Job Description: • Excellent benefits including salary packaging • Fitzroy location • Challenging and rewarding work environment • Permanent / Full Time position About the Role As a Care Coordinator you will assess eligible, high-risk clients living with complex healthcare needs. The primary aim of the position is to provide generic care coordination that facilitates the client’s self-management strategies in order to improve health outcomes and prevent avoidable hospital presentations. Intervention is provided through a collaborative care coordination approach and will integrate traditional hospital based health care services and primary health care. This role includes conducting comprehensive 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. Classifications for this position will be Registered Nurse Grade 4A ($116,760.80 per annum). Your Contribution Bachelor or Master’s Degree in Nursing Registration with the Australian Health Practitioner Regulation Agency (AHPRA) Completion of basic life support training/CPR/First Aid Minimum of 3 years post registration experience. 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, CBD at our doorstep, close to some of Melbourne’s best cafes, public transport and lots of carparks Regular opportunities for professional development to assist you to reach your career goals Culture of continuous improvement About the Cottage This position will sit within the SVHM Healthcare for the Homeless program multi-disciplinary ALERT stream and will provide a proactive service to clients staying at the Francesca Healy Cottage. The key target groups for ALERT include patients with complex needs who fall under one or more of the key risk factors; substance use, mental health issues, homelessness, disability and complex aged care issues, family violence. The Cottage is a six bed health facility in a homely terrace house setting in conjunction with Hospital in the Home providing personal and nursing care for homeless or at risk of homelessness clients. The aim is to ensure that that physical, social and emotional needs of the patient group are addressed within an environment of safe practice, respect for dignity and holistic care. 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). Please contact us if you would like to know more. Contact Andrew Chan andrew.chan@svha.org.au LOCAL WORK ENVIRONMENT This position is part of the Health Care for the Homeless (HfH) Program. HfH comprises several services that support clients that are experiencing or at risk of homelessness. HfH aims to integrate and better coordinate existing services within St Vincent’s Hospital and where service gaps are identified, support the development of new services to meet the needs of our clients. The Assessment Liaison and Early Referral Team (ALERT) and the Cottage sit within the HfH Program. The key target groups of ALERT include patients with complex needs who experience one or more of the following key risk factors: substance use, mental health issues, homelessness, disability, complex aged care issues and family violence. The Cottage is a five bed health facility in a homely terrace house setting, providing personal and nursing care for homeless women and men. The aim is to ensure that the physical, social and emotional needs of patients are addressed within an environment of safe practice, respect, dignity and holistic care. POSITION PURPOSE As a Care Coordinator, you will provide person-centred care coordination for clients living with complex psycho-social and healthcare needs, utilising discipline specific skills to support clients to improve their self-management skills. Intervention is provided through a collaborative care coordination approach and will integrate traditional hospital based health care services and primary health care. 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. Your clinical intervention delivered will be of high quality, person-centred and in accordance with relevant codes of practice, clinical standards and scope of practice. This position supports the Cottage and ALERT. POSITION DUTIES Maximise a patient’s functional independence through assessment and treatment planning, implementation and evaluation Undertake holistic comprehensive assessments in collaboration with the client using motivational interviewing and self-management approaches Identify and access multidisciplinary and specialist supports to address specific client issues Facilitation of client generated goals that are realistic, time limited and based on addressing health and wellbeing needs Collaborative care planning with clients, carers and/or families in the context of their health, functional, psychosocial, cultural, environmental and economic needs Communicate effectively and professionally with a wide range of team members, key stakeholders and external service providers Effective negotiation and advocacy with relevant service providers to ensure optimal and coordinated client care according to best practice principles Ensuring appropriate use of brokerage funds Provide appropriate discipline specific clinical management, discharge planning and community liaison for all relevant Cottage patients Monitor health outcomes and plan for the transition and exit from the program, ensuring appropriate long term community supports are in place on discharge Ensure all documentation, client records and activity recording are completed and managed in a timely manner consistent with SVHM policies and procedures, legislative and regulatory requirements Assessment and management of risk issues, including timely documentation of the risk management plan and escalation Participate in quality initiatives, team processes and service development activities Actively participate in team interface processes, service development, evaluation and portfolio activities Meet Activity Based Funding target requirements 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 Agreement provisions 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, including meeting any patient contact targets set 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 Actively manage discharge planning and care-coordination to ensure the best client journey in their continuum of care 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 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 Sets and measures team goals, driving pursuit of higher standards of practice Learning Agility Responds to new and complex situations by adjusting behaviour appropriately Outcomes Patient/Resident/client centred Monitors satisfaction levels and proactively addresses issues Innovation and Improvement Anticipates problems and continuously improves systems and processes Strategy Driving Results Takes ownership for performance of team results Organisational Acumen Uses information and organisational knowledge to make decisions and achieve results People Working with and Managing others Leads others and shares responsibilities, providing support and effective communication Collaboration Operates Cross functionally and develops constructive relationships across the organisation SELECTION CRITERIA ESSENTIAL REGISTRATION, LICENSE OR QUALIFICATION REQUIREMENTS Eligible for registration/membership with AHPRA Minimum 3 years’ experience in relevant acute/community setting 6.2OTHER ESSENTIAL REQUIREMENTS Demonstrated sound knowledge of the application of care coordination practice frameworks and principles, in the context of the current health care environment Demonstrated ability to work autonomously and as part of an interdisciplinary team Demonstrated ability to effectively work with relevant service providers to achieve best outcomes for clients Proven ability to effectively manage and negotiate solutions to complex problems Demonstrated commitment to and experience in the development, implementation and evaluation of program activities Highly developed interpersonal skills that incorporate the qualities of excellent communication, negotiation, organisation, planning and conflict management Excellent time management skills, including planning, organising and prioritising of workload Current Victorian Driver’s Licence OTHER NON ESSENTIAL REQUIREMENTS Specialised skills in one or more of the following areas: Homelessness Substance Use Mental Health Aged Care Chronic Disease Closing Date: 8 October 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
