Job summary
The Continuing Care Service for Greater Nottingham
is looking for an experienced nurse to join the team as a Band 7 Continuing
Care Case Manager. The post-holder will provide clinical input into the
assessment and case management for CHC eligible patients and will ensure that
patient care is planned, managed effectively and successfully delivered. There
is a responsibility for facilitating CHC assessments and reviews against the
national framework, within the agreed timescales. The successful candidate will
promote high standards of communication and liaison with patients, their
representatives and Health and Social Care colleagues. Candidates should be
experienced Registered Nurses with a working knowledge of the National
Framework for NHS Continuing Healthcare and associated processes.
You will be part of a team of experienced health
professionals including Mental Health , Learning Disability and childrens
specialties. There is an opportunity to work autonomously and flexibly as you
will be responsible for your own caseload. The role will also allow hybrid
working.
Main duties of the job
The Case Manager will be directly involved in
developing the service, implementing new ways of working, and commissioning of
health care packages at home and other community settings to prevent hospital
admissions.
In addition they will:
- Help facilitate early discharge from
hospital and prevent re admissions.
- Ensure that the
health care needs of adults eligible for Continuing Healthcare are identified
and met in accordance with the National Framework for NHS Continuing Healthcare
and Funded Nursing Care (July 2022).
- Be required to hold a
caseload of complex patients and will need to complete case manager reviews and
eligibility reviews and be able to commission a high standard of care for adults
with complex health needs and life threatening or chronic illness. The
caseload will include patients with physical health needs, learning disability
and mental health needs.
- Liaise directly with care
providers and negotiate effective care
packages with adults and their families/carers, which meet the requirements of
the individual.
- Able to implement and assist in the
coordination of multi-agency packages of care with health, social care and
education and support the continuing care assessor in day-to-day management of
the service.
About us
We are a provider of NHS
Community Health Services, CityCare exists to support the health and wellbeing
of all local people, working alongside other health and care partners to
achieve this. We are a value driven, people business with a passion for excellence.
Our vision and social purpose is to make a difference everyday to the health
& wellbeing of our communities and our values of kindness, respect, trust
and honesty lie at the heart of everything we do, guiding how we work together
with partners and each other to consistently deliver high quality compassionate
care. As a social enterprise we aim to add social value by investing in the
future of our local communities and helping to make a difference in peoples
lives.
CityCare value the benefits of a diverse and inclusive
workforce. We encourage applications from candidates who identify as disabled,
LGBT+ or from a Black, Asian or Minority Ethnic (BAME) background, as they are
currently under-represented within our organisation.
CityCare is an equal opportunities employer. We are positive
about employing people with disabilities. If you require your application in a
different format please contact Human Resources on 0115 8839418. CityCare is
committed to the protection of vulnerable adults and children.
Job description
Job responsibilities
Job Purpose
- To be responsible for planning, managing and co-ordinating the care
of people eligible for Continuing HealthCare and jointly funded care packages
within a defined caseload.
- To
delegate cases to Continuing Care Nurse Coordinators
- To
make best use of Continuing Care Department resources and ensure that care
packages are clinically appropriate.
- Work
collaboratively across primary, secondary, social care and the voluntary sector
to establish a whole systems approach to managing health and social care for
the designated patient group.
- To
ensure the Continuing Care Framework is followed and that care packages are
clinically appropriate.
- To
participate in on going professional development and clinical supervision for
themselves and for other nurses within the team, including clinical
supervision, via 1:1, objective setting, coaching and mentoring.
Dimensions
- Managing an active caseload of
people with mental health needs who receive funding for complex and continuing
care packages.
- Networking and liaising with GP
Practices and a variety of professionals across health and social care
boundaries, statutory and voluntary organisations, patients and carers.
- Manage time effectively to meet the clinical
activity of the identified case load.
Clinical
- To work within the Continuing Care team ensuring that identified
complex cases are managed appropriately.
- Using expert knowledge and autonomous decision making skills,
manage a caseload of patients in the defined client group.
- Comprehensively assess, review and evaluate the needs of both
patients and their carers for patients eligible for Continuing Healthcare.
- Work in partnership with patients, carers, GPs, case agencies,
consultants, other health professionals and social care as appropriate to ensure
complex care packages continue to meet ongoing clinical needs.
