Patient Care Coordinator, CARDIO4Cities Brunei (Contract role)

Job description

### **About the Role** #### **Role Type:** Full-Time **Reporting To:** Nurse-in-Charge **Location:** On-site at designated health centers within Brunei-Muara District, Brunei Darussalam **Project:** CARDIO4Cities Brunei ### **Job Summary:** The Patient Care Coordinator will support the implementation of the CARDIO4Cities initiative across its various workstreams. Responsibilities will include patient engagement and outreach activities—such as re-engaging patients with chronic diseases who have missed or are overdue for follow-up care—as well as administrative, coordination, and data management support for other initiative activities as required. This is a **strictly non-clinical role**. The successful candidate will be responsible for contacting patients using approved communication scripts, coordinating follow-up appointments with the nursing team, maintaining accurate records of outreach activities, and escalating any clinical concerns to the appropriate healthcare team. The role requires a warm and respectful approach when communicating with patients, as well as strong attention to detail when maintaining patient-related administrative information. ### **Key** **Responsibilities** 1. Patient Re-engagement and Outreach - Contact patients who have missed or are overdue for chronic disease follow-up appointments through approved phone calls or messaging channels. - Use approved communication scripts and follow established procedures when communicating with patients. - Encourage patients to return for their scheduled follow-up care in a warm, respectful, and non-judgmental manner. - Record patient responses and outreach outcomes accurately and promptly. - Follow up with patients as required in accordance with the established outreach process. **2. Appointment and Care Coordination** - Work closely with the nursing team to coordinate follow-up appointments for patients who agree to return for care. - Assist with scheduling relevant investigations and/or follow-up appointments as directed by the nursing team. - Ensure appointment information and patient responses are accurately recorded in the relevant system or database. - Support the nursing team with administrative coordination related to patient re-engagement activities. **3. Non-Clinical Role Boundaries and Escalation** - Adhere strictly to the boundaries of a non-clinical role. - Do not provide medical advice, clinical recommendations, diagnosis, or treatment guidance to patients. - Follow applicable procedures regarding access to and handling patient information. The patient care coordinator must not access confidential medical records, except where access to specific administrative information (such as appointment details) is expressly authorized in writing by the nurse-in-charge and is strictly necessary to perform the duties of the role. - Recognize and promptly escalate any clinical concerns, urgent symptoms, or other red flags reported by patients to the nursing team in accordance with established protocols to ensure timely clinical intervention. - Refer patients to the appropriate healthcare professional whenever a matter falls outside the scope of the role. ### **4. Database and Activity Management** - Maintain accurate and up-to-date records relating to patient outreach and follow-up activities. - Record call and messaging outcomes, patient responses, appointment arrangements, and other relevant activity accurately. - Identify and report inconsistencies or missing information in the relevant database or records to the nursing team for resolution. - Maintain proper documentation to support accurate tracking of patient re-engagement activities and outcomes. - Handle all patient-related information securely and in accordance with applicable policies and procedures. ### ### ### **Required skills and qualifications** **1. Communication and Patient Engagement**