Job overview
We have an enviable opportunity for a Community Case Manager in Southern Adult Community Healthcare Team. Your leadership skills will help the organization reach its goals in providing gold-standard patient care and allow you to contribute to changes that will improve care in the community. You will have opportunity to implement strategies to support the team in delivering efficient and safe care to clients, working closely with colleagues to coordinate visits and managing the administration of holistic care in the community.
The post is to provide nursing interventions to patients in their home environment. If you are interested in joining our friendly team we would like to hear from you.
This is Us... Southern ACHT
We aim to provide timely, evidence based, compassionate care to the patients in our community.
Our expectations are based on the Trust values of CARE. We Collaborate with each other to meet the needs of our patients. We Aspire to give the best care to our patients and each other. We treat everyone with Respect and Enable our staff to become autonomous practitioner.
Main duties of the job
The case management model will provide interventions tailored to meet the needs of the individual.
• To contribute to processes for proactively case finding patients who are very high intensity users of community and primary healthcare and / or are at high risk of unplanned admission to hospital.
• Assess the physical and psycho–social needs of the defined case load instigating therapeutic treatments and care delivery based on best available evidence.
• To improve health outcomes using specialist nursing skills and knowledge.
• To undertake referral management to develop and establish case management programmes for patients referred to the Adult Community Healthcare Teams.
• To manage a caseload of patients with long term conditions who would benefit from case management.
• To plan, co-ordinate and evaluate care programme delivery using the single assessment process, managing patient referrals to ensure patients are treated by the most appropriate member of the team / service.
• To develop protocols and procedures for clinical pathways.
Working for our organisation
Listen to why colleagues think we are a great place to work! -
What does Buckinghamshire Healthcare NHS Trust offer you?
1. As part of our BHT family, you’ll benefit from learning and development opportunities to support your career progression.
2. We offer flexible and agile working opportunities, alongside your NHS benefits of generous annual leave entitlement, pension and access to NHS discount schemes.
3. We provide a range of health and wellbeing services to promote a healthy, happy workforce.
Why work for us?
4. We’re committed to promoting inclusion and making sure all colleagues feel they belong. We encourage new colleagues from a diverse range of backgrounds to apply.
5. As an employer, we aim to create a workplace where differences are valued, and colleagues treat one another with dignity and respect.
6. Greater diversity within our BHT family improves positive outcomes for the people and communities we serve.
What do we stand for?
7. Our vision is to provide outstanding care, support healthy communities and be a great place to work.
8. Our mission is to provide personal and compassionate care every time.
9. Our CARE values are collaborate, aspire, respect and enable.
Person specification
Education, Qualifications & Training
Essential criteria
10. Registered Allied Healthcare Professional / Registered Level 1 Nurse
11. Degree/ Diploma in Health / Nursing Studies or related subject
12. Evidence of recent Continuous Professional Development
13. Relevant post graduate clinical training e.g. Elderly, Long Term Conditions, Respiratory Disease, Cardiac Disease, Dementia, Rehabilitation, Trauma and Orthopaedics and End of Life
Skills, Abilities & Knowledge
Essential criteria
14. Demonstrate specialist clinical assessment, analysis, planning, delivery and evaluation skills
15. Ability to motivate staff
16. Excellent written and verbal communication skills
Desirable criteria
17. Ability to manage complex cases
18. Ability to develop and maintain partnership working
19. Knowledge of legal requirements for working with vulnerable adults and those who lack capacity
20. Knowledge of modernisation agenda within the NHS and social care
21. Report writing skills
22. IT skills
23. Presentation skills
24. Teaching patients, carers and colleagues
Experience
Essential criteria
25. Demonstrate broad experience post registration within a variety of core areas: Elderly care Orthopaedics Neurology Respiratory Palliative Care Long term conditions
26. In depth experience of working within multi agency / multidisciplinary team
Desirable criteria
27. Experience of working in a community/in-patient setting for a minimum of 3 years post registration
28. Experience of assisting with implementing change management programmes e.g. service development
29. Experience of electronic clinical systems
30. Experience participating in a research or audit project
31. Experience of day to day staff management e.g. case allocation to Health Care Assistants
32. Experience of working with single assessment process
Sprecial Circumstances
Essential criteria
33. Able to work under pressure
34. Innovative
35. Able to work alone
36. Ability to promote health
37. Valid and current driving license or able to travel to locations throughout Buckinghamshire
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