- To manage and delegate appropriately clinical work whilst
overseeing clinical safety.
- To train, supervise and manage junior members of the team. This
will include the use of formal appraisal documentation.
- To ensure that effective care provision is researched and
auditable.
- To lead and participate in MultiDisciplinary Team meetings to
ensure adequate outcomes of patient care packages.
- To deputise for Service Head in attending Joint Continuing Care
Panel in providing specialist clinical advice for the eligibility for
Continuing Healthcare.
- To provide specialist clinical advice to the Triage panel for all
patients accessing the Continuing Care service.
- To be responsible for the promotion of best practice that ensures
the health, safety and security of self, patients and colleagues in accordance
with the policies, procedures and guidelines of the organisation.
- Practise in accordance with the procedures and guidelines for the
Protection of Vulnerable Adults and Child Protection.
- Ensure that confidentially is protected at all times.
- Any other duties that may be reasonably required.
Professional
- Actively engage in Clinical and managerial supervision.
- Maintain a personal development plan and professional portfolio.
- Participate in the PRD review process to identify training and
development needs.
- Remain updated and ensure that clinical practice is evidence based.
Leadership
- Establish clinical credibility to influence professional and
organisational boundaries, acting as a role model for clinical excellence.
- Work collaboratively and in partnership with other practitioners to
lead developments in professional practice ensuring that care practices,
delivery and service development are evidence based.
- Take an active leading role in the development, implementation and evaluation
of protocols and policies consistent with National Standards and research
evidence, to support the development of community nursing.
- Initiate the interpretation of research findings, national and
local policy, assessing the implications for the profession in collaboration
with service managers.
- Encourage and support innovation, extensive networking, mentorship
to professionals, exploration of new ways of working and sharing of expertise.
- Provide professional support and advice to colleagues and senior
managers within the organisation.
- Contribute to the workforce and local delivery planning processes.
- Advise on professional standards and contribute to the Clinical
Governance of the organisation.
- Demonstrate and promote advanced clinical skills to ensure patients
and carers receive the best possible care and outcomes through clinically
effective practice across the community nursing service.
- Share expertise with the inter-professional team to promote the
development of nurses and the nursing profession.
- Actively participate in the development of teaching and
communication strategies, addressing the learning needs of colleagues, patients
and carers. Research and Development Continually
evaluate and audit the quality and effectiveness of the practice of self and
others, selecting and applying a wide range of valid and reliable approaches
and methods that are appropriate to needs and context.
- Contribute to the wider development of practice by participating in
research, audit, local and national presentations, networks and publications by
attending national implementation workshops with the Department of Health and
other national agencies.
- Assist in the development, implementation and evaluation of
educational programmes for primary care workers to provide the necessary
knowledge and skills for effective management of long term conditions.
- Participate in the future training of health students and staff and
other professional groups.
Communications & Relationships
Internal
- Effectively communicate with patients and carers to
ensure needs are identified and addressed and appropriate information and
advice is provided.
- Facilitate effective communication between Primary,
Secondary, Community, Social Care and voluntary settings to promote best
possible outcomes.
- Provide high quality written reports and any other
written documentation as required.
External
- To participate in trust wide and multi professional
meetings and deliver presentations at appropriate forums at local and, where
necessary, regional level.
- To communicate highly complex information, with empathy
and consideration to clients and carers. This may relate to patients
diagnosis, prognosis and funding issues, therefore could be highly sensitive or
distressing and associated with high degrees of emotion or conflict. This may
include care of terminally ill patients, and imparting news of unexpected death
to patients and relatives
Media and Marketing
- To accept responsibility for media presentations both
written and visual in both promoting CityCares image and dealing with media
responses and through the direct marketing of CityCare services.
Job description
Job responsibilities
Job Purpose
- To be responsible for planning, managing and co-ordinating the care
of people eligible for Continuing HealthCare and jointly funded care packages
within a defined caseload.
- To
delegate cases to Continuing Care Nurse Coordinators
- To
make best use of Continuing Care Department resources and ensure that care
packages are clinically appropriate.
- Work
collaboratively across primary, secondary, social care and the voluntary sector
to establish a whole systems approach to managing health and social care for
the designated patient group.
- To
ensure the Continuing Care Framework is followed and that care packages are
clinically appropriate.
