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Nurse Educator in Singapore at Agency for Integrated Care

Date Posted: 5/16/2018

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Job Description

NOTE: Successful applicants will be employed by a Primary Care Network (PCN) participating organisation and not under AIC's employment. Applicants must be willing to work occasionally for evening clinic sessions and on weekends.

  • Provide counselling to patients. This includes education on chronic disease management and health promotion.
  • To teach specific tests for monitoring of patient’s progress e.g. blood glucose, blood pressure, etc.
  • Tracking of patient’s progress in chronic disease management and lifestyle changes. This can involve telephone consultations and telehealth monitoring.
  • Escalation of cases to the doctors based on PCN’s escalation protocol. Raise “priority risk” cases for case discussion with the doctors.
  • Case management of complex chronic cases which may involve home visits to assess patient’s home environment, family/caregiver support, mobility and social status.
  • Conduct of Diabetic Foot Screening and Foot Care education. Referrals of “At Risk” cases to the Podiatrist based on PCN’s protocol and in consultation with the doctor.
  • Work closely with the Primary Care Coordinators (PCCs) in care coordination and care transition. This will involve liaising with the public institutions, clinic doctors and clinic assistants, community health and social providers.
  • Facilitate referrals to Intermediate and Long Term Care (ILTC) providers through the Integrated Referral Management System (IRMS) as well as community mental support centres through Community Mental Health Intervention Team (COMIT) Services.
  • Participate in PCN meetings, CME activities and case discussions.
  • Provides inputs on clinical results of the various clinics in the network.
  • Participates in developing structured programs / care plans for good management and improvement of care.
  • Review or revise nursing guidelines, standards and procedures related to chronic disease management.


Job Requirements

Registered Nurse. Diploma/Degree in Nursing or equivalent. Preferably with a Specialty Diploma in nursing (diabetes management and education).

At least 5 years of clinical nursing experience as a Staff Nurse and / or with 6 months of experience in primary care setting.

Interested applicants are encouraged to send your detailed resume with your current/last drawn and expected salary via APPLY.

We regret that only shortlisted candidate will be notified.

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