Job summary
As a Care Coordinator you will
play an important role within the practice to proactively identify and manage people
identified as living with, or at risk of developing diseases. There will be a
particular focus on cardiovascular
conditions such as high blood pressure, high cholesterol, diabetes, coronary
heart disease and strokes. A key part of the role includes undertaking health
assessments and identifying and coordinating appropriate referral routes to improve
patient outcomes through coordinated access to support and advice across health,
care and local voluntary and community services.
You will work closely to support patients and carers to understand and manage their
conditions and ensuring their changing needs are addressed in a holistic manner.
The successful candidate will be caring,
dedicated, reliable and enjoy working with a wide range of people. They will
have excellent written and verbal communication skills and strong
organisational and time management skills. They will be highly motivated and
proactive with a flexible attitude and be keen to work and learn as part of a
team committed to providing people, their families, and carers with high
quality support.
As well as providing care
coordination the role will involve hands on patient care such as blood
pressure checking, phlebotomy, ECG taking and INR measurement.
Main duties of the job
- Undertake NHS health checks and
record findings in clinical systems, working to necessary protocols and
policies, assessment of risk, communication of results and onward referral to
services such as: Healthy Lifestyles, Weight Management, NL Active Exercise
Programme, Smoking Cessation, Drugs and Alcohol Services and Locality Hubs etc.
- Work with people, their families,
and carers to improve their understanding of the patients condition and
support them to develop and review personalised care and support plans to
manage their needs and achieve better healthcare outcomes.
- Coordination of ambulatory and
home BP monitoring services. This will include identifying patients, loaning of
the equipment with delivery of appropriate patient training, adding results to
patient records, organising follow up onward referrals as appropriate according
to protocols.
Provide coordination and navigation for people
and their carers across health and care services, working closely with social
prescribing link workers, health and wellbeing coaches, and other primary care
professionals; helping to ensure patients receive a joined-up service and the
most appropriate support.
About us
Winterton Medical Practice is a forward thinking GMS Dispensing Practice based in a small market town in North Lincolnshire over two sites. We are a Teaching practice and a Training practice with the Hull York Medical School.
We reside in purpose built premises which includes a Minor Surgery Suite:10,000 stable patient population,SystmOne Clinical System, High QOF Achiever Rated Outstanding for the care given to our older population and Good in all other areas by CQC. Nursing team, including Nurse Practitioners, Practice Nurses, Trainee Nursing Associates & Healthcare Assistants. We are a friendly supportive practice team with a real commitment to high quality patient care
Good local Schools and Colleges
Job description
Job responsibilities
You will work closely with the practice to support patients and carers to understand and manage their
conditions and ensuring their changing needs are addressed in a holistic manner.
The successful candidate will be
based within the North Care Network. They will be caring,
dedicated, reliable and enjoy working with a wide range of people. They will
have excellent written and verbal communication skills and strong
organisational and time management skills. They will be highly motivated and
proactive with a flexible attitude and be keen to work and learn as part of a
team committed to providing people, their families, and carers with high
quality support.
As well as providing care
coordination the role will involve hands on patient care such as blood
pressure checking, phlebotomy, ECG taking and INR measurement.
- Undertake NHS health checks and
record findings in clinical systems, working to necessary protocols and
policies, assessment of risk, communication of results and onward referral to
services such as: Healthy Lifestyles, Weight Management, NL Active Exercise
Programme, Smoking Cessation, Drugs and Alcohol Services and Locality Hubs etc.
- Support the Senior Administrator
and Business Support Administrator with implementation of the requirements as
set out in the network IIF indicators.
-
Work with people, their families,
and carers to improve their understanding of the patients condition and
support them to develop and review personalised care and support plans to
manage their needs and achieve better healthcare outcomes.
Coordination of ambulatory and
home BP monitoring services. This will include identifying patients, loaning of
the equipment with delivery of appropriate patient training, adding results to
patient records, organising follow up onward referrals as appropriate according
to protocols.
- Help people to manage their needs
through answering queries, making, and managing appointments, and ensuring that
people have good quality written or verbal information to help them make
choices about their care.