- To
participate in on going professional development and clinical supervision for
themselves and for other nurses within the team, including clinical
supervision, via 1:1, objective setting, coaching and mentoring.
Dimensions
- Managing an active caseload of
people with mental health needs who receive funding for complex and continuing
care packages.
- Networking and liaising with GP
Practices and a variety of professionals across health and social care
boundaries, statutory and voluntary organisations, patients and carers.
- Manage time effectively to meet the clinical
activity of the identified case load.
Clinical
- To work within the Continuing Care team ensuring that identified
complex cases are managed appropriately.
- Using expert knowledge and autonomous decision making skills,
manage a caseload of patients in the defined client group.
- Comprehensively assess, review and evaluate the needs of both
patients and their carers for patients eligible for Continuing Healthcare.
- Work in partnership with patients, carers, GPs, case agencies,
consultants, other health professionals and social care as appropriate to ensure
complex care packages continue to meet ongoing clinical needs.
- To manage and delegate appropriately clinical work whilst
overseeing clinical safety.
- To train, supervise and manage junior members of the team. This
will include the use of formal appraisal documentation.
- To ensure that effective care provision is researched and
auditable.
- To lead and participate in MultiDisciplinary Team meetings to
ensure adequate outcomes of patient care packages.
- To deputise for Service Head in attending Joint Continuing Care
Panel in providing specialist clinical advice for the eligibility for
Continuing Healthcare.
- To provide specialist clinical advice to the Triage panel for all
patients accessing the Continuing Care service.
- To be responsible for the promotion of best practice that ensures
the health, safety and security of self, patients and colleagues in accordance
with the policies, procedures and guidelines of the organisation.
- Practise in accordance with the procedures and guidelines for the
Protection of Vulnerable Adults and Child Protection.
- Ensure that confidentially is protected at all times.
- Any other duties that may be reasonably required.
Professional
- Actively engage in Clinical and managerial supervision.
- Maintain a personal development plan and professional portfolio.
- Participate in the PRD review process to identify training and
development needs.
- Remain updated and ensure that clinical practice is evidence based.
Leadership
- Establish clinical credibility to influence professional and
organisational boundaries, acting as a role model for clinical excellence.
- Work collaboratively and in partnership with other practitioners to
lead developments in professional practice ensuring that care practices,
delivery and service development are evidence based.
- Take an active leading role in the development, implementation and evaluation
of protocols and policies consistent with National Standards and research
evidence, to support the development of community nursing.
- Initiate the interpretation of research findings, national and
local policy, assessing the implications for the profession in collaboration
with service managers.
- Encourage and support innovation, extensive networking, mentorship
to professionals, exploration of new ways of working and sharing of expertise.
- Provide professional support and advice to colleagues and senior
managers within the organisation.
- Contribute to the workforce and local delivery planning processes.
- Advise on professional standards and contribute to the Clinical
Governance of the organisation.
- Demonstrate and promote advanced clinical skills to ensure patients
and carers receive the best possible care and outcomes through clinically
effective practice across the community nursing service.
- Share expertise with the inter-professional team to promote the
development of nurses and the nursing profession.
- Actively participate in the development of teaching and
communication strategies, addressing the learning needs of colleagues, patients
and carers. Research and Development Continually
evaluate and audit the quality and effectiveness of the practice of self and
others, selecting and applying a wide range of valid and reliable approaches
and methods that are appropriate to needs and context.
- Contribute to the wider development of practice by participating in
research, audit, local and national presentations, networks and publications by
attending national implementation workshops with the Department of Health and
other national agencies.
- Assist in the development, implementation and evaluation of
educational programmes for primary care workers to provide the necessary
knowledge and skills for effective management of long term conditions.
- Participate in the future training of health students and staff and
other professional groups.
Communications & Relationships
Internal
- Effectively communicate with patients and carers to
ensure needs are identified and addressed and appropriate information and
advice is provided.
- Facilitate effective communication between Primary,
Secondary, Community, Social Care and voluntary settings to promote best
possible outcomes.
- Provide high quality written reports and any other
written documentation as required.
External
- To participate in trust wide and multi professional
meetings and deliver presentations at appropriate forums at local and, where
necessary, regional level.
