We are looking to recruit a part time care coordinator to work closely with Caistor Health Centre, the PCN and the multidisciplinary team in coordinating all key activities including access to services, advice, and information, and ensuring heath and care planning is timely, efficient, and patient-centred. Applicants will help patients interact and engage with everyday life through activities designed to develop, maintain, or retrain skills for people with a cognitive, physical, or mental disorder, condition, or illness. You will support the provision of continuity of care and act as a point of contact for families, residents, and professionals for identified patients in your caseload.
The job description and person specification are an outline of the tasks, responsibilities and outcomes required of the role. The job holder will carry out any other duties as may reasonable be required by their line manager.
Main duties of the job
Provide coordination and navigation for people and their carersacross health and care services, working closely with social prescribers,health and wellbeing coaches and other primary care professionals.
Utilise population health intelligence to proactively identify andwork with a cohort of patients to deliver personalised care
Support PCN staff and patients to be prepared to have shared-decisionmaking conversations including utilising decision aids and tools, and supportpatients to understand their level of knowledge, skills and confidence (theiractivation level) when engaging with their health and wellbeing includingthrough the use of the Patient Activation Measure.
Help people to manage their needs through answering queries,making and managing appointments and ensuring that people have written or verbal information to help them make choices about their care.
About us
East Lindsey Primary Care Network(PCN) consists of 8 GP surgeries across Lincolnshire and the surroundingvillages.
We pride ourselves on being an activePCN within our local system working with local system partners including NHStrust and residential homes.
We can offer you a generous NHSPension and 25 days holiday and 8 Bank Holidays and training opportunities aswell as the opportunity to influence and develop this new role and team.
We are very team focused and lookingfor the right people to join us.
This is an exciting role withinthe PCN and will support the practices and the widerPCN work programmes.
Job responsibilities
POST TITLE: Care Coordinator (WTE 0.7) 25 hours per week
LOCATION: General Practices within the EastLindsey PCN based at Caistor
This role exists under the Primary Care Network Additional RolesReimbursement Scheme
JOBPURPOSE:
To work closely with PCN Practices andthe multidisciplinary team in coordinating all key activities including accessto services, advice, and information, and ensuring heath and care planning istimely, efficient, and patient-centred. The post holder will help patientsinteract and engage with everyday life through activities designed to develop, maintain,or retrain skills for people with a cognitive, physical, or mental disorder, condition,or illness. You will support the provision of continuity of care and act as apoint of contact for families, residents, and professionals for identifiedpatients in your caseload.
The job description and personspecification are an outline of the tasks, responsibilities and outcomesrequired of the role. The job holder will carry out any other duties as mayreasonable be required by their line manager.
PRIMARYDUTIES AND AREAS OF RESPONSIBILITIES
Provide coordination and navigation for people and their carersacross health and care services, working closely with social prescribers,health and wellbeing coaches and other primary care professionals.
Utilise population health intelligence to proactively identify andwork with a cohort of patients to deliver personalised care
Support PCN staff and patients to be prepared to have shared-decisionmaking conversations including utilising decision aids and tools, and supportpatients to understand their level of knowledge, skills and confidence (theiractivation level) when engaging with their health and wellbeing includingthrough the use of the Patient Activation Measure.
Help people to manage their needs through answering queries,making and managing appointments and ensuring that people have food qualitywritten or verbal information to help them make choices about their care
Holistically bring together all of a persons identified care andsupport plan, in line with best practice, based on what matters to the person
Support people to take up training and employment, and to accessappropriate benefits, education courses, peer support, and/or personal healthbudgets where applicable
Raise awareness within the PCN of shared-decision making anddecision support tools, including how to identify patients who may benefit fromthis
As part of the multidisciplinary team, build relationships withstaff in GP practices within the PCN, attending relevant meetings, providinginformation and feedback on care coordination priorities
Be proactive in developing strong link with local agencies, and inencouraging equality and inclusions
Liaise directly with care homes and other key providers, andcompile and circulate relevant information across stakeholder groups
Understand, out in place and adhere to safeguarding protocols forvulnerable individuals
Capture key information to enable comprehensive and accuraterecords of support, inputting these into clinical systems as required andadhering to data protection legislation
CONFIDENTIALITY
The post holdermay have access to confidential information relating to patients, theircarers, practice staff and other healthcare workers. They may also have access to informationrelating to the PCN as a business organisation.All such information from any source is to be regarded as strictlyconfidential.
Informationrelating to patients, carers, colleagues, other healthcare workers or thebusiness of the PCN may only be divulged to authorised persons in accordancewith the employing practices policies and procedures relating toconfidentiality and the protection of personal and sensitive data.
HEALTH & SAFETY
The post holderwill assist in promoting and maintaining their own and others health, safetyand security as defined in the PCN employing practices Health & SafetyPolicy.
EQUALITY AND DIVERSITY
The post holderwill support the equality, diversity and rights of patients, carers andcolleagues to include
-actingin a way that recognises the importance of peoples rights, interpreting themin a way that is consistent with the practice procedures and policies andcurrent legislation.
-Respectingthe privacy, dignity, needs and beliefs of patients, carers and colleagues.
Person Specification
Qualifications
* Educated to GCSE level or equivalent
* Desirable if hold a relevant NVQ Level 3 qualification or equivalent
Experience
* Experience of working with healthcare professionals and/or previous experience in the NHS or social care
* Experience coordinating with multiple stakeholder or individuals to meet specified outcomes
* Experience providing advice/signposting
* Experience using a patient clinical system
* Awareness of how and when to signpost
* Knowledge of safeguarding interventions and an awareness of the Mental Capacity Act
* Skilled in the use of person-centred measurement and outcomes delivery
* Knowledge of a range of local community groups which support wellbeing (desirable)
* Awareness of relevant Health and Social Care legislation and a developed knowledge of crisis intervention (desirable)
* Experience of undertaking quality improvement activity (desirable)
* Sound understanding of disease prevention and the NHS choices website (desirable)
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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