Network Rehabilitation Coordinator

Remuneration

The salary scale for this post is: (as at 01/06/26):

€72,119 €73,511 €74,941 €76,363 €77,784 €79,280 €80,857 €82,428 €83,689

Salary Scales are updated periodically and the most up to date versions can be found here: https://healthservice.hse.ie/staff/benefits-services/pay/pay-scales.html

Key Working Relationships

The Network Rehabilitation Co-ordinator will work closely with members of the Community Neuro-Rehabilitation Team and also the wider Managed Clinical Rehabilitation Network. They will work closely with the consultant of the Community Neuro-Rehabiltation Team along with the team lead. They will also link in with in-patient and community teams as required. They will maintain relationships with other rehabilitation co-ordinators nationally and will also connect with the national team for the National Neuro-Rehabilitation Strategy as required.

Purpose of the Post The Network Rehabilitation Coordinator is a pivotal role in the functioning of the MCRN. They act as the single point of entry for all referrals into the network and direct individuals to the most appropriate service to meet their needs. This facilitates improved communication and reduction in duplication of referrals. The purpose of this post is:

• Facilitate decision making regarding referrals to the MCRN

• Assessment of rehabilitation need

• Introduction of standardised assessment of need

• Co-ordinate onward referral and seamless transfers between post-acute rehabilitation services within the MCRN.

• Responsible for ensuring the completion of relevant rehabilitation documentation, to assist with the implementation of seamless onward post-acute rehabilitation pathway.

• Provide clinical leadership to develop and support all staff involved in referring to post-acute rehabilitation.

The post involves working autonomously and as part of an interdisciplinary team within a community setting.

Principal Duties and Responsibilities

Professional / Clinical

Job Summary:

• Coordination role – aware of rehabilitation needs of patient cohort and direct/triage referral to correct pathway of post-acute care, subject to the criteria and services provided at the site to ensure appropriate patient rehabilitation placement.

• Attend MDT meetings at acute and post-acute sites in early developmental stage to familiarise self with suitable patient cohort needs of post-acute site.

• Collaborative working to develop communication linkages and shared purpose

• Work on stakeholder engagement and advancing pathways across the sites.

• Added transparency to decision making processes with accurate traceability/tracking of decisions & enhanced practice/relationships.

• Oversee waiting list management/validation and risk assessments

Patient care:

• To streamline the transfer of individuals from acute to post-acute care & between post- acute services.

• To provide a high level of professional leadership and to demonstrate innovative practice in the provision of care, in line with the Scope of Practice and service needs.

• To establish and maintain clear lines of communication with all aspects of the service e.g., to attend multidisciplinary and other team meetings and case conferences as appropriate to the post.

• To maintain satisfactory clinical records in keeping with best practice, professional and statutory guidelines and to liaise with supportive services both voluntary and statutory relevant to the post.

• To be responsible for accurate, contemporaneous record keeping using assessment protocols, reference to outcome measures, comprehensive progress records and discharge reports/centralised repository as required

• To use specialist knowledge to refer to other health professionals as appropriate

• To enhance continuity of care in facilitating an effective communication model between post-acute care providers and hospital-based teams.

• Facilitate the multi-disciplinary team to expedite the patient’s journey supporting them to consider alternatives to admission for those patients, whose health care needs can be met outside the inpatient setting. Work closely with community team and initiatives to achieve this.

• Support the multidisciplinary teams in overcoming delays in complex discharges. Attend regular meetings on delayed discharges and actively participate in initiatives to manage complex discharges.

Service development

• Work closely with all post-acute rehabilitation units in relation to appropriate and timely assessments and transfer of patients to establish and incorporate a Person-Centred Care model and service.

• To develop and administer the highest quality of service by identifying and implementing operational procedures in line with best practice standards

• To keep abreast with new developments, skills, and technology to ensure continuing competence in the post

• To enhance own skills in order to initiate and respond to changes in the work environment as additional roles may be demanded e.g., data analysis, clinical audit, risk assessment and research

• To propose and implement changes to service in line with new developments and evidence, in conjunction with line manager

Education and Training:

• To act as a positive role model for colleagues and others in relation to professional conduct and practice in the area of discharge planning/on-going care.

• Be responsible for identifying his/her own training development needs in consultation with the line manager in order to keep professionally and clinically updated.

