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Community Care Coordinator Older Persons Mental Health

  • 492700
  • Prairiewood, NSW, Australia, 2176
  • Health & Palliative Care
  • Medical Professional
  • Nursing
  • Permanent Full Time
  • Closing on: Oct 24 2021

About HammondCare

HammondCare is an independent Christian charity that exists to improve quality of life for people in need.

We specialise in aged and dementia care, palliative care, rehabilitation, mental health services for older people, and other related health and aged care services. HammondCare seeks to embed evidence based best practice in its services and we provide these services through home care, sub-acute hospitals and residential aged care.

Bringing these health, hospital and aged care services together, HammondCare has been able to develop innovative, flexible care models designed to serve people with complex health or aged care needs, regardless of their circumstances.

HammondCare works to provide its staff with support, career development opportunities, education, responsibility and recognition, work/life balance, and satisfying roles.

About the role

Older Peoples Mental Health (OPMH), Community Team is a multidisciplinary team who provide a four phase delivery of care to consumers: assessment, diagnosis, recommendations and discharge of a wide range of mental health and behavioural disorders affecting older people; usually over 65 years of age. Some consumers however, may require longer term care and support. The service aims to assist families and carers of people experiencing these problems. Clients are seen in the clinic at Braeside hospital, however, home visits can be organised as needed.

The role of the Senior Social Worker/Occupational Therapist (Care Coordinator) OPMH Community is to work within the Mission and Mission in Action of HammondCare to ensure to ensure that clients with mental health diagnoses living in the community and referred to the service are actively supported to continue to live in the community. The Care Coordinator will ensure a high-quality care coordination service is provided and will participate as a member of the multi-disciplinary team to ensure a patient centered, evidence based, recovery oriented and continuous quality improvement work environment that is consistent with the values and ethics of HammondCare and the Australian Association of Social Workers (AASW) as well as Australian Health Practitioner Regulation Agency (AHPRA).

The essence of this role:

  • Undertake a care coordinator role within the community OPMH team, including:
  • Assess and fully understand each client’s care needs, consulting with colleagues to develop care plans to improve quality of life
  • Provide care to clients in the community, implementing the client’s care plan, coordinating care provided by the MDT, and evaluating effectiveness of interventions
  • Provide support to families and carers to enable them to support long term care goals/needs of the client
  • Coordinate care, accessing and collaborating with other government and non-government agencies to ensure consumers receive services relevant to their needs
  • Provision of effective and efficient social work service to clients, including appropriate support and advice to their families and carers
  • Participate as a member of the HammondCare team in the application of the organization’s mission and values to the pursuit of its objectives in a client centered, continuous quality improvement work environment

Selection Criteria 


  • Commitment to align and engage with HammondCare’s Mission, Motivation and Mission in Action
  • Relevant qualification as an Occupational Therapist currently registered with Australian Health Practitioner Regulation Agency (AHPRA) or qualified Social Worker eligible for registration with the Australian Association of Social Worker (AASW)
  • Demonstrate knowledge of Mental Health issues for Older People
  • Demonstrate experience providing advanced evidence based, strength focused, recovery oriented assessment and treatment for consumers of mental health service
  • Superior interpersonal, consultation and reasoning skills necessary to ensure high clinical practice standards and build strong team practice, using a variety of media – oral, written and computer
  • Demonstrated use of advanced level professional judgement and ability to lead and independently problem-solve set priorities in complex situations
  • Demonstrated advance-level skills and experience in interacting constructively and collaboratively with the internal multidisciplinary team and external service providers
  • Demonstrated skills and experience monitoring progress, performance and providing clinical supervision and clinical leadership
  • Experience in quality improvement initiatives aimed at enhancing service delivery, including planning, development, implementation, evaluation and professional education and training
  • An unencumbered Driver’s License and willingness to travel between HammondCare’s sites and services
  • Significant practical experience in a mental health/community health or a combination; greater than 3 years
  • Experience working with people who have diagnosed acute or chronic mental illness
  • Demonstrated knowledge of the NSW Mental Health Act (2007) and a commitment to the National Agenda for Mental Health reform
  • Relevant qualification as an RN and current registration with Australian Health Practitioner Regulation Agency (AHPRA)

As HammondCare is a NSW Health affiliated organisation, all NSW Health transferrable entitlements will be recognised by HammondCare, in accordance with Public health System.

Ready to make a change? Apply Now!

For an information pack, including the selection criteria, and details on how to apply, please see our website:

For any specific queries not answered by the information pack, please contact Nishant Mittal on

All short listed applicants for these positions will be asked to consent to a criminal record check, immunisation staff screening & vaccination compliance checks.



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