Position: Care Partner
Program: Support at Home
Reports to: Aged Care Manager
Work location: Office, onsite

1. Position Purpose

The Care Partner is responsible for managing a designated group of Support at Home participants. The role involves conducting assessments, developing care plans, coordinating services, monitoring participants' wellbeing, managing service budgets and ensuring participants receive appropriate care and support.

The Care Partner acts as the main contact person for participants and their families and works closely with support workers, Registered Nurses, allied health professionals and external service providers.

2. Daily Responsibilities – What You Need to Do. Participant Management

- Contact newly referred participants and arrange initial home visits.
- Introduce the organization's services and explain how Support at Home works.
- Check the participant's current support needs, funding classification and approved services.
- Review the participant's support plan and identify any gaps in services.
- Discuss care preferences, goals and expectations with participants and families.
- Arrange service commencement and confirm the roster with relevant staff.
- Ensure service agreements, consent forms and relevant documentation are completed.

B. Home Visits and Care Plan Reviews

- Conduct home visits to assess participants' living conditions and support needs.
- Review mobility, personal care, nutrition, medication support, falls risks and general wellbeing.
- Check whether the participant is receiving the services they actually need.
- Ask participants whether they are satisfied with their current support workers.
- Identify changes in health, mobility, memory, behaviour or independence.
- Update care plans and risk assessments when changes occur.
- Document all visits, discussions, actions and follow-up requirements.

C. Service Coordination

- Arrange and coordinate services, including:
- Personal care and showering assistance.
- Domestic assistance and cleaning.
- Meal preparation.
- Shopping and transport.
- Social support and community participation.
- Nursing and wound care.
- Physiotherapy and other allied health services.




- Assistive technology and home modifications.
- Communicate with rostering staff to arrange suitable workers.
- Ensure workers understand the participant's individual care requirements.
- Follow up missed services, cancellations and complaints.
- Arrange replacement workers when required.
- Liaise with external providers when services cannot be delivered internally.

D. Participant Monitoring and Follow-up

- Maintain regular contact with participants and families.
- Complete at least one direct care management activity each month for each ongoing participant.
- Follow up participants after hospital discharge or significant changes in health.
- Monitor high-risk participants more frequently according to their individual needs.
- Follow up concerns raised by support workers.
- Escalate any deterioration or clinical concerns to the RN or Clinical Manager.
- Arrange reassessment or additional services when the current support is insufficient.

E. Budget and Funding Management

- Check each participant's available Support at Home budget.
- Monitor service expenditure and monthly utilisation.
- Check that services are within the participant's approved funding and budget.
- Discuss service costs and potential budget shortfalls with participants.
- Identify participants who are underspending or at risk of exceeding their budget.
- Review service arrangements with participants when funding changes.
- Ensure services are properly authorised before commencement.

F. Risk, Incident and Complaint Management

- Identify risks such as falls, medication errors, malnutrition, social isolation and unsafe home environments.
- Ensure appropriate risk assessments and mitigation strategies are documented.
- Respond to concerns reported by participants, families and support workers.




- Report incidents and escalate safeguarding concerns immediately.
- Refer clinical issues to the RN.
- Follow up corrective actions and document outcomes.
- Ensure complaints are acknowledged, investigated and resolved in accordance with organisational procedures.

G. Documentation and Compliance

Ensure the following documents are completed and maintained:

- Participant assessment.
- Individualised care plan.
- Service agreement and consent forms.
- Risk assessments and risk mitigation plans.
- Budget and service utilisation records.
- Home visit and monthly care management notes.
- Incident and complaint records.
- Referrals and clinical correspondence.
- Care plan reviews and reassessments.
- Participant feedback and satisfaction records.

3. Responsibilities When a Participant's Condition Changes

The Care Partner must:

- Receive information from the participant, family or support worker.
- Contact the participant to understand the situation.
- Determine whether an immediate response or emergency assistance is required.
- Notify the RN or Compliance Manager/Aged Care Manager if clinical concerns are identified.
- Arrange a home visit or further assessment where appropriate.
- Review the care plan and risk management strategies.
- Arrange additional services or referrals where approved and appropriate.
- Document all actions and follow up until the issue is addressed.

4. Qualifications and Experience

- Certificate III or IV in Individual Support, Aged Care, Community Services or relevant equivalent experience.
- Previous experience in community aged care or case management.
- Knowledge of Support at Home requirements.
- Positive communication and organisational skills.
- Ability to conduct home visits and manage multiple participants.
- Basic understanding of aged care risk management and safeguarding.
- Current driver's licence and willingness to travel.

Pay: $35.00 – $40.00 per hour

Expected hours: 24.0 per week

Licence/Certification:

- Driving License (Preferred)

Willingness to travel:

- 100% (Preferred)

Work Location: In person

📌 Care Partner (Aged Care) (Harris Park)
🏢 Altido Consulting Services
📍 Harris Park