Care Coordinator

Job summary

The Rotherham Assertive Outreach Team (AOT) provides intensive, recovery-focused community support to adults across Rotherham with severe and enduring mental illnesses, primarily psychosis. The service works with patients who often present with co-existing substance misuse, complex risks, and significant social challenges, many of whom have struggled to engage with traditional mental health services. AOT aims to reduce barriers to care, prevent hospital admissions, and promote rehabilitation through a highly integrated, multidisciplinary, and multi-agency 'team' approach in line with the AOT model. The service also includes a community rehabilitation pathway for patients with both psychotic and non-psychotic disorders (SMI), and a 10-bedded supported living facility offering structured, step-down rehabilitative support in partnership with South Yorkshire Housing.

The post-holder will deliver assertive and therapeutic interventions aimed at reducing relapse and hospital admissions. Using DIALOG/DIALOG+ and other patients reported outcome measures, the Care Coordinator collaboratively assesses, develops and reviews personalised care and recovery plans, ensuring that support is holistic, person-centred, and delivered in partnership with the wider multidisciplinary team and external agencies.

Previous applicants need not apply

Main duties of the job

Deliver community-based assertive outreach and rehabilitation supportive engagement, promoting recovery, independence, and social inclusion.

Manage a defined caseload of patients in the community and supported living, including patients subject to Community Treatment Orders and act as Social Supervisor for patients subject to Ministry of Justice sections.

Act as shift coordinator, planning daily visits and care delivery, responding to service demand and crisis situations.

Work collaboratively with the multidisciplinary team to manage complex risks. Work collaboratively with the team, patients, carers, and external agencies, including South Yorkshire Housing to deliver holistic care.

Apply professional judgment in clinical decision-making, risk assessment, and care planning within Trust and statutory guidance.

• Deliver care and treatment for patients based on individualised care plans and risk assessments.

About us

Rotherham Doncaster and South Humber NHS Foundation Trust (RDaSH) employ around 4000 talented colleagues who are very much appreciated, valued, and respected.

We have a wide portfolio which includes mental health, physical health, learning disability and drug and alcohol services.

We are dedicated to the development of our our people and hold a learning half day every month for our colleagues.

We are passionate about enhancing the quality of our service and we work hard to attract and select the right colleagues for our organisation. Our goal is to employ those who share our passion for providing first class care while remaining committed to our vision and values. Please view our Strategy using the link below:

https://www.rdash.nhs.uk/documents/clinical-and-organisational-strategy-2023-to-2028/

To find out more about working for RDaSH and the fantastic benefits we offer visit our website:

https://workwithrdash.co.uk/

We are committed to inclusive cultures and really value people in our organisation, view our Allyship video on YouTube to find out more:

https://youtu.be/WMJSkLoTk4Q

The main terms and conditions of service can be found here:

https://www.nhsemployers.org/publications/tchandbook