- Support people to understand
their level of knowledge, skills, and confidence when engaging with their health and wellbeing, including through the use of the
Patient Activation Measure.
Assist people to access self-management
education courses, peer support or interventions that support them in their
health and wellbeing and increase their Activation level.
- Provide coordination and navigation for people
and their carers across health and care services, working closely with social
prescribing link workers, health and wellbeing coaches, and other primary care
professionals; helping to ensure patients receive a joined-up service and the
most appropriate support.
- Work collaboratively with GPs and other
primary care professionals within the PCN to proactively identify and manage a
caseload, which may include patients with long-term health conditions, and
where appropriate, refer to other health professionals within the PCN.
Work with people, their families,
carers, and healthcare team members to encourage effective self-management of
health conditions.
- Maintain records of referrals and
interventions to enable monitoring and evaluation of the service
This
Job Description will be subject to development and review
Job description
Job responsibilities
You will work closely with the practice to support patients and carers to understand and manage their
conditions and ensuring their changing needs are addressed in a holistic manner.
The successful candidate will be
based within the North Care Network. They will be caring,
dedicated, reliable and enjoy working with a wide range of people. They will
have excellent written and verbal communication skills and strong
organisational and time management skills. They will be highly motivated and
proactive with a flexible attitude and be keen to work and learn as part of a
team committed to providing people, their families, and carers with high
quality support.
As well as providing care
coordination the role will involve hands on patient care such as blood
pressure checking, phlebotomy, ECG taking and INR measurement.
- Undertake NHS health checks and
record findings in clinical systems, working to necessary protocols and
policies, assessment of risk, communication of results and onward referral to
services such as: Healthy Lifestyles, Weight Management, NL Active Exercise
Programme, Smoking Cessation, Drugs and Alcohol Services and Locality Hubs etc.
- Support the Senior Administrator
and Business Support Administrator with implementation of the requirements as
set out in the network IIF indicators.
-
Work with people, their families,
and carers to improve their understanding of the patients condition and
support them to develop and review personalised care and support plans to
manage their needs and achieve better healthcare outcomes.
Coordination of ambulatory and
home BP monitoring services. This will include identifying patients, loaning of
the equipment with delivery of appropriate patient training, adding results to
patient records, organising follow up onward referrals as appropriate according
to protocols.
- Help people to manage their needs
through answering queries, making, and managing appointments, and ensuring that
people have good quality written or verbal information to help them make
choices about their care.
- Support people to understand
their level of knowledge, skills, and confidence when engaging with their health and wellbeing, including through the use of the
Patient Activation Measure.
Assist people to access self-management
education courses, peer support or interventions that support them in their
health and wellbeing and increase their Activation level.
- Provide coordination and navigation for people
and their carers across health and care services, working closely with social
prescribing link workers, health and wellbeing coaches, and other primary care
professionals; helping to ensure patients receive a joined-up service and the
most appropriate support.
- Work collaboratively with GPs and other
primary care professionals within the PCN to proactively identify and manage a
caseload, which may include patients with long-term health conditions, and
where appropriate, refer to other health professionals within the PCN.
Work with people, their families,
carers, and healthcare team members to encourage effective self-management of
health conditions.
- Maintain records of referrals and
interventions to enable monitoring and evaluation of the service
This
Job Description will be subject to development and review
Person Specification
Experience
Essential
- Experience as a healthcare assistant, care coordinator, phlebotomist, or nurse
- Phlebotomy trained
Desirable
- Experience of working in primary care
Capability
Essential
- Ability to work independently, autonomously under the direction of a registered nurse and excellent communication skills, Intermediate IT Skills,
Desirable
- Working knowledge of S1 clinical systems.
Qualifications
Essential
- Grades C or above in Maths and English at GCSE level
Person Specification
Experience
Essential
- Experience as a healthcare assistant, care coordinator, phlebotomist, or nurse
- Phlebotomy trained
Desirable
- Experience of working in primary care
Capability
Essential
- Ability to work independently, autonomously under the direction of a registered nurse and excellent communication skills, Intermediate IT Skills,
Desirable
- Working knowledge of S1 clinical systems.
Qualifications
Essential
- Grades C or above in Maths and English at GCSE level
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.