- To communicate highly complex information, with empathy
and consideration to clients and carers. This may relate to patients
diagnosis, prognosis and funding issues, therefore could be highly sensitive or
distressing and associated with high degrees of emotion or conflict. This may
include care of terminally ill patients, and imparting news of unexpected death
to patients and relatives
Media and Marketing
- To accept responsibility for media presentations both
written and visual in both promoting CityCares image and dealing with media
responses and through the direct marketing of CityCare services.
Person Specification
Qualifications
Essential
- 1st level NMC Registered Nurse General Degree Qualification or equivalent
Experience
Essential
- Minimum of 5 years post registration experience as a Registered Nurse
- Evidence of assessing and coordinating Continuing Care assessments
- Evidence of teaching and assessing in clinical knowledge
- Evidence of ability to direct and co-ordinate programmes of care working autonomously and collaboratively
- Evidence of leading/managing a team
- Evidence of effective team working
- Experience of working between primary and secondary care settings
- Evidence of working in partnership and collaboration with other professionals/organisations
- Evidence in implementing change to promote high quality health outcomes
Desirable
- Community based or primary care experience
- Evidence of innovative practice
- Evidence of case management
- Evidence of managing care at the end of life
- Evidence of supporting self-managed care Evidence of participation in research/audit activity
Knowledge and Skills
Essential
- Understanding of local and national priorities in relation to eligibility for Continuing Care
- Organisational skills
- Evidence of ability to communicate both verbally and in writing at all levels in multidisciplinary forums and with users and carers
- Experience of teaching and dissemination of knowledge to enhance the skills of others
- Evidence of using IT systems
- Evidence of leadership experience or qualification
- Evidence of working with Safeguarding and vulnerable adults
- Able to work effectively in a team, supporting others and challenging colleagues views and attitudes when necessary
- Able assess a situation, set priorities and problem solve quickly and effectively
- Evidence of the ability to champion issues of vulnerable people
- Evidence of the ability to perform effectively in a changing, stressful situation
- Effective presentation skills
- Evidence of effective leadership influencing and initiating service developments and orchestrating change
Desirable
- Understanding of MCA, and DOLS, in relation to the Mental Health Act.
- Knowledge of IPC and Personal health budgets.
Special Requirements
Essential
- Ability to be flexible over hours worked within contracted hours to meet the needs of the service
- Full driving licence and the ability to travel between locations.
Person Specification
Qualifications
Essential
- 1st level NMC Registered Nurse General Degree Qualification or equivalent
Experience
Essential
- Minimum of 5 years post registration experience as a Registered Nurse
- Evidence of assessing and coordinating Continuing Care assessments
- Evidence of teaching and assessing in clinical knowledge
- Evidence of ability to direct and co-ordinate programmes of care working autonomously and collaboratively
- Evidence of leading/managing a team
- Evidence of effective team working
- Experience of working between primary and secondary care settings
- Evidence of working in partnership and collaboration with other professionals/organisations
- Evidence in implementing change to promote high quality health outcomes
Desirable
- Community based or primary care experience
- Evidence of innovative practice
- Evidence of case management
- Evidence of managing care at the end of life
- Evidence of supporting self-managed care Evidence of participation in research/audit activity
Knowledge and Skills
Essential
- Understanding of local and national priorities in relation to eligibility for Continuing Care
- Organisational skills
- Evidence of ability to communicate both verbally and in writing at all levels in multidisciplinary forums and with users and carers
- Experience of teaching and dissemination of knowledge to enhance the skills of others
- Evidence of using IT systems
- Evidence of leadership experience or qualification
- Evidence of working with Safeguarding and vulnerable adults
- Able to work effectively in a team, supporting others and challenging colleagues views and attitudes when necessary
- Able assess a situation, set priorities and problem solve quickly and effectively
- Evidence of the ability to champion issues of vulnerable people
- Evidence of the ability to perform effectively in a changing, stressful situation
- Effective presentation skills
- Evidence of effective leadership influencing and initiating service developments and orchestrating change
Desirable
- Understanding of MCA, and DOLS, in relation to the Mental Health Act.
- Knowledge of IPC and Personal health budgets.
Special Requirements
Essential
- Ability to be flexible over hours worked within contracted hours to meet the needs of the service
- Full driving licence and the ability to travel between locations.
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
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).
