Proactive Health

General Practitioner

• Conduct comprehensive GP consultations for acute, chronic and complex conditions within a Chronic Care Team framework, in clinic and/or by telehealth.
• Deliver preventative health assessments covering cardiovascular risk, metabolic health, mental-health screening and lifestyle risk modification.
• Undertake chronic disease management reviews and care planning, including GP Management Plans (GPMPs) and Team Care Arrangements (TCAs).
• Lead and participate in scheduled telehealth case conferences within multidisciplinary Chronic Care Teams.
• Integrate clinical, pathology, imaging and allied-health input into coordinated care plans.
• Initiate, review and manage pathology and imaging investigations.
• Provide prescribing and medication management.
• Refer patients to allied health, specialists and community services.
• Ensure clinical safety, prioritisation and escalation pathways are identified and actioned.
• Work with veterans and patients with complex, multi-system conditions across Medicare and DVA-funded care.
• Provide clinical leadership across in-clinic consultations and structured telehealth case conferencing.

General Practitioner – Telehealth Case Conferencing, Clinic

• Lead and participate in scheduled telehealth case conferences as part of multidisciplinary Chronic Care Teams
• Provide medical oversight and clinical direction for patients with complex chronic and multi-system conditions
• Integrate clinical assessments, pathology, imaging, and allied health findings into coordinated, evidence-based care plans
• Undertake chronic disease management reviews and care planning, including GP Management Plans (GPCCMPs) and Team Care Arrangements (TCAs)
• Collaborate with allied health professionals, specialists, and care coordinators to optimise patient outcomes
• Deliver telehealth consultations for patient follow-up, clinical review, and ongoing management
• Manage prescribing, referrals, and investigation requests
• Ensure clinical safety, prioritisation, and escalation pathways are identified and actioned
• Conduct approximately 22 patient reviews during an 8-hour structured session