Care Coordinator

Job description

Job responsibilities

Job Description

The Care Coordinator plays a crucial role in ensuring the effective coordination and delivery of healthcare services to patients across the PCN. The specific duties and responsibilities of the Care Coordinator will vary depending on the needs of the patient population, but generally, will involve the following:

Patient Care Coordination:

• Facilitating communication and collaboration among healthcare providers involved in a patient's care, including primary care physicians, specialists, nurses, and other allied health professionals.

Care Planning:

• Working with the healthcare team to develop and implement care plans tailored to the individual needs of patients. This may involve assessing patients' health status, identifying goals, and creating plans that address both immediate and long-term health needs.

Resource Navigation:

• Assisting patients in accessing and navigating various healthcare and community resources, such as social services, support groups, and other relevant programs.

Patient Education:

• Providing patients with information about their conditions, treatment plans, and self-management strategies. This helps empower patients to actively participate in their own healthcare.

Monitoring and Follow-Up:

• Monitoring patients' progress and ensuring that they adhere to their care plans. Following up with patients to address any concerns, answer questions, and make adjustments to the care plan as needed.

Communication and Advocacy:

• Serving as a liaison between patients and healthcare providers, advocating for patients' needs, and ensuring that information flows smoothly among all members of the healthcare team.

Population Health Management:

• Contributing to the management of the overall health of the population served by the primary care practice. This may involve identifying trends, coordinating preventive care measures, and addressing health disparities.

Quality Improvement:

• Participating in quality improvement initiatives to enhance the efficiency and effectiveness of care delivery within the primary care setting.

Documentation:

• Keeping detailed and accurate records of patient interactions, care plans, and any interventions performed. This helps in maintaining a comprehensive overview of patients' healthcare journeys.

The role of a Care Coordinator is integral to the patient-centred, team-based care approach in primary care. By coordinating care and providing additional support to patients, they contribute to improving outcomes, enhancing patient satisfaction, and optimizing healthcare resources.

Person Specification

Experience

Essential

• Knowledge of the NHS in general and General Practice in particular

Desirable

• A detailed and advanced working knowledge of SystmOne
• Good working knowledge of Microsoft packages

Skills

Essential

• Excellent communication skills
• Excellent organisational skills
• Ability to work across various teams and be flexible dependent on the days demands

Desirable

• Ability to manage change
• Ability to use technology to manage workload

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.

Employer details

Employer name

South Dartmoor and Totnes Primary Care Network

Address

Leatside Surgery

Bababge Road

Totnes

Devon

TQ9 5JA

Employer's website

https://www.leatside.co.uk/ (Opens in a new tab)