Band 6 Care Coordinator

Job summary

Due to a new vacancy being created, we are looking for an enthusiastic nurse, social worker or allied health professional to join our growing Care Coordination service. Focussing on frailty, we assess, treat, signpost and educate people experiencing frailty and how they access health and social services.

The role enacts a holistic approach to ensure that patients are safe and comfortable in their own homes as well as their families and carers.

Main duties of the job

• To co-ordinate the pathway of care for vulnerable older people, identified for case coordination across all service interfaces. This will involve managing a varied caseload and working with and across agencie
• To actively engage and have a regular presence with the GP surgeries and PCN's, supporting them with proactive identification of patients, frail and at risk of admission/loss of independenc
• To be an active participant at monthly GP/PCN MDT's highlighting patients in anticipation of triggers or perceived crisis, ensuring a proactive plan is in place earlier rather than late
• To actively track patients going into hospital known to the team, forge strong links with secondary care, and follow the patient's home on discharge
• Within discharge to assess / visit clients at home within 2 days of hospital discharge, conducting a holistic assessment of their physical, social and psychological need
• To ensure that the patient has an individual care plan with focused goals central to the care coordination process
• To support the use of frailty tools and risk assessment tools across the wider teams
• To use a range of verbal and non-verbal communication tools to communicate effectively with patients, carer's families, and colleagues.
• To refer the client to other services as required.

About us

EPUT are looking for motivated staff who shares our Trust values of Care, Learn and Empower. In return, EPUT can offer you a range of benefits and development including;

• Season Ticket Loans
• NHS discounts for staff
• Excellent Training facilities and opportunities
• Buying and Selling annual leave scheme
• The opportunity to work bank shifts and expand knowledge and experience in other areas
• Salary Sacrifice schemes including lease cars and Cycle to Work
• Day One Flexible Employer

The Trust supports and actively encourages flexible working for all employees. We offer many options and you are encouraged to ask the recruiting manager what is possible for this role. If appointed, you will have the opportunity to apply for a flexible working request from the first day of your employment

Join our Staff bank

What is Staff Bank?

Our EPUT NHS staff bank is an entity managed by the trust that hires clinical and non-clinical healthcare professionals to take on shifts at our trust hospitals and community settings. Here at EPUT we maintain our own bank of specialist staff to ensure that we are able offer safe and effective care at all times.

All our permanent staff are automatically enrolled onto the staff bank however this does not mean you have to work any additional shifts, but the option is there for you if you wish.

If you are joining our Trust in a fixed term role, please indicate on your New Starter Paperwork that you wish to join our staff bank