• To be responsible for creating an environment conducive to learning and development of self and others.

• Facilitate, initiate, participate and evaluate continuing education programmes using skills and knowledge gained to enhance the service offered to patients/clients/staff.

• To provide education, training and support to staff and patients, when appropriate, in order to enhance the patient cohort needs, in line with best practice.

• To act as and be available as an advisor, providing professional advice inter and intra disciplinary, in the area of discharge planning/community liaison, to those within and outside the service in order to promote improved patient management and provide seamless continuity of care.

Patient Advocacy:

• To foster and promote that regard is taken to the dignity, choices, self-esteem and well-being of clients and their relatives in the area of on-going care.

• In collaboration with clients, take available opportunities to represent views of and negotiation behalf of individual clients and/or client groups at a multidisciplinary level and with other personnel or agencies as appropriate.

• To develop systems to give service users and carers an opportunity to have views represented in relation to services provided in the area of speciality and service developments.

• Gather, analyse and evaluate information to identify problems in partnership with the patient, carer and colleagues

• Participate in multidisciplinary case review meetings to discuss progress and to plan treatment and safe discharge/onward transfer to post-acute care.

• Maintain confidentiality

Communication and Information

• Communicate effectively and accurately in written and electronic media to convey information in a clear and concise manner

• Develop collaborative interdisciplinary multidisciplinary and cross organisational working relationships professional colleagues

• Communicate with the clinical team in a sensitive professional manner using a positive approach to problem solve complex issues / challenges

• To create and promote good working relationships through open communication regularly and appropriately with relevant stakeholders

• Maintain appropriate records and statistics sufficient for organisational and legal purposes to include work related injuries/incidents

• To collect, interpret, and present data and information through audit of service activity, clinical standards, and outcome measures.

Health & Safety

The Network Rehabilitation Coordinator will:

• Promote a safe working environment in accordance with Health and Safety legislation

• Be aware of and implement agreed policies, procedures and safe professional practice by adhering to relevant legislation, regulations and standards

• Actively participate in risk management issues, identify risks and take responsibility for appropriate action

• Report any adverse incidents in accordance with organisational guidelines

Administrative

The Network Rehabilitation Coordinator will:

• Promote good working practice and uniformity of standards of best practice

• Promote quality by reviewing and evaluating the service regularly, identifying changing needs and opportunities to improve services, in collaboration with the relevant others

• Develop and implement service / business plans, quality initiatives, audits etc. and report on outcomes in collaboration with the Managed Clinical Rehabilitation Network Lead

• Collect and evaluate data about the service user group and demonstrate the achievement of the objectives of the service

• Oversee the upkeep of accurate records in line with best clinical governance, organisational requirements and the Freedom of Information Act, and render reports and other information / statistics as required

• Promote good team working, and a culture that values diversity

• Engage in IT developments as they apply to service user and service administration

• Keep up to date with developments within the organisation and the Irish Health Service

The above Job Description is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post which may be assigned to him/her from time to time and to contribute to the development of the post while in office.

Eligibility Criteria

Qualifications and/ or experience

Candidates must have at the latest date of application: -

1. Statutory Registration Professional Qualifications, Experience, etc

(a) Candidates for appointment must:

(i) Be a Health Care professional with a recognised relevant professional qualification in Nursing or Health & Social Care Professions*

* Relevant disciplines are: Physiotherapist, Occupational Therapist, Speech & Language Therapist, Psychologist, Social Worker, Dietitians, Nursing/ Midwifery

And

(ii) Be registered, or eligible for registration, on the appropriate register for the profession, CORU (Health & Social Care Professionals) or An Bord Altranais and Cnáimhseachais na hÉireann (Nursing and Midwifery Board of Ireland - NMBI)

And

(ii) Have five years full time (or an aggregate of five years) post registration qualification experience of which four years full time (or an aggregate of four years) post qualification clinical experience must be in the area of Specialism.

And

(iii) Candidates must have the requisite knowledge and ability (including a high standard of suitability and professional ability) for the proper discharge of the duties of the office.

And

(iv) Provide proof of Statutory Registration on the relevant statutory Register maintained by the relevant statutory Registration Board before a contract of employment can be issued.

