in the context of their health, functional, psychosocial, cultural, environmental and economic needs. Facilitation of client generated goals, that are realistic, time limited and based on addressing health and wellbeing needs. The classification for this position will be YW7 ($116,761 per annum, pro rata). Your Contribution Current registration with AHPRA as a Registered Nurse Minimum 3 years’ experience in relevant acute/community setting Current Victorian Driver’s Licence Current Nationally coordinated criminal history check, or willing to obtain What we Offer • A focus on wellbeing initiatives, with regular events and programs • Confidential, solutions-focused employee counselling • A healthy work/life balance encouraged. Full time employment comes with a monthly Accrued Day Off (additional day off per month!) • Ability to join Fitness Passport - Your pass to an extensive choice of fitness facilities • Salary Packaging – Increase your take home pay! • In the heart of Fitzroy & North Richmond, CBD at our doorstep, close to some of Melbourne’s best cafes, public transport and lots of carparks • Discounts and Promotions always available through our Foundation • Regular opportunities for professional development to assist you to reach your career goals • Culture of continuous improvement About Complex Care and Chronic Disease This position will be part of the HIP Complex Care and Chronic Disease Service (CC/CD). The key aim of the CC/CD Service is to improve health outcomes for people who either frequently present, or who are at risk of presenting to hospital, because of complex medical and or social issues. CC/CD currently consists of multidisciplinary teams based at SVHM Fitzroy and at North Richmond Community Health Hub. Clinical service delivery is undertaken in the clients’ own home and their local community. Working at St Vincent’s St Vincent’s Hospital Melbourne (SVHM) is a leading teaching, research and tertiary health service. SVHM provides a diverse range of adult clinical services and is driven by values of Compassion, Justice, Integrity and Excellence. Application Please attach your resume and cover letter to your application. Shortlisting for this position will commence immediately. We encourage you to apply promptly as the advertisement may close early should a suitable applicant be sourced. We encourage applications from people of all backgrounds and abilities. Inclusion is essential to our mission and diversity reflects the community we serve. Please visit our website, for further information regarding our Aboriginal and Torres Strait Islander Employment at SVHM. SVHA has a duty of care under work health and safety legislation to eliminate and/or control the risk of transmission of vaccine preventable diseases in healthcare settings. You may therefore be required to undergo mandatory immunisations/vaccinations (including flu vaccinations). Successful applicants must meet these vaccination requirements. Please contact us if you would like to know more. Respectfully, no agencies please For more information about this role, please contact Anna Lehmann (Clinical Coordinator) Mobile 0418 255 965 Email Anna.Lehmann@svha.org.au Position Description LOCAL WORK ENVIRONMENT This position is part of the Health Independence Program (HIP). The intent of HIP is to deliver improved outcomes for clients and to support hospital demand management and flow, through delivering integrated and coordinated care to clients across the hospital and community interface, reducing duplication and fragmentation of services and ensuring client centred care planning. SVHM HIP consists of integrated hub sites across several locations including in Fitzroy, Kew, North Richmond and Fairfield. This position will be part of the HIP Complex Care Team. The key aim of the Complex Care Service (CCS) is to improve health outcomes of people who either frequently present, or who are at risk of presenting to hospital, because of complex medical and or social issues including the key risk factors; substance use, mental health issues, homelessness, disability and the complex aged, family violence. Clinical service delivery is undertaken in the clients’ own home and their local community. CCS currently consists of multidisciplinary teams based at SVHM Fitzroy and at North Richmond Community Health (NRCH). This position will be based at NRCH. HIP at SVHM is delivered in partnership with North Richmond Community Health (NRCH) 4. POSITION PURPOSE Care Coordinator: provides person-centred care coordination for eligible clients living with complex psychosocial and healthcare needs, utilising discipline specific skills to support clients to improve their selfmanagement skills, health and wellbeing. This role involves conducting comprehensive holistic health assessments, coordinating all aspects of health and social care needs and determining when specialist services are required, monitoring achievement of Position Description Registered Nurse or Allied Health Care Coordinator Clinical Non Managerial client goals, facilitating intervention from other health care professionals and ensuring appropriate linkages with hospital and community services. Interventions will optimize clients’ safety, wellbeing and self-management skills through a collaborative care coordination approach, and will integrate traditional hospital based health care services and primary health care. Discipline: As a Registered Nurse or Allied Health Professional, conduct discipline specific assessments and provide appropriate, discipline specific, interventions and clinical management including discharge planning and referral on to other services where appropriate. Clinical intervention delivered will be of high quality, person-centred and in accordance with relevant codes of practice, clinical standards and scope of practice 5. POSITION DUTIES Direct clinical provision of high quality and evidence-based patient centred care. Provide discipline specific assessment and intervention for clients and secondary consultations to staff across HIP sites. Undertake holistic comprehensive assessments in collaboration with the client using motivational interviewing and self-management approaches. Collaborative care planning with clients, carers and/or families in the context of their health, functional, psychosocial, cultural, environmental and economic needs. Facilitation of client generated goals, that are realistic, time limited and based on addressing health and wellbeing needs. Identify and access multidisciplinary and specialist supports to address specific client issues. Assessment and Management of risk issues, including timely escalation to Clinical Coordinator and Manager and documentation of the plan. Monitor health outcomes and plan for the transition and exit from the program, ensuring appropriate long term community supports are in place on discharge. Demonstrate high level decision making skills to assess and