Community Health and Integrated Care delivers a range of multidisciplinary, community-based services focused on prevention, early intervention, treatment, and ongoing management of health conditions. These services include Geriatrics, Rehabilitation, Nursing, Walk-in Centres, Breast Screen ACT, the Integrated Care Program, Renal Services, Bariatric Services, Women, Youth and Children, Community Paediatrics, the Spinal Pain Service, and components of the Chronic Pain Service, as well as services within the Rehabilitation and Aged Care Division. Services are delivered through a collaborative, patient-centred model of care that supports improved health outcomes for the ACT community and surrounding region.

Community Health and Integrated Care is committed to continuous service improvement to ensure contemporary models of care, sustainable workforce practices, and safe, high-quality service delivery. The programs aim to foster a positive workplace culture and strong collaboration across clinical and operational teams to support the delivery of accessible and integrated community-based healthcare.

The Community Care Program, Community Nursing Service delivers a range of community-based nursing services to residents of the ACT. These services include direct nursing care in areas of wound, continence, stoma, post-acute support, palliative care, and the delivery of the self-management of chronic conditions program.

The Complex Care CNC provides high-level clinical leadership within a community-based care setting, delivering expert support for the management of patients with complex subacute and chronic conditions. The role facilitates coordinated, person-centred care through collaboration with interprofessional teams, supports staff in managing complex clinical presentations, and promotes patient independence and self-management to enable people to remain living well in their home and community for as long as possible.

Specific responsibilities include, but are not limited to, the following.

• Provide effective clinical leadership and consultancy to staff in the management of patients with complex care needs by working with stakeholders to develop comprehensive care plans. This includes but is not limited to: Identify and manage risks and issues, promote consumer engagement and participation, to empower patients to make informed decisions.
• Provide clinical reports to management.
• Review and provide consultation in the holistic management of patients with complex care needs, utilising an interprofessional model as clinically indicated.
• Demonstrate commitment to patient advocacy, including the ability to support and empower patients and carers to effectively navigate the health system, access appropriate services, and achieve optimal health outcomes.
• Provide active leadership in clinical handover discussions and promote a culture of shared learning and development within the workplace.
• Contribute to the development, management, facilitation, and evaluation of educational programs.
• Participate in and understand how risk management, quality improvement, nursing practice review and clinical research activities promote optimum service delivery.
• Participate in forums and meetings within Community Care and represent Canberra Health Service as directed.
• Undertake other duties appropriate to this level of classification which contribute to the operation of the organisation.

Specific responsibilities include but are not limited to the following.

• Individual initiative with strong problem solving and consultation skills
• Well-developed communication and interpersonal skills
• The ability to work autonomously and as part of the interprofessional team
• Strong organisation and time management skills

Specific responsibilities include, but are not limited to, the following.

Essential

• Tertiary Qualification or related qualification in nursing
• Registered or eligible for registration with the Australian Health Practitioner Regulation Agency (AHPRA).

Desirable

• Have an understanding of how the National Safety and Quality Health Service (NSQHS) indicators align with this role.

Specific responsibilities include, but are not limited to, the following.

Essential

• Minimum of 5 years full-time equivalent post-graduate nursing experience
• Experience in a similar role and role environment
• Hold a current drivers licence
• Experience or knowledge of the CHS Exceptional Care Framework, and all other related frameworks.

Desirable

• Relevant post-graduate qualifications

Appointment to this position is conditional on being granted and retaining appropriate clearances.

• Pre-employment National Police Check.
• Current registration issued under the Working with Vulnerable People (Background Checking) Act 2011 is required.
• Comply with Canberra Health Services Occupational Assessment, Screening and Vaccination policy.

All employees are required to:

• adhere to the Canberra Health Services Values and the ACT Public Service Code of Conduct
• act in accordance and comply with all relevant Safety and Quality policies and procedures.
• Comply with all relevant clinical and/or competency standards

CHS is leading the drive to digitally transform health service delivery in Australia through the implementation of a territory wide Digital Health Record. Computer literacy skills are required which are relevant to this role as you will be responsible for completing required documentation and becoming a proficient user of the Digital Health Record and/or other Information Technology systems; once proficient, you will need to remain current with changes, updates, and contingencies

These are the key selection criteria for how you will be assessed in conjunction with your resumé and experience.

1. Proven high-level clinical knowledge, problem-solving and decision-making ability in the assessment and management of patients with complex care needs, including demonstrated proficiency in health system navigation, care coordination, and facilitating timely access to appropriate services to achieve optimal patient outcomes.
2. Demonstrated leadership ability in a complex healthcare environment, including the provision of clinical guidance and consultation, leadership within interprofessional teams, promotion of patient-centred care, and contribution to service improvement, workforce development and organisational objectives.
3. Demonstrated commitment to advancing clinical practice through participation in research, quality improvement initiatives, policy development and review, and ongoing professional development to enhance patient outcomes and service delivery.
4. Demonstrated high-level communication, negotiation and interpersonal skills, with the ability to build effective relationships, engage and influence stakeholders, and collaborate with patients, carers, internal teams and external service providers.
5. Demonstrated understanding of and commitment to safety and quality standards, Work Health and Safety requirements, and the delivery of a positive patient experience, while consistently displaying behaviours aligned with CHS values of Reliable, Progressive, Respectful and Kind.

The following work environment description outlines the inherent requirements of the role and indicates how frequently each of these requirements would need to be performed. Please note that the ACT Public Service is committed to providing reasonable adjustments and ensuring all individuals have equal opportunities in the workplace.

Administrative	Frequency
Telephone use	Frequently
General computer use	Frequently
Extensive keying/data entry	Frequently
Graphical/analytical based	Occasionally
Sitting at a desk	Frequently
Standing for long periods	Frequently

Travel	Frequency
Frequent travel – multiple work sites	Frequently
Frequent travel – driving	Frequently

Physical demands	Frequency
Distance walking (large buildings or inter-building transit)	Frequently
Working outdoors	Occasionally

Psychosocial demands	Frequency
Distressed People e.g. Emergency or grief situations	Occasionally
Aggressive & Uncooperative People e.g. drug / alcohol, dementia, mental illness	Frequently
Unpredictable People e.g. Dementia, mental illness, head injuries	Occasionally
Restraining e.g. involvement in physical containment of clients/consumers	Never
Exposure to Distressing Situations e.g. Child abuse, viewing dead / mutilated bodies; verbal abuse; domestic violence; suicide	Occasionally

Specific hazards	Frequency
Working at heights	Never
Exposure to extreme temperatures	Occasionally
Operation of heavy machinery e.g. forklift	Never
Confined spaces	Frequently
Excessive noise	Occasionally
Low lighting	Occasionally
Handling of dangerous goods/equipment e.g. gases; liquids; biological.	Occasionally
Slippery or uneven surfaces	Occasionally

Manual handling	Frequency
Lifting 0 – 9kg	Choose an item.
Lifting 10 – 15kg	Choose an item.
Lifting 16kg+	Choose an item.
Climbing	Choose an item.
Running	Choose an item.
Reaching	Choose an item.
Kneeling	Choose an item.
Foot and leg movement	Choose an item.
Hand, arm and grasping movements	Choose an item.
Bending/squatting	Choose an item.
Bend/Lean Forward from Waist/Trunk twisting	Choose an item.
Push/pull	Choose an item.
Sequential repetitive movements in a short amount of time	Choose an item.