CareCoordinators work closely with GPs and practice teams to manage a small caseloadof patients to ensure appropriate support is made available to them and theircarers. This is achieved by bringing together all the information about apersons identified care and support needs and exploring options to meet thesewithin a single personalised care and support plan, based on what matters tothe person. Their aim is to help people improve their quality of life.
Main duties of the job
Care coordinators, review patients needs and help them access the services and support they require to understand and manage their own health and wellbeing, referring to social prescribing link workers, health and wellbeing coaches, and other professionals where appropriate.
This role is intended to become an integral part of the practices multidisciplinary team, working alongside social prescribing link workers and health and wellbeing coaches to provide an all-encompassing approach to personalised care and promoting and embedding the personalised care approach across the practice.
About us
Alrewas Surgery is a semi-rural practice serving nearly 8000 patients. We are a staff team of 27 including GPs, nurses, HCA, clinical pharmacists and administrative and management staff.
Job responsibilities
Work with people, their families, and carers to improve theirunderstanding of the patients
condition and support them to develop andreview personalised care and support plans
to manage their needs and achieve betterhealthcare outcomes.
Help people to manage their needs through answering queries,making, and managing
appointments, and ensuring that peoplehave good quality written or verbal information to
help them make choices about their care.
To be a central point of contact for our Care Home and organiseappointment, prescription and care requests appropriately. Including referralsto the community teams.
Provide coordination and navigation for people and their carersacross health and care
services, working closely with socialprescribing link workers, health and wellbeing
coaches, and other primary careprofessionals; helping to ensure patients receive a
joined up service and the mostappropriate support.
Work collaboratively with GPs and other primary care professionalswithin the practice to
proactively identify and manage acaseload, and where appropriate, refer back to other health professionalswithin the practice.
Support thecoordination and delivery of multidisciplinary teams with the practice. Includingarranging MDT and GSF meetings where appropriate
Raise awareness of how to identify patients who may benefit fromshared decision
making and support practice staff andpatients to be more prepared to have shared decision
making conversations.
Explore and assistpeople to access a personal health budget where appropriate.
Identify unpaidcarers and help them access services to support them.
Conduct follow-upson communications from out of hospital and in-patient services.
Maintain records ofreferrals and interventions to enable monitoring and evaluation of the
Service
Support practicesto keep care records up to date by identifying and updating missing or
out-of-dateinformation about the persons circumstances.
Person Specification
Experience
* Experience of working in health, social care and other support roles in direct contact with people, families or carers (in a paid or voluntary capacity)
* Experience of supporting people, their families and carers in a related role
* Experience of data collection and using tools to measure the impact of services
* Experience of working with elderly or vulnerable people, complying with best practice and relevant legislation
* Experience of working directly in a care coordinator role, adult health and social care, learning support or public health / health improvement
Qualifications
* Educated to high-school equivalent
* Demonstrable commitment to professional and personal development
* Ability to use Microsoft Office applications Word, Excel, PowerPoint, Outlook
* NVQ Level 3 in adult care - advanced level or equivalent qualifications or working towards
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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