reduce risks to complex clients by working to address specific issues; such as but not limited to; the protection of vulnerable people, family violence, administration and guardianship issues. Act as a resource for staff within an identified area of expertise. Actively participate in supervision, professional development and performance review Communicate effectively and professionally with a wide range of team members, HIP colleagues, key stakeholders and external service providers. Perform within the HIP guidelines and specific service guidelines, ensuring that care is provided in accordance with the SVHM HIP model of care. Ensure all documentation, client records and activity recording are completed and managed in a timely manner consistent with SVHM and HIP policies and procedures, legislative and regulatory requirements. Demonstrate leadership in quality initiatives, team processes and service development activities. Demonstrate accountability to HIP through professional communication, active participation, information sharing, evaluation, statistical / data collection and analysis. Meet Activity Based Funding target requirements. 6. INCUMBENT OBLIGATIONS General Perform duties of the position to best of their ability and to a standard acceptable to SVHM Comply with all SVHM policies, procedures, by laws and directions Treat others with respect and always behave professionally and in accordance with the SVHM Code of Conduct Only access confidential information held by SVHM when this is necessary for business purposes, maintaining the confidentiality of that information once accessed Participate in the annual SVHM performance review process Display adaptability and flexibility to meet the changing operational needs of the business Comply with applicable Enterprise Bargaining Agreement provisions Position Description Registered Nurse or Allied Health Care Coordinator Clinical Non Managerial Display a willingness to develop self and seek to improve performance Clinical Quality and Safety Attend clinical orientation upon commencement Maintain clinical registration and any required indemnity cover Always work within approved scope of practice under supervision by more senior clinical staff as appropriate. Take personal responsibility for the quality and safety of work undertaken Take all necessary care and precautions when undertaking clinical procedures Complete annual clinical competencies Maintain skills and knowledge necessary to safely and skilfully undertake clinical work Consult with peers and other experts and refer to other healthcare workers when appropriate and in a timely manner Collaborate and clearly communicate with patients/clients and the healthcare team Participate in clinical risk management and continuous quality improvement activities as part of day-to-day work Person Centred Care Ensure consumers receive information in an appropriate and accessible format Actively support consumers to make informed decisions about their treatment and ongoing care Ensure consumers are aware of their rights responsibilities and how to provide feedback Health and Safety Protect the health and safety of self and others, complying with all health and safety related policies, procedures and directions Complete required Fire and Emergency Training annually Complete required Workplace Culture and Equity Training annually Attend general hospital orientation within 3 months of commencement As required, comply with fit-testing and PPE requirements Participate in reporting and analysis of safety and quality data including risks or hazards, Report any hazards, near misses and incidents (regardless of whether an injury occurred or not) into Riskman Identify and report any variance to expected standard and minimising the risk of adverse outcomes 7. INCUMBENT CAPABILIITY REQUIREMENTS (Level 2) The incumbent of this position will be expected to possess the following core capabilities: Capability Demonstrated behaviour Personal Personal effectiveness Takes responsibility for accurate, timely work results Learning Agility Identifies personal development needs and seeks information from a range of sources Outcomes Patient/Resident/client centred Strives to meet and exceed expectations, demonstrating sound judgement Innovation and Improvement Contributes to improvement by reviewing strengths and weaknesses of current processes Strategy Driving Results Manages own work load to deliver results Organisational Acumen Understands the interdependencies between units/departments People Working with and Managing others Takes responsibility for ensuring productive, efficient teamwork Collaboration Works collaboratively within and outside the team Position Description Registered Nurse or Allied Health Care Coordinator Clinical Non Managerial 8. SELECTION CRITERIA 8.1 ESSENTIAL REGISTRATION, LICENSE OR QUALIFICATION REQUIREMENTS Eligible for registration with AHPRA Minimum 3 years’ experience in relevant acute/community setting Current Driver’s licence 8.2 OTHER ESSENTIAL REQUIREMENTS Experience working with clients with multiple health issues, comorbidities and complex care needs that impact safety, function and independence. Experience delivering services in the community, addressing the needs of clients living with psychosocial conditions, complex health needs and/or chronic diseases. Ability to perform comprehensive assessments and develop collaborative care plans that address physical, psychosocial and functional aspects of the client. Provides person-centred care coordination to clients which includes o using a self-management framework o engagement with clients, carers and/or families o support in identifying health and wellbeing aims and actions. Effective communication skills (including verbal, written and skills in adapting communication styles to suit clients, families and/or carers, other service providers and colleagues). Works collaboratively with a wide range of health professionals and social care services to facilitate the achievement of health and wellbeing outcomes. Excellent organisational and time management skills. 8.3 OTHER NON ESSENTIAL REQUIREMENTS Formal training in self-management models of health care delivery. Experience working in an inter-professional team or in generic health care roles. Knowledge of Health Independence Programs. Closing Date: 15 July 2025 11:59pm Reconciliation Action Plan: At St Vincent's we acknowledge the importance of creating a work environment that is welcoming, safe, equitable and inclusive for Aboriginal and/or Torres Strait Islander Employees. As part of our Commitment to Reconciliation and Closing the Gap in employment related outcomes, we encourage applications from Aboriginal and Torres Strait Islander Peoples. For further information, visit https ://www.svha.org.au/about-us/reconciliation or get in contact at indigenouscareers@svha.org.au View Reconciliation Action Plan Code of Conduct: View Code of Conduct
