Job summary
Care co-ordinators play an important role within a PCN to support and provide co-ordination and navigation of care and support across services.
They work closely with allied health professionals, practice emanating as a central point of contact to ensure appropriate support is made available.
Care co-ordinators could provide time, capacity and expertise to support people in preparing for, or following-up, clinical conversations. Enabling them to be more actively involved in managing their care and supporting them to make choices that are right for them. Care coordinators help people improve their quality of life.
The successful candidate will be based in Medway Rainham PCN. They will be caring, dedicated, reliable, person-focussed 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, keen to work and learn as part of a team and committed to providing people, their families and carers with high quality support.
This role is an integral part of the PCNs multidisciplinary team, working alongside allied health professionals to provide an all-encompassing approach to personalised care and promoting and embedding the personalised care approach across the PCN.
Main duties of the job
The Care Coordinator will play a central role in delivering proactive, population-based care across the Primary Care Network (PCN), with a strong focus on risk stratification, care coordination, appointment management and administrative support.
The post holder will support risk stratification activity by working with data, reports and patient lists to identify individuals who may benefit from proactive intervention. They will coordinate and manage appointments, ensuring patients receive timely, appropriate and well-organised support.
Working closely with social prescribing link workers and the wider multidisciplinary team, the Care Coordinator will support patients to understand and access services that meet their health and wellbeing needs, escalating concerns or unmet clinical needs to the appropriate clinician where required. The role involves regular liaison with allied health professionals to ensure a coordinated approach to care.
The Care Coordinator will maintain accurate records using EMIS and other relevant systems, ensuring appropriate coding and compliance with information governance. Excellent IT literacy is essential, including confidence working across multiple systems and strong Microsoft Excel skills for data management and reporting. EMIS experience is preferred.
The post holder will also provide administrative support to PCN services, projects, meetings and events, contributing to effective team working and continuous service improvement.
About us
Medway Rainham Primary Care Network (PCN) is a well-established and collaborative network of GP practices working together to improve health and wellbeing for people living in the Medway and Rainham area. Since forming in 2019, the PCN has developed a strong reputation for partnership working, proactive care and a genuine commitment to personalised, patient-centred services.
The PCN brings together GP practices, clinicians and non-clinical professionals to deliver coordinated care that goes beyond traditional general practice. There is a clear focus on prevention, population health management and supporting people with complex or ongoing needs through joined-up working across primary care, community services, social care and the voluntary sector.
Medway Rainham PCN values its staff and recognises the vital role that care coordination and non-clinical roles play in improving patient outcomes. The team works in a supportive, collaborative environment where individuals are encouraged to develop their skills, contribute ideas and make a real difference to how care is delivered locally. This is an organisation that values professionalism, compassion and teamwork, and is committed to reducing health inequalities and improving access to the right care at the right time.
Joining Medway Rainham PCN offers the opportunity to be part of a forward-thinking network where your work has visible impact and where proactive, well-organised care is genuinely prioritised.
Job description
Job responsibilities
Purpose of the role
The Care Coordinator will play a central role in delivering proactive, population-based care across the Primary Care Network (PCN), with a strong focus on risk stratification, care coordination, appointment management and administrative support.
The post holder will support risk stratification activity by working with data, reports and patient lists to identify individuals who may benefit from proactive intervention. They will coordinate and manage appointments, ensuring patients receive timely, appropriate and well-organised support.
Working closely with social prescribing link workers and the wider multidisciplinary team, the Care Coordinator will support patients to understand and access services that meet their health and wellbeing needs, escalating concerns or unmet clinical needs to theappropriate clinician where required. The role involves regular liaison with allied health professionals to ensure a coordinated approach to care.
The Care Coordinator will maintain accurate records using EMIS Web, EMIS Enterprise and other relevant systems, ensuring appropriate coding and compliance with information governance. Excellent IT literacy is essential, including confidence working across multiple systems and strong Microsoft Excel skills for data management and reporting. EMIS experience is preferred.
The post holder will also provide administrative support to PCN services, projects, meetings and events, contributing to effective team working and continuous service improvement.
Key Tasks
Co-ordinate and Integrate Care
-
Make and manage appointments across primary, secondary, community, local authority, statutory and voluntary services.
-
Refer to social prescribing link workers, health and wellbeing coaches and clinical colleagues as required.
-
Liaise regularly with multidisciplinary professionals to ensure a coordinated approach to care.
-
Participate in PCN multidisciplinary team meetings.
-
Identify when additional support or action is required and escalate concerns, including safeguarding issues.
-
Record interventions and monitor progress along the persons health and care journey.
Administrative Support
-
Provide administrative support to the non-clinical team and PCN services.
