Job summary
We are recruiting passionate and proactive Neighbourhood Case Managers to join the Dacorum Neighbourhood Proactive Care Service. This is an exciting opportunity to play a key role in a new team delivering community-based, person-centred care for residents. The focus will be on holistic assessments, care coordination, addressing health inequalities and delivering on the strategic ambition of a 'neighbourhood health service
Main duties of the job
You'll work as part of a multidisciplinary team supporting a cohort of residents with moderate to severe frailty who have had 2 or more unplanned admissions within the last year, linking them to health, social care, and voluntary sector services.
This service will see the shift from reactive care to proactive identification by using risk stratification searches within Primary Care records. The searches will identify a cohort of patients who would benefit from targeted intervention to improve outcomes, their overall experience and reduce the likelihood of further unplanned admissions. The service will operate alongside a number of other acute and community services, with the ability to step patients up in to appropriate services - including the highly successful virtual ward models in South and West Hertfordshire.
This role presents as an excellent opportunity to work in a topical area of service delivery within the NHS right now and will provide the opportunity to gain service development skills .
About us
Just as we care about our patients' wellbeing, we care about yours!
We can offer you:
- A comprehensive induction into the community service followed by a local induction to introduce you to the role
- Car lease scheme *T&C's apply
- Flexible working options
- Annual travel card loan
- Training, support and development in your career
To have a full look at our benefits and what it's like working for us please go here: https://www.clch.nhs.uk/job/pay-and-benefits
Job description
Job responsibilities
**Please see attached Job Description and Person Specification for full roles and responsibilities.**
This is a clinical role suitable for nurse, physiotherapist, or occupational therapists with appropriate skills and experiences.
Job description
Job responsibilities
**Please see attached Job Description and Person Specification for full roles and responsibilities.**
This is a clinical role suitable for nurse, physiotherapist, or occupational therapists with appropriate skills and experiences.
Person Specification
Education/Qualifications
Essential
- Registered Nurse (RN) or AHP
- NMC Registration / HCPC Registration
Desirable
- Evidence of post-registration education and training relevant to role
- Non medical Prescriber
Experience
Essential
- Recent clinical nursing or AHP experience negotiating and liaising within a multidisciplinary team
- Working with people with complex health needs
- Supporting students and other learners e.g. HCAs teaching others in the practice environment
- Experience of undertaking comprehensive assessment by utilising evidence based care.
- Previous experience in the Nursing or AHP process, care planning and fluent in record keeping
- Experience of providing holistic care that involves the multidisciplinary team.
- Post registration experience in a NHS community environment
Desirable
- Experience of training other students.
- Participation in audit; research projects; service development
- Experience in completion of advanced care plans and treatment escalation care planning
Skills and Knowledge
Essential
- Knowledge of out of hospital care and the role of community services
- Ability to listen effectively and ability to give constructive feedback to clients and colleagues.
- Time management skills.
- Knowledge of how Equal Opportunities can be implemented in practice
- Knowledge of reasonable response to service user needs and prioritising and dealing with those needs with a required urgency.
- Awareness of the management and use of data in the NHS setting
- Knowledge of risks involved in working in the community.
- Knowledge of management of long term condition e.g. Diabetes and an understanding of the concept of self- management.
Desirable
- Knowledge of recent government legislation and changes in community care delivery
- Understanding of resource management
- Understanding of health inequalities and reasonable adjustment legislation
Key Attribute
Essential
Person Specification
Education/Qualifications
Essential
- Registered Nurse (RN) or AHP
- NMC Registration / HCPC Registration
Desirable
- Evidence of post-registration education and training relevant to role
- Non medical Prescriber
Experience
Essential
- Recent clinical nursing or AHP experience negotiating and liaising within a multidisciplinary team
- Working with people with complex health needs
- Supporting students and other learners e.g. HCAs teaching others in the practice environment
- Experience of undertaking comprehensive assessment by utilising evidence based care.
- Previous experience in the Nursing or AHP process, care planning and fluent in record keeping
- Experience of providing holistic care that involves the multidisciplinary team.
- Post registration experience in a NHS community environment
Desirable
- Experience of training other students.
- Participation in audit; research projects; service development
- Experience in completion of advanced care plans and treatment escalation care planning
Skills and Knowledge
Essential
- Knowledge of out of hospital care and the role of community services
- Ability to listen effectively and ability to give constructive feedback to clients and colleagues.
- Time management skills.
- Knowledge of how Equal Opportunities can be implemented in practice
- Knowledge of reasonable response to service user needs and prioritising and dealing with those needs with a required urgency.
- Awareness of the management and use of data in the NHS setting
- Knowledge of risks involved in working in the community.
- Knowledge of management of long term condition e.g. Diabetes and an understanding of the concept of self- management.
Desirable
- Knowledge of recent government legislation and changes in community care delivery
- Understanding of resource management
- Understanding of health inequalities and reasonable adjustment legislation
Key Attribute
Essential
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).
Employer details
Employer name
Central London Community Health Trust
Address
Hemel Hempstead General Hospital
Hillfield Road
Hemel Hempstead
HP24AD
Employer's website
https://clch.nhs.uk/ (Opens in a new tab)
