Simbani Research, Synapse Medical and the Gawa community (supported by a co-investment from the Cooperative Research Centre for Developing Northern Australia) have collaborated to cultivate the role of Telehealth Technician (TT). This is a technical, administrative and communication role rather than clinical. TTs are local Aboriginal people who perform technology-based tasks using smart devices to record basic observations, implement telehealth sessions, liaise with community members and off-site and on-site clinicians. Supervision, training and support by relevant professionals are provided on-site and remotely (via video-conferencing and phone). TTs in Gawa have done Wellness Assessments with 78 community members; approximately 40 have done 2 Wellness Assessments 12 months apart. The Wellness Assessments identified people needing assistance and these are referred for medical intervention (in-person or telehealth). The TT role has expanded to a more holistic approach to wellness including physical, environmental and emotional wellness. Djagamirr is a Yolgnu role and refers to a Caretaker or “the person who keeps an eye on everyone to make sure they are ok”. The Gawa Homeland has a number of physical dwellings but in Yolngu society, the homeland is one home resulting in the TTs/Djagamirr being in constant contact with community members. TTs/Djagamirr are identifying people in need of assistance, facilitating access to a range of services and providing translation services including concepts and increasing health literacy. Community members often do not seek treatment until they have severe symptoms for a number of reasons; fear of clinical staff, injections or being sent to hospital in Darwin or Nhulunbuy. Intervention by TTs/Djagamirr has prevented some patients’ health conditions deteriorating and then requiring medical evacuation and hospitalisation. With increasing support and linkages, TTs/Djagamirr can foster a more holistic and person-centered approach to remote healthcare delivery, improving the health of very remote Aboriginal people and reducing emergency care expenditure.