-
Support ad-hoc projects, meetings and events.
-
Support the set-up and delivery of PCN services using EMIS Web and EMIS Enterprise.
-
Maintain accurate records in line with information governance and data protection requirements.
-
Collect, record and collate information to support service monitoring, evaluation and quality improvement.
Enable Access to Personalised Care
-
Take referrals or proactively identify people who may benefit from care coordination.
-
Hold positive, empathetic and responsive conversations with people and carers.
-
Develop knowledge of local health and care services and support access to appropriate provision.
-
Use tools to assess peoples confidence and ability to manage their health and tailor support accordingly.
-
Ensure care plans are communicated, recorded and coded appropriately, including SNOMED coding.
Supervision and Professional Development
-
Undertake ongoing personal and professional development.
-
Adhere to organisational policies including safeguarding, confidentiality, lone working, equality, diversity and health and safety.
-
Access regular supervision and appropriate clinical support when required.
Job description
Job responsibilities
Purpose of the role
The Care Coordinator will play a central role in delivering proactive, population-based care across the Primary Care Network (PCN), with a strong focus on risk stratification, care coordination, appointment management and administrative support.
The post holder will support risk stratification activity by working with data, reports and patient lists to identify individuals who may benefit from proactive intervention. They will coordinate and manage appointments, ensuring patients receive timely, appropriate and well-organised support.
Working closely with social prescribing link workers and the wider multidisciplinary team, the Care Coordinator will support patients to understand and access services that meet their health and wellbeing needs, escalating concerns or unmet clinical needs to theappropriate clinician where required. The role involves regular liaison with allied health professionals to ensure a coordinated approach to care.
The Care Coordinator will maintain accurate records using EMIS Web, EMIS Enterprise and other relevant systems, ensuring appropriate coding and compliance with information governance. Excellent IT literacy is essential, including confidence working across multiple systems and strong Microsoft Excel skills for data management and reporting. EMIS experience is preferred.
The post holder will also provide administrative support to PCN services, projects, meetings and events, contributing to effective team working and continuous service improvement.
Key Tasks
Co-ordinate and Integrate Care
-
Make and manage appointments across primary, secondary, community, local authority, statutory and voluntary services.
-
Refer to social prescribing link workers, health and wellbeing coaches and clinical colleagues as required.
-
Liaise regularly with multidisciplinary professionals to ensure a coordinated approach to care.
-
Participate in PCN multidisciplinary team meetings.
-
Identify when additional support or action is required and escalate concerns, including safeguarding issues.
-
Record interventions and monitor progress along the persons health and care journey.
Administrative Support
-
Provide administrative support to the non-clinical team and PCN services.
-
Support ad-hoc projects, meetings and events.
-
Support the set-up and delivery of PCN services using EMIS Web and EMIS Enterprise.
-
Maintain accurate records in line with information governance and data protection requirements.
-
Collect, record and collate information to support service monitoring, evaluation and quality improvement.
Enable Access to Personalised Care
-
Take referrals or proactively identify people who may benefit from care coordination.
-
Hold positive, empathetic and responsive conversations with people and carers.
-
Develop knowledge of local health and care services and support access to appropriate provision.
-
Use tools to assess peoples confidence and ability to manage their health and tailor support accordingly.
-
Ensure care plans are communicated, recorded and coded appropriately, including SNOMED coding.
Supervision and Professional Development
-
Undertake ongoing personal and professional development.
-
Adhere to organisational policies including safeguarding, confidentiality, lone working, equality, diversity and health and safety.
-
Access regular supervision and appropriate clinical support when required.
Person Specification
Qualifications
Essential
- - GCSE grade A to C in English and Maths
Desirable
- - Level 3 Accredited Care Coordinator Training
Qualifications
Essential
- GCSE grade A to C in English and Maths
Desirable
- Level 3 Accredited Care Coordinator Training
Experience
Essential
- Experience of working within multi - professional team environments
- Experience or training in personalised care and support planning
- Experience of data collection and using tools to measure the impact of services
Desirable
- Experience of working directly in a care co-ordinator role, adult health and social care, learning support or public health / health improvement
Person Specification
Qualifications
Essential
- - GCSE grade A to C in English and Maths
Desirable
- - Level 3 Accredited Care Coordinator Training
Qualifications
Essential
- GCSE grade A to C in English and Maths
Desirable
- Level 3 Accredited Care Coordinator Training
Experience
Essential
- Experience of working within multi - professional team environments
- Experience or training in personalised care and support planning
- Experience of data collection and using tools to measure the impact of services
Desirable
- Experience of working directly in a care co-ordinator role, adult health and social care, learning support or public health / health improvement
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.