Overview
The post holder will operate as part of the PCN Personalised Care Group but will be based in one of the PCN practices. Care coordinators play an important role within a PCN to proactively identify and work with people, including the frail/elderly and those with long-term conditions, to provide coordination and navigation of care and support across health and care services. They work closely with GPs and practice teams to manage a caseload of patients, acting as a central point of contact to ensure appropriate support is made available to them and their carers; supporting them to understand and manage their condition and ensuring their changing needs are addressed. This is achieved by bringing together all the information about a person\'s identified care and support needs and exploring options to meet these within a single personalised care and support plan, based on what matters to the person.
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.
Responsibilities
* Operate as part of the PCN Personalised Care Group based in a PCN practice to coordinate and navigate care for patients and carers.
* Act as a central point of contact to identify needs, manage a caseload, and enable access to appropriate support and services.
* Develop and maintain a single personalised care and support plan based on what matters to the person.
* Review patient needs and refer to relevant professionals (e.g., social prescribing link workers, health and wellbeing coaches) as appropriate.
Seniority level
* Entry level
Employment type
* Full-time
Job function
* Other
Industries
* Hospitals
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