Primary Care - Care Coordinator

Job description

Job responsibilities

The post holder will undertake work in line withBRHC directed priorities, proactively identifying and working with a cohort of people to support their personalised care requirements. This could include:

• the development of digital solutions across the health centre supporting access needs ofpatients;
• care navigation of patients contacting the practice to better meet their access needs;
• supporting the co ordination of personalised annual recall invites for patients with longterm conditions;
• Engaging with and developing processes in support of localised, agreed, access processes.
• Facilitating enhanced processes to support the care coordination of patient group consultations supporting effective and efficient care delivered by clinical team members

Proactively supporting and assisting with the development of patient access activity coordinating patient access into and external of the health centre in a timely and safe manner.

Resolving any queries in relation to these workstreams and ensuring allparties are kept informed of progress towards resolution.

Supporting Quality and Outcome Frameworks and other DES specifications.

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 choicesabout their care

Facilitating and supporting the development oflocalised clinical group consultations.

Bringing together patients identified care and support needs and exploring their options to meet theseinto a single personalised care and support plan (PCSP), in line with PCSP best practice.

Assisting people to access self management education courses, peer support or interventions that support them in their health and wellbeing.

Providing coordination and navigation for patients/carers across health and care services, alongsideworking closely with social prescribing link workers and other primary care roles.

Supporting residents in care homes/LD homes ensuring personalised care is delivered through collaborative working between health, social care, voluntary, community and social enterprise sector andcare home partners.

At times you will be required to support adult patients and assist them through the healthcare system

by acting as a patient advocate and navigator, empowering them, and educating them to promote andsupport their independence

Be proactive in developing strong link with local agencies, and in encouraging equality and inclusion.

Partnership working and communication

• Develop strong working relationships with GPs , practice teams and other health care colleagues to optimise the timely and good quality delivery of services to patients and tosupport the working lives of colleagues.
• Work collaboratively with neighbourhood colleagues to share best practises.
• Ensure that all relevant professionals are kept up to date so that any issues or concernscan be appropriately addressed and supported.
• Keep accurate up to date , contemporaneous and appropriately Snomed coded on records of patient contacts, appropriately using EMIS software and other record, referral and messaging systems relevant to the role, adhering to information governanceand data protection legislation.
• Maintain records of interventions to enable monitoring and evaluation of the service.
• Provide regular feedback to relevant stakeholders about service progress.

Person Specification

Experience

Essential

• Experience of working effectively in a team of healthcare professionals or previous experience/volunteering work in the NHS or social care
• Experience of data collection and providing accurate monitoring information to assess the impact of services. Constructively suggesting improvements where appropriate.
• Experience of partnership/collaborative working and of building relationships across a variety of organisations.
• Good experience of using word processing and data analysis skills in Word, Excel and PowerPoint including email and internet use
• Experience of working flexibly with others and in working patterns.
• Experience of supporting people, their families and carers in a related role (including volunteering).
• Experience of working in a public facing/customer service role or in general practice.
• Experience caring for vulnerable, disabled, elderly or frail patients.

Knowledge

Essential

• Knowledge/experience of medical terminology and or Snomed coding system.
• Ability to use common sense, own initiative and be resourceful.
• Ability to work in a busy environment and prioritise workload.
• Meet DBS reference standards appropriate to the post.
• Evidence continued commitment to lifelong learning and willingness to develop and maintain up-to-date skills and knowledge relevant to the role.
• Knowledge of EMIS general practice clinical system or other Primary Care IT systems.
• Ability to consistently produce accurate work with close attention to detail.
• Evidence of treating others with tact, diplomacy, sensitivity, empathy and caring.
• Clear understanding of confidentiality and data protection awareness

Qualifications

Essential

• Competency in IT use
• Competency in effective Customer Services

Desirable

• ECDL or equivalent Diploma/HNC level (or relevant experience)
• NVQ Level 2 Business Administration (or relevant experience)
• Training in motivational coaching and interviewing or equivalent.
• Role related training recommended by Personalised Care Institute, eg Shared Decision Making & other relevant modules

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

Bodmin Road Health Centre

Address

Bodmin Road Health Centre

Bodmin Road

Sale

Cheshire

M33 5JH

Employer's website

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