Job summary
We are recruiting to a Frailty
INT Care Coordinator this is a new and exciting post that is essential to the
development of Frailty Integrated Neighbourhood Teams (INTs) in York. This
role is part of the York Community Frailty Hub, which is a fully integrated
collocated team of health and social care professionals.
The Frailty Integrated
Neighbourhood Team (INT) is an exciting new service working with frequent
service users in a holistic and supportive way. The Frailty INT Coordinator
will be the central point of contact and navigator between the Neighbourhood
Frailty GPs, Primary Care and the INT multi-disciplinary team (MDT).
About you
With excellent communication
skills you will have the ability to build a professional rapport with patients',
colleagues and other professionals.
A team player, you will work
effectively and professionally within the wider York Community Frailty Hub and also
have the ability to work independently.
You will have a can-do
attitude and be able to react to challenges or setbacks in a positive manner.
You will be able to work efficiently.
There is no sponsorship available for this role.
If you do not hear from us withing two weeks of the closing date, please consider your application unsuccessful.
Agencies need not reach out to us.
Main duties of the job
The Frailty Integrated Neighbourhood Team (INT) is an
exciting new service working with frequent service users in a holistic and
supportive way. The Frailty INT Coordinator will be the central point of
contact and navigator between the Neighbourhood Frailty GPs, Primary Care and
the INT multi-disciplinary team (MDT).
You will assist in the role out and continued monitoring and
support for MiiCare AI health devices that will be installed in patients homes
providing health and activity monitoring and opportunities for early
intervention.
You will play a key role in the multi-disciplinary team that
address holistic needs through a Comprehensive Geriatric Assessment (CGA) for
people who require additional support accessing complex care systems and are
frequent service users:
-
Liaising with health and social care
professionals to ensure joined up coordinated care
-
To the support the MDT triage and MDT meetings
-
To be an active participant in the Frailty INT
MDT
-
Acting as a point of contact for patients,
families and professionals, fostering effective communication and collaboration
within the team and with external agencies.
About us
Nimbuscare is one of the largest 'at scale' providers of
primary care in the North of England, caring for more than 250,000 patients
across our 11 Member GP Practices.
We work collaboratively across the York area delivering new,
innovative, and sustainable health care services.
As leaders in local care, our goal is to work together
across the health and care system to improve the health, wellbeing, and
experience of our patients.
To learn more about Nimbuscare please visit our website at
www.nimbuscare.co.uk
In line with the General Data Protection Regulations (GDPR),
Nimbuscare will use and hold your personal data for the intended purpose.
We are committed to safeguarding the welfare of
children/vulnerable adults and expect the same commitment from all staff and
volunteers.
Nimbuscare is committed to improving the diversity of its
workforce to better reflect the communities we serve. We welcome applications
from everyone and work to promote an inclusive supportive culture that values
and celebrates our differences.
As a Disability Confident Committed employer disabled
applicants who meet the essential criteria for this job are guaranteed an
interview.
Job description
Job responsibilities
Main Duties and Responsibilities:
To develop excellent working relationships with
all stakeholders and Neighbourhood Frailty GPs
To manage and coordinate between all members of
the INT, ensuring excellent case management and record keeping
To support with the identification of patients
who are suitable for the INT and to ensure that patients are discussed at the
next earliest possible INT meeting
Take clear minutes of discussions at triage and
MDT meetings
Record, document, and communicate the outcome of
each CGA, clear actions and outcomes from Triage meetings and MDT meetings
Facilitate prompt actioning of outcomes
following up with and sending reminders to MDT members for necessary follow-up
actions if deadlines are missed.
Generate comprehensive patient summaries to
facilitate rapid decision-making
Maintaining accurate records, tracking referrals
and reporting utilisation of the service and patient outcomes
Follow up non-clinical actions from the MDTs,
liaising with the relevant teams, both internal and external and updating
records as required
Build strong professional relationships with
healthcare professionals, local community groups and partners that make up the
MDT
Responsible for coordinating and scheduling MDT
meetings
Be the point of contact for both patients and
VCSE organisations during the role out and installation of the MiiCare health
and activity monitoring devices
Job description
Job responsibilities
Main Duties and Responsibilities:
To develop excellent working relationships with
all stakeholders and Neighbourhood Frailty GPs
To manage and coordinate between all members of
the INT, ensuring excellent case management and record keeping
To support with the identification of patients
who are suitable for the INT and to ensure that patients are discussed at the
next earliest possible INT meeting
Take clear minutes of discussions at triage and
MDT meetings
Record, document, and communicate the outcome of
each CGA, clear actions and outcomes from Triage meetings and MDT meetings
Facilitate prompt actioning of outcomes
following up with and sending reminders to MDT members for necessary follow-up
actions if deadlines are missed.
Generate comprehensive patient summaries to
facilitate rapid decision-making
Maintaining accurate records, tracking referrals
and reporting utilisation of the service and patient outcomes
Follow up non-clinical actions from the MDTs,
liaising with the relevant teams, both internal and external and updating
records as required
Build strong professional relationships with
healthcare professionals, local community groups and partners that make up the
MDT
Responsible for coordinating and scheduling MDT
meetings
Be the point of contact for both patients and
VCSE organisations during the role out and installation of the MiiCare health
and activity monitoring devices
Person Specification
Experience
Essential
- Experience and understanding of safeguarding
- Experience of dealing with confidential/sensitive information in an appropriate and timely way
- Experience working within both a multi-disciplinary team and
- Experience working in a patient facing role, resolving queries and using own initiative
Skills and Attributes
Essential
- Excellent communication and interpersonal skill with the ability to communicate sensitively with a range of people and professionals
- Strong organisational skills, managing a caseload, tracking referrals, and meeting deadlines.
- Ability to work independently and as part of a team with experience navigating complex situations and collaborating with diverse range of professionals across services.
- Knowledge of local health and social care services
- Empathy and a person-cantered approach
- Solution Focussed
Person Specification
Experience
Essential
- Experience and understanding of safeguarding
- Experience of dealing with confidential/sensitive information in an appropriate and timely way
- Experience working within both a multi-disciplinary team and
- Experience working in a patient facing role, resolving queries and using own initiative
Skills and Attributes
Essential
- Excellent communication and interpersonal skill with the ability to communicate sensitively with a range of people and professionals
- Strong organisational skills, managing a caseload, tracking referrals, and meeting deadlines.
- Ability to work independently and as part of a team with experience navigating complex situations and collaborating with diverse range of professionals across services.
- Knowledge of local health and social care services
- Empathy and a person-cantered approach
- Solution Focussed
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.
