Care Coordinator

• Singapore

The Care Coordinator supports individuals with disabilities and their families, with a

particular focus on families in Category B by planning, organising, and coordinating services to

enhance their quality of life and promote independence. The role includes assessing needs,

developing and implementing care plans, facilitating access to appropriate services, and providing

ongoing support. It involves working closely with clients, families, service providers, and

community agencies to develop and monitor individualized care plans. The Care Coordinator acts

as a central point of contact between the individual, their family, healthcare providers, support

agencies, and community resources

Responsibilities

Communication and Relationship Building

• Build trusting and respectful relationships with the individual, family, and service

Screening of Caregivers

• Conduct and/or oversee the implementation of screening (using the Caregiver

  Needs Screening Tool) and triaging of caregivers to tiered support within the services.

Education and Empowerment

• Create awareness and understanding in caregivers and care recipients of available resources and support services they can tap on (e.g., government programmes, financial assistance etc.).
• Empower the dyad to make informed decisions about their care and life.
• Help families navigate support services.

Care Planning

• Based on caregiver screening (and assessments, where relevant or needed), to develop a person- and family-centred care plan in collaboration with the family and relevant stakeholders.

• Ensure the plan aligns with individual and collective goals.

• Identify short-term and long-term goals of the caregiver and care recipient individually

  and collectively.

Coordination of Services

• Arrange and coordinate services.

• Advocate for their needs, if necessary. Act as a single point of contact for the family.

• Assist with referrals and right-siting of services and programmes.

  Facilitate communication and collaboration between different service providers.

• Participate in case discussions and client/family conferences. Coordinate

  multidisciplinary team meetings to ensure integrated and consistent care, if needed.

• Stay current with best practices, local services and resources, and policies affecting disability services.

Monitoring and Evaluation

• Regularly review and update the care plan to reflect changes in the dyad or
• Monitor outcome by tracking progress toward goals, ensure quality of services are person-centred and culturally appropriate.
• Address any issues or concerns. Adjust plans as needed.
• Seek and use input from the person and family to improve coordination and services.

Practical Support

• Offer practical assistance, such as help with forms, scheduling appointments, or

  navigating service systems (e.g. facilitate client placement in desired services/care

  facilities)

Crisis Management

• Assist dyad to plan for management of crises (e.g., sudden health issues, housing instability).
• Develop contingency plans and ensure quick access to emergency services if needed.

Transition Support

• Facilitate the handover of the dyads when escalated to or de-escalated from one tier to another.
• Help navigate life transitions, such as moving between/ into and out of adult services, transitioning from home to supported living, or entering the workforce.
• Follow-up with service drop-outs
• Collaborate with external providers and community partners to ensure continuity of care.

Requirements

• A recognised Diploma in Social Work (Social Sciences) or WSQ Diploma in Social Service
• Possesses good communication and interpersonal skills,
• Good working knowledge of word processes and computer skills;
• A good team player.
• Those with prior experience is an added advantage.