Consultant Geriatrician in ED

About Monash Health

Monash Health is Victoria's largest and most comprehensive health service. For more than 170 years, Monash Health and its predecessors have provided safe, high-quality healthcare for people at every life stage.  

With more than 24,000 employees, we provide care to south-eastern metropolitan Melbourne and rural Victoria from over 40 locations, via telehealth, within local communities and in people's homes.

Each year:

• We provide more than 3.8 million episodes of care to our community,
• More than 310,000 people are admitted to our hospitals,
• Close to 269,000 people receive care at our four emergency departments,
• We respond to more than 65,000 ambulance arrivals,
• We perform more than 82,000 surgical operations, and
• We deliver more than 10,500 babies.

As an equal opportunity employer, we are committed to a fair, non-discriminatory workplace that maximises the talent, potential and contribution of all. Monash Health is also committed to the Child Safe Standards.

Job summary

Purpose

Provide clinical leadership for the Acute Frailty Team within the Emergency Department (ED), ensuring early identification and management of frailty and geriatric syndromes. The role aims to improve care for older adults presenting to ED, reduce length of stay (LOS), rationalise investigations and medications, and minimise complications during ED stay or inpatient admission.
 
Support the Department of Health's TEC2 (Time to Emergency Care) targets by streamlining patient flow and facilitating timely access to appropriate care pathways. This includes diversion to services such as inpatient Geriatric Evaluation and Management (GEM), GEM@Home, or community-based programs, and expediting return to Residential Aged Care Facilities (RACF) with support from RIR (Residential in Reach), HITH (Hospital In the Home), and local GPs.
 
Educate ED staff on best practice for frailty and delirium management, falls risk mitigation, and person-centred care. Enhance communication between ED, inpatient teams, community providers, and families to ensure continuity of care and timely updates on progress and plans.

Key Result Areas

• Provide clinical leadership for the Acute Frailty Team to deliver high-quality, evidence-based care for older adults in ED.
• Achieve TEC2 performance benchmarks through improved patient flow and timely decision-making.
• Identify frail older patients suitable for diversion to out-of-hospital care.
• Facilitate safe discharge and ongoing community care, reducing unnecessary inpatient admissions.
• Commence discharge planning early for patients with frailty admitted to hospital
• Collaborate with allied health practitioners, pharmacists, medical and nursing colleagues to optimise community-based care pathways.
• Implement strategies that shorten LOS for geriatric patients while maintaining quality and safety.

Responsibilities

• Provide clinical leadership for the Acute Frailty Team within Monash Health Emergency Departments.
• Contribute to excellence in clinical services, research, education, and knowledge transfer in geriatric and frailty care.
• Foster a multidisciplinary team culture with open communication and collaborative working relationships.
• Support junior medical staff and allied health professionals in delivering evidence-based frailty care.
• Support continuous improvement initiatives to enhance patient flow and meet strategic objectives for geriatric emergency care.

   

Person Specification

• Motivated to work in a high-paced environment.
• Commitment to a team-based approach to achieve strategic objectives.
• Previous ED Geriatric experience an advantage.
• Flexibility to work across Monash Health Emergency Departments.
• Availability for weekend work as required.

Qualifications/Registrations/Licences

• FRACP (Geriatrics) or eligibility for specialist registration prior to commencement.
• Advanced knowledge of geriatric syndromes, frailty assessment tools (e.g., Clinical Frailty Scale), and evidence-based interventions for older adults.
• Strong commitment to multidisciplinary collaboration and continuous quality improvement in emergency and acute care environments.
• Familiarity with community-based care pathways such as GEM, GEM@Home, RIR, HITH, and RACF discharge planning.

For a confidential discussion and to explore the opportunity further, please contact Dr Alastair Meyer (HOU Casey ED) - 03 9768 1870 or Dr Nathan Bushby (Deputy HOU Caey ED) - 03 8768 1869

Position description available here 

We recognise the value of equal employment opportunity. We are committed to patient safety, promoting fairness, equity and diversity in the workplace and to Child Safe Standards. At Monash Health we are relentless in our pursuit of excellence and work to our six guiding principles and our five ICare values.

How to Apply

Applications are accepted via the Monash Health online EHub system. For information including how to apply and probity check requirements, please click here for the ‘Application Guide’

Applications will be screened upon receipt and selection activity may commence prior to the closing date. 

Applications close: 2 January 2026