Job summary
The All Age Continuing Health Care (AACHC) team are seeking experienced, proactive and passionate Registered Nurses with current knowledge and recent experience of completing CHC Assessments and CHC Case Management, to join our dynamic, friendly team. This is a rare opportunity to work autonomously and collaboratively in a multi-agency environment, within a fast paced team. The primary focus of the role is Case Management, supporting individuals and their representatives through all stages of the CHC Appeals Process.
As a Senior CHC Appeals Nurse you will be responsible for implementing the NHS England CHC Framework for Appeals of CHC funding decisions where patients have not been awarded full CHC funding for their care. This includes the robust review of the previous MDT assessments and decision making processes followed during the assessment process for Continuing Healthcare Eligibility.
This is an excellent opportunity for an experienced CHC Nurse Practitioner to gain a wide range of experience working with individuals who have a broad range of health care needs and to work in a service that is constantly committed to improving patient care and experience.
Main duties of the job
As a Senior CHC Nurse Assessor in the AACC Appeals Team, you will be
- using your CHC knowledge and a wide range of your clinical skills to ensure that outcomes are determined in a consistent manner to ensure effective application and interpretation of the National Framework for NHS CHC (2022).
- reviewing and progressing eligible applications for review of Periods of Previously Unassessed Care (PUPoC) and
- ensuringrobust eligibility recommendations can be made using the NHS CHC Framework process for completing retrospective Decision Support Tool assessments.
- proactively case manage a caseload comprising of both Current informal and formal Local Appealand PUPoC cases, including collating and compiling evidence in detailed review document and maintaining robust, accurate, contemporaneous records within digital databases.
- working collaboratively with all key stakeholders and colleagues within the NHS BSOL AACC Team to review CHC appeals and CHC PUPoC requests to ensure that the NHS Continuing Healthcare Framework and Best Practice Guidance andprocesses have been adhered to.
- Providing additionalknowledge and expertise, when required,to support clinical and non-clinical colleagues