Case Manager Transition Care Program

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Case Manager Transition Care Program

Job Description
  • Part-time ongoing role
  • Work in both the bed-based and community setting
  • Join an inclusive and collaborative team
  • Based in Cranbourne

Acknowledging the vital role they play in providing healthcare to our community, Monash Health proudly supports the WHO 2021 International Year of Health and Care Workers.

About Monash Health

Monash Health is Victoria’s largest public health service. We are proud to provide healthcare to one quarter of Melbourne’s population, across the entire life-span from newborn and children, to adults, the elderly, their families and carers. More than 18,000 employees work at over 40 care locations across south eastern Melbourne, including Monash Medical Centre, Monash Children’s Hospital, Moorabbin Hospital, Dandenong Hospital, Casey Hospital, Kingston Centre, Cranbourne Centre, and an extensive network of rehabilitation, aged care, community health and mental health facilities. For more information please visit

About Us

The Transition Care Program (TCP) is a major policy initiative between the State and Commonwealth Governments.

The TCP aims to minimise the number of older people experiencing inappropriate extended hospital lengths of stay, being prematurely admitted to residential care and/or prevent unnecessary presentations or admission to the Emergency Department. The program provides short term support and active management for older people at the interface of the acute/subacute and aged care (i.e. Community and residential) sector. The program is goal orientated to optimise the patient’s functional capacity and to finalise and access their longer term care arrangements or maintenance at home.

The TCP can be provided as a bed based or as a home based service. By offering case management, low intensity therapy and personal support, TCP allows older people more time and support in a non-hospital environment to complete their restorative processes, optimise their functional capacity and finalise their long term care arrangements.    

About the Role

The TCP case management role will work closely and collaboratively with the interdisciplinary team, the Senior Clinicians and the TCP Manager to provide high level case management to the TCP clients across both the bed-based and home-based settings.

The case manager will work closely with the local team to deliver quality services to clients through strong clinical expertise. The acts as a resource person on physiotherapist matters to other team members. The position aims to provide a flexible and responsive service that works to meet each client’s identified Transition Care goals. The case manager will have extensive knowledge of community services and the residential aged care sector and has highly developed skills in working with carers and families. The position involves working across TCP’s Home Based/Community Program and the Bed Based Program.

About You:

  • Highly developed case management and clinical skills
  • Experience working in a health-related field and/or acute inpatient, rehabilitation, TCP, community or aged care
  • Demonstrated ability to show initiative, work independently and also work as a team member within the interdisciplinary team
  • Experience working within the public healthcare sector
  • Dynamic and flexible

What you need:

  • Relevant Degree
  • Current registrations
  • Relevant clinical experience

Monash Health will offer:

  • salary packaging
  • friendly and supportive culture
  • opportunity to experience various teams
  • on-going supervision and professional development

Monash Health recognises the value of equal employment opportunity and is committed to patient safety and promoting fairness, equity and diversity in the workplace. At Monash Health we are relentless in our pursuit of excellence and work to our six guiding principles.

Vaccination requirements for roles in our Residential Aged Care facilities will be confirmed at interview stage and you should bring evidence.  

How to Apply

Applications will only be accepted via the Monash Health online Mercury System only. Email applications will not be considered.

Offers of employment can only be made once all required probity checks have been completed.  These include:

  • reference checks;
  • a clear Police Check conducted within the last three months;
  • a current Victorian Employee Working with Children’s Check (or proof of payment for same);and
  • proof of immunisation.

As part of our selection process, you may be invited by email to participate in an on-camera video interview.

In accordance with recent Victorian Public Health directions all employees working in the Public Health system need to be vaccinated against COVID-19 and be required to provide evidence of their vaccination status.   All candidates that are recommended for appointment will be required to provide evidence they meet the vaccination criteria.

This will be by providing  a copy of your immunisation history statement,  which can be accessed via My Gov, or evidence that you have a vaccination appointment before 1 November 2021.  This evidence will need to be uploaded to the E Recruit system.

Offers of employment will only be made to candidates that can provide evidence that they meet the above requirements.  If you are unsure of these requirements please contact the Recruitment Manager for this vacancy .

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