Job summary
Care Coordinators
play an important role within a PCN to proactively identify and work with people,
including the frail/elderly and those with long-term conditions, to provide coordination
and navigation of care and support across health and care services.
They work closely
with GPs and practice teams to manage a caseload of patients, acting as a
central point of contact to ensure appropriate support is made available to people
and their carers; supporting them to understand and manage their condition and ensuring
their changing needs are addressed.
This is achieved by
bringing together all the information about a persons identified care and support
needs and exploring options to meet these within a single personalised care and
support plan, based on what matters to the person.
Care coordinators 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.
Main duties of the job
We are seeking a
highly motivated individual willing to work collaboratively across the PCN to support
practices and linked care homes.
About us
Mid Norfolk PCN are recruiting for a PCN Care Coordinator.
The post holder will be supporting the following general practice organisations in and around Dereham.
- Elmham Surgery
- Mattishall & Lenwade Surgeries
- Orchard Surgery
- Shipdham Surgery
- Theatre Royal Surgery
Job description
Job responsibilities
The
post holders, working closely with the PCN team, care homes, GP Practices and
existing community services will:
- Work
collaboratively with other teams and services to maintain an effective and
efficient service.
-
Plan and
organise work using own initiative, whilst being able to work as a valuable
team member.
-
Be able to
make referrals to relevant service providers.
-
Coordinate and
where required chair MDT meetings, having proactively prepared any actions
prior to the meeting and ensure all relevant clinical and non-clinical staff are
present.
-
To promote
and facilitate integration within the GP and community teams.
-
To provide
and receive sensitive information about difficult or complex matters always
respecting confidentiality.
-
Create
detailed and clear minutes from the meetings and forward to all relevant parties
with actions highlighted to individuals.
-
Where
required, be able to offer appropriate support and guidance to patients and
families / carers.
-
Receive, record,
and collate information and maintain accurate electronic records of patient
care and planned service provision, including hospital admission and discharge
information.
-
Signpost
service users and carers to relevant services.
-
Contribute
to quality audits.
- Cooperate and support
colleagues to share best practice, complete tasks to maximise effectiveness and
team performance.
- Take part in appropriate
training and take responsibility for own personal development.
- Contribute to the
development of the role and systems, to effectively enhance the service
provided and improve outcomes.
- To assist patients to be better prepared to have conversations
on shared decision making and to improve awareness of shared decision making
and related support tools.
- To provide patients with high quality, easy to understand information to
assist them in making choices about their care.
- To support in the delivery of enhanced services and other service
requirements on behalf of the PCN
- Support delivery of QOF or cost effectiveness initiatives
- Undertake any tasks consistent with the level of the post and the scope
of the role, ensuring that work is delivered in a timely and effective manner.
- Duties may vary from time to time without changing the general character
of the post or the level of responsibility.
Job description
Job responsibilities
The
post holders, working closely with the PCN team, care homes, GP Practices and
existing community services will:
- Work
collaboratively with other teams and services to maintain an effective and
efficient service.
-
Plan and
organise work using own initiative, whilst being able to work as a valuable
team member.
-
Be able to
make referrals to relevant service providers.
-
Coordinate and
where required chair MDT meetings, having proactively prepared any actions
prior to the meeting and ensure all relevant clinical and non-clinical staff are
present.
-
To promote
and facilitate integration within the GP and community teams.
-
To provide
and receive sensitive information about difficult or complex matters always
respecting confidentiality.
-
Create
detailed and clear minutes from the meetings and forward to all relevant parties
with actions highlighted to individuals.
-
Where
required, be able to offer appropriate support and guidance to patients and
families / carers.
-
Receive, record,
and collate information and maintain accurate electronic records of patient
care and planned service provision, including hospital admission and discharge
information.
-
Signpost
service users and carers to relevant services.
-
Contribute
to quality audits.
- Cooperate and support
colleagues to share best practice, complete tasks to maximise effectiveness and
team performance.
- Take part in appropriate
training and take responsibility for own personal development.
- Contribute to the
development of the role and systems, to effectively enhance the service
provided and improve outcomes.
- To assist patients to be better prepared to have conversations
on shared decision making and to improve awareness of shared decision making
and related support tools.
- To provide patients with high quality, easy to understand information to
assist them in making choices about their care.
- To support in the delivery of enhanced services and other service
requirements on behalf of the PCN
- Support delivery of QOF or cost effectiveness initiatives
- Undertake any tasks consistent with the level of the post and the scope
of the role, ensuring that work is delivered in a timely and effective manner.
- Duties may vary from time to time without changing the general character
of the post or the level of responsibility.
Person Specification
Experience
Essential
- Excellent working knowledge of Microsoft Office Packages
- Experience of dealing with sensitive/confidential information
- Proven administrative experience
- Understanding of Clinical Governance
Desirable
- Experience of working in a healthcare setting
- Experience of office procedures within an administration role
- Working knowledge of the management of databases
- Experience of working within Multidisciplinary teams
- Knowledge and understanding of relevant health and social care legislation and initiatives.
Qualifications
Essential
Desirable
- - A-level NVQ 3 or equivalent experience in admin/customer service environment
Person Specification
Experience
Essential
- Excellent working knowledge of Microsoft Office Packages
- Experience of dealing with sensitive/confidential information
- Proven administrative experience
- Understanding of Clinical Governance
Desirable
- Experience of working in a healthcare setting
- Experience of office procedures within an administration role
- Working knowledge of the management of databases
- Experience of working within Multidisciplinary teams
- Knowledge and understanding of relevant health and social care legislation and initiatives.
Qualifications
Essential
Desirable
- - A-level NVQ 3 or equivalent experience in admin/customer service environment
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.
