Healthier South Wirral Primary Care Network is expanding our team and seeking a Care Coordinator who is passionate about supporting others and making a real difference every day. This role is ideal for someone who is proactive, highly organized, and motivated by compassion.
As a Care Coordinator, you will play a key role in launching and managing a new service designed to provide enhanced support for individuals with complex health and care needs within our local community.
Main duties of the job
You will collaborate with an integrated team of clinical and operational professionals from various organizations, including community matrons and nurse practitioners specializing in care for older adults. The primary goal of the integrated PCN team is to provide proactive healthcare planning for individuals identified with higher levels of frailty and complex multimorbidity within the Healthier South Wirral Primary Care Network (PCN) service delivery units.
We will be taking a PCN-level approach to developing personalisedassessment and care plans with them, with planned reviews, so we can provideongoing and coordinated support for this important group of patients. Weexpect to improve peoples quality of life and independence and reduce theincidences of avoidable unplanned care needs.
As a patient-contactrole, the post holder will also be responsible for working with clinicians tomanage a caseload of patients identified by practices. Support provideddirectly with patients and their carers would include supporting thedevelopment of personalised plans, utilising decision aids, providinginformation and training opportunities, making appointments, coordination andnavigation for people and their carers across health and care services.
Band 4
About us
Healthier South Wirral Primary Care Network is made up of 5 Practices. Eastham Group Practice, Civic Medical Centre, Orchard Surgery, Spital Surgery and Sunlight Group Practice. We currently have a list size of over 50,000 patients. The PCN also have a team of ARRS staff which includes Clinical Pharmacists, Mental Health Practitioners, Social Prescribers, Advanced Nurse Practitioners, Nurse Associates, Paramedics, a Trainee PA and Care Coordinators.
Job responsibilities
Organiseand manage clinicians schedules efficiently, ensuring that appointments arecorrectly documented in ledgers to maintain smooth workflow
Scheduleappointments for patients, ensuring effective communication with patients andtheir families-carers to confirm bookings and address any concerns
Overseethe completion and accurate documentation of pre-assessment forms, ensuringthey are entered into patient records in a timely manner.
Coordinatethe efficient flow of patients within the Community Frailty Service and other patientcohorts, facilitating communication among team members to minimize delays andsupport the timely delivery of services.
Identifyand generate referrals for patients who require further services or specialistinterventions, ensuring that they are referred in a timely and appropriatemanner.
Prepareand send necessary documentation regarding patient recommendations to generalpractices, ensuring all required information is included and communicatedeffectively.
Maintainongoing communication with local GP practices, providing updates and receivingnecessary information regarding patient care and coordination.
Thesuccessful candidate will work in partnership with clinical team members toachieve shared goals.
Responsiblefor organising MDT meetings, ensuring that all relevant stakeholders arepresent, and support the team in discussing patient care.
Arrangefollow-up appointments and ensure that appropriate care and support areprovided to patients in a timely manner.
Overseethe management and upkeep of all digital technologies used within the service,ensuring they are functioning correctly and supporting patient care.
Establishand maintain effective, collaborative working with colleagues inPrimary/Secondary Care, Social Services, Voluntary and Independent Sectors inall aspects of patient care.
Undertakeall mandatory training and induction programmes
Contributeto and embrace the spectrum of clinical governance
Developthe CC role through participation in training and service redesign activities
Attenda formal appraisal with their manager at least every 12 months. Once aperformance-training objective has been set, progress will be reviewed on aregular basis so that new objectives can be agreed
Supportthe delivery of QOF, incentive schemes, QIPP and other quality or cost effectivenessinitiatives
Undertakeany tasks consistent with the level of the post and the scope of the role,ensuring that work is delivered in a timely and effective manner
The Care Coordinator beassigned to work with different patient cohorts as required by evolvingbusiness and operational demands
Person Specification
Skills and Attributes
* Proven record of excellent written and verbal communication skills and
* interpersonal skills
* Excellent organisational and admin skills
* Analytical skills and ability to interpret information and present it in a clear and concise manner
* Evidence of excellent knowledge and competence with Microsoft Office
* Able to deal with service users sensitively
* Able to work effectively as part of a team
* Able to prioritize and manage own workload with minimal supervision
* Willingness to undergo further training and committed to own development
* Car user as travel between 5 practices/ area
* Experience providing advice/signposting to users
* Excellent motivational and influencing skills
Experience
* Minimum of 2 years in health or social care profession
* Knowledge of primary care
* Experience of working in a multi-disciplinary setting
* Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality
* Experience of administrative duties
* Knowledge/familiarity with medical terminology
* Understanding of current issues facing the NHS
* Understanding of health and social care processes
* Experience in use of databases
Qualifications
* GCSEs Grade A-C in Maths and English or key skills level 2 in Maths and English
* NVQ Level 2 or equivalent
* Care certificate
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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