2. Annual registration

(i) On appointment practitioners must maintain annual registration on the relevant statutory Register maintained by the relevant statutory Registration Board

And

(ii) Practitioners must confirm annual registration with CORU to the HSE by way of the annual Patient Safety Assurance Certificate (PSAC)

3. Health

Candidate for and any person holding the office must be fully competent and capable of undertaking the duties attached to the office and be in a state of health such as would indicate a reasonable prospect of ability to render regular and efficient service.

4. Character

Candidates for and any person holding the office must be of good character

Post Specific Requirements

Candidates must:

• Demonstrate depth and breadth of experience of working in a setting and the specialist area as relevant to the role. This may include post graduate Neuro-rehabilitation specific training/education.

• Demonstrate experience in service development and/or quality improvements or other relevant improvement initiatives as relevant to the role.

Other requirements specific to the post Have access to appropriate transport to fulfil the requirements of the role.

Skills, competencies and/or knowledge

Professional Knowledge & Experience

• Demonstrate clinical knowledge, clinical reasoning skills and evidence-based practice appropriate to carrying out the duties and responsibilities of the role.

• Demonstrate a good working knowledge of standardised and non-standardised assessments and outcome measures for these client groups.

• Demonstrate competence in goal setting, treatment planning, report writing and documentation in partnership with service users.

• Demonstrate a willingness to develop IT skills relevant to the role.

• Demonstrate knowledge of relevant models of practice and treatment intervention relevant to these client groups.

• Demonstrate knowledge of neurological impairments and their impact on communication and swallowing.

• Demonstrate knowledge of & experience in the assessment for and provision of Assistive Technology.

• Demonstrate knowledge of national / professional standards relevant to this post e.g., HIQA standards, relevant clinical guidelines etc.

Planning and Managing Resources

• Demonstrate the ability to plan, deliver and evaluate the service in an effective and resourceful manner.

• Demonstrates the ability to plan activities and co-ordinate resources to ensure value for money and maximum benefit for the organisation.

• Demonstrates ability to prioritise the most important tasks on an ongoing basis.

• Demonstrates flexibility and adaptability in response to workforce demands.

• Demonstrate ability to take initiative and to be appropriately self-directed.

Managing and Developing (Self and Others)

• Demonstrates ability to lead by example and adapts leadership style to suit the demands of the situation and the people involved.

• Demonstrate an ability to manage and develop self and others in a busy working environment.

• Demonstrate the ability to work independently as well as part of a team, collaborates well with others.

• Demonstrates the ability to react constructively to setbacks and to both give direction / feedback, and take direction / feedback, from others.

• Demonstrates a commitment to continuous professional development and knowledge sharing.

• Demonstrate a track record of educating and supervising staff/facilitating professional supervision

• Demonstrate evidence of commitment to continuing professional development.

Commitment to providing a Quality Service

• Demonstrate a commitment to the delivery of a high-quality, person-centred service. Champion initiatives to improve quality of service.

• Act as an expert clinical resource for the MDT, service and students.

• Demonstrate the ability to effectively evaluate information and make appropriate decisions.

• Demonstrate ability to organise time and workload effectively.

• Demonstrate audit and research skills.

• Ensures that all service users are treated with dignity and respect and ensures that the welfare of the service user is a key consideration at all times.

• Works at an operational level to build alliances and learn how to best position service delivery to meet the needs of its service users.

• Is open to change and supports the implementation of change.

Evaluating Information and Judging Situations

• Tailors the communication method and the message to match the needs of the audience; demonstrates active listening skills.

• Demonstrates effective interpersonal skills including the ability to collaborate in partnership with others.

• Demonstrates sensitivity, diplomacy and tact when dealing with others; is patient and tolerant when dealing with conflict situations.

• Demonstrates strong negotiation skills; remains firm but flexible when putting forward a point of view

• Demonstrate the ability to evaluate information and make effective decisions in relation to service user care.

• Explains the rationale behind decisions confidently when faced with opposing or competing demands. Is objective but also aware of sensitivities in their approach.

• Regularly quantifies and evaluates activities against service plans and takes timely action to correct potential difficulties. Recognises how service constraints impact on service delivery.

• Demonstrate flexibility and openness to change.

Communications and Interpersonal Skills

• Demonstrate effective team work, communication and interpersonal skills with experience of collaborative joint assessments and interventions with MDT members/relatives.

• Demonstrate the ability to empathise with and treat service users, relatives and colleagues with dignity and respect.

• Demonstrate ability to deliver presentations/training.