Sirona care & health CIC

Case Manager - Community Transfer of Care Hub

The closing date is 19 January 2026

Job summary

Are you a health care professional looking for a community job in a developing service?

Are you passionate about supporting people to return to their own homes following acute illness or injury?

Working in partnership with the hospital the Transfer of Care Hub will bring together the acute trust, community partners (Sirona), Local Authorities and Voluntary Sector colleagues across BNSSG to create a new team from multidisciplinary backgrounds.

The aim is to work collaboratively to support patients to get Home First by collocating a team of professionals from different organisations to streamline complex discharges.

You will need to have experience working in the community setting and an understanding of the levels of clinical acuity that can be supported in peoples own homes. Alongside this you will have an understanding of rehabilitation pathways, discharge planning and mental capacity issues, excellent interpersonal and negotiation skills.

In return, we will provide you with regular training and supervision and enable you to become involved in future service developments!

You will join our dynamic South Glos team and be based work between our Warmley base and Southmead Hospital.

Main duties of the job

Be a key member of the multi-disciplinary team, responsible for providing person-centred, holistic assessment to facilitate discharge from the acute hospitals to the right discharge pathway.
Responsible for triaging referrals received by CToCH. This may include liaising with the patient, family/carers and ward staff to identify the most appropriate discharge pathway.
Support the CToCH to discuss complex cases with all partners in the Transfer of Care Hub to agree a joint action and discharge plan.
To utilise multi-disciplinary assessment skills, supported by sound clinical reasoning to facilitate timely hospital discharge to the most appropriate environment
To be able to effectively triage and prioritise a large caseload and be able to adjust daily work plan in response to system-wide pressures and escalation. Pro-actively optimising the usage of community capacity on a daily basis.
High level of problem-solving required, gathering information from a range of sources, using professional experience and clinical knowledge to inform decision making. This includes being able to complete mental capacity assessments and make best interest decisions where appropriate.

About us

Ever dreamt about a career that sparks excitement and fosters your professional growth? Picture yourself waking up eager to make arealdifference in our community, surrounded by teams who value your unique ideas. It's time to turn your dream into reality!

We are Sirona care & health - England's largest provider of Adult's and Children's Community Services and we'd love for you to join us in Bristol, North Somerset or South Gloucestershire.

Agenda for Change Salary, full NHS benefits, 27+ days' annual leave, and participation in the NHS Pension Scheme - just a glimpse of the benefits we offer.

Whether you're starting your journey in healthcare, looking for a fresh challenge within the NHS, or contemplating a career change, don't be daunted by the prospect of something different - we create development opportunities forallour colleagues and apprentices.

Interested? View our benefits leaflet which you can find as an attachment on this vacancy.

Date posted

05 January 2026

Pay scheme

Agenda for change

Band

Band 6

Salary

£38,682 to £46,580 a year per annum, pro rata

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

083-7682515-SL

Job locations

Warmley Business Unit

Tower Rd North

Bristol

BS308XP

Job description

Job responsibilities

Please see the job description and person specification attached for further information on the role.

If you refer to qualifications or employment within your supporting statement, that has not been included in your Qualifications, Training or Employment History, this information may be discounted.

Job description

Job responsibilities

Please see the job description and person specification attached for further information on the role.

If you refer to qualifications or employment within your supporting statement, that has not been included in your Qualifications, Training or Employment History, this information may be discounted.

Person Specification

Qualifications

Essential

Professional Qualification in Nursing, Occupational Therapy or Physiotherapy. Registered with NMC, HCPC or RCN

Skills, knowledge and experience

Essential

Able to work across professional and organisational boundaries recognising when there are barriers to partnership working and able to implement solutions to overcome these
The ability to interpret clinical information, use analytical and problem-solving skills to inform decision making
Able to demonstrate innovative practice
Ability to coordinate and manage a caseload including prioritising the workload, appropriate use of escalation plan, time management and delegation.
When required to be able to present information to the CCG to support the requirement of additional funding (e.g., 1-1 support) to enable a hospital discharge
Ability to complete mental capacity assessments when required and if the patient lacks capacity act as the lead for making a best interest decision as part of a multi-disciplinary team

Desirable

Ability to present self and service in a professional manner promoting the service at all times
Experience of working within hospital and community settings
Ability to build, and maintain, effective working relationships at all levels

Location Preference

Essential

Please advise within your supporting statement, your preference of location; South Bristol Community Hospital (BS14 0DE) or Castlewood (BS21 6FW)

Person Specification

Qualifications

Essential

Professional Qualification in Nursing, Occupational Therapy or Physiotherapy. Registered with NMC, HCPC or RCN

Skills, knowledge and experience

Essential

Able to work across professional and organisational boundaries recognising when there are barriers to partnership working and able to implement solutions to overcome these
The ability to interpret clinical information, use analytical and problem-solving skills to inform decision making
Able to demonstrate innovative practice
Ability to coordinate and manage a caseload including prioritising the workload, appropriate use of escalation plan, time management and delegation.
When required to be able to present information to the CCG to support the requirement of additional funding (e.g., 1-1 support) to enable a hospital discharge
Ability to complete mental capacity assessments when required and if the patient lacks capacity act as the lead for making a best interest decision as part of a multi-disciplinary team

Desirable

Ability to present self and service in a professional manner promoting the service at all times
Experience of working within hospital and community settings
Ability to build, and maintain, effective working relationships at all levels

Location Preference

Essential

Please advise within your supporting statement, your preference of location; South Bristol Community Hospital (BS14 0DE) or Castlewood (BS21 6FW)

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure and Barring Service Check

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Sirona care & health CIC

Address

Warmley Business Unit

Tower Rd North

Bristol

BS308XP

Employer's website

https://www.sirona-cic.org.uk/ (Opens in a new tab)

Employer details

Employer name

Sirona care & health CIC

Address

Warmley Business Unit

Tower Rd North

Bristol

BS308XP

Employer's website

https://www.sirona-cic.org.uk/ (Opens in a new tab)