Chronic Disease Nurse Coordinator

Clinical Services Team


The Chronic Disease Nurse Co-ordinator is part of the Clinical Services Team of Mawarnkarra Health Service.  The Service objective is to provide holistic, primary health care services to the Aboriginal people of the West Pilbara region.


20 Sholl Street, Roebourne, WA  6718.


Clinical Manager


Senior Medical Officer (SMO)


37.5 hours per week Monday to Friday 8:30am to 4:45pm with 45 minutes (unpaid) for lunch daily. You are to be ready for work no later than 8:30am daily. 

Other conditions of employment are identified in your contract for employment.

All Mawarnkarra employees are required to comply with all policies in force at the time of commencement of employment and those implemented from time to time.

As part of the orientation program, employees are required to sign declarations and agreement pursuant to policies of the Health Service.


The role of the Chronic Disease Nurse Co-ordinator is to ensure the ongoing provision of the highest standards of care to client of the service through the provision of clinical services and health education and promotion enhance the clinical services provided to clients of Mawarnkarra with the aim of improving health outcomes for Aboriginal people of the area.


  • Motivation to provide service excellence.
  • Demonstrated ability to work independently and in a multi disciplinary team environment.
  • Demonstrated capacity to work in a collaborative manner with staff.
  • Excellent oral and interpersonal communication skills.
  • Demonstrated ability to problem solve issues on a day to day basis.
  • Ability to discuss and explain complex issues to clients.
  • Demonstrated high level of clinical skills and qualifications relevant to the position.
  • An understanding of the standards required documentation and electronic data management in health.
  • A demonstrated understanding of the issues and barriers that impact upon the health outcomes of Aboriginal people.
  • Commitment to ongoing participation in education, professional development, evidence based research and quality assurance.


  1. Clinical care and chronic disease program responsibilities:
  • Work collaboratively with members of the clinical team to ensure the effective delivery of chronic disease services to clients.
  • In collaboration with the multidisciplinary team conduct health checks on adult clients.
  • Oversee the management of recalls and reminders for the clinic.
  • Provide education and follow-up and recall to clients.
  • Participate in case conferencing and coordinate and collaborate with other service providers including the Programs Services Team and external service providers.
    • Identify and provide advice to the Senior Medical Officer and the Practice Manager on areas for quality improvement in program areas such that client outcomes are consistently improved.
    • Identify service providers within the area that can assist the organisation to achieve its outcomes, particularly in the area of referrals to and from the service and access to the service.
  • Perform routine pathology tests, screening and other technical tasks such as ECGs, wound management and administration of medication.
  • Collaborate closely with GPs and visiting specialists on care of clients.
  • Assist with other clinical duties such as immunisations.
  • Promote Medicare billing in the service consistent with laws governing Medicare and in a manner that optimises Medicare billing arrangements.
  1. Education and health promotion
  • Work in collaboration with other staff at Mawarnkarra and take a leadership role in implementing education and health promotion for clients and the community.
  • In collaboration with other staff provide education to clients and families on care, chronic disease management and health prevention.
  • Provide education and training to other staff on issues related to chronic disease.
  1. Infection control
  • Demonstrate leadership in maintaining infection control principles at all times.
  • Adhere to all policies and procedures in regards to infection control management.
  • Educate staff on the principles, policies and procedures of infection control.
  1. Reporting and data management
  • Ensure a clear understanding of Mawarnkarra reporting requirements as relevant to the position.
  • Attend meetings and provide expert input into the various working groups and program management groups as necessary and under the supervision of the Senior Medical Officer and the Clinical Manager.
  • Promote cooperative and collaborative working relationships with other health service providers in the area.


  1. Quality improvement activities
  • Take a leadership role in continual quality improvement in the delivery of client services.
  • Ensure all standards are maintained consistent with evidence based best practice standards as applicable to the role of Registered Nurse.
  1. Professional responsibilities:
  • Maintain the highest standards of professional conduct.
  • Participate in and contribute to the fulfilment of operational needs of the organisation as they arise.
  • Participate in research activities within the services as required.
  • Demonstrate an understanding of and compliance with all Mawarnkarra policies and procedures.
  • Participate in maintaining a safe working environment
  • Other duties as directed by management.


Attend and participate in the professional development program and relevant external seminars and conferences, as approved.


Performance will be appraised on an on-going basis and formally at the first 3 months and annually thereafter.

Consent to a Working with Children Check and a National Police Certificate.  Employment is conditional pending the outcome of these checks.

Current Drivers Licence

AHPRA Registered

COVID-19 Vaccinated. (triple vax as per government mandate for all health care workers)

CPR Certification

All employees are subject to regular random drug and alcohol testing.

Please email your resume and application for a role to HR Department. You will receive confirmation that your application has been received. Should we progress your application to interview, we will contact you to arrange.

MHS may commence appointment proceedings immediately, appoint by invitation or make no appointment at all. This opportunity is only open to candidates with the right to work in Australia. Aboriginal and Torres Strait Islander people are encouraged to apply.


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