Provide nurse counselling and patient education on chronic disease management and health promotion.
Able to assess patient’s nutritional needs and provide basic nutrition education.
To teach specific tests for monitoring of chronic diseases e.g. blood glucose, blood pressure etc.
Tracking of patient’s progress in chronic disease management and lifestyle changes.
This can involve face to face consult, tele-consult and telehealth monitoring.
Case management of complex chronic cases which may involve home visits to assess patient’s home environment, family 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, GP clinic team, community health and social providers.
Participate in PCN meetings, CME activities and case discussions.
When needed, function as a member of the frontline clinical workforce and support the doctors in various clinical activities.
Any other duties as delegated by the Medical Director or Director Healthcare Services.
Diploma/Degree in Nursing or equivalent with at least 5 years of clinical nursing experience.
Registered with Singapore Nursing Board
Self-motivated and able to work well in a team.
Good interpersonal and communication skills.
Proficient with Microsoft Office Applications.
Able to work in a dynamic environment as well as being flexible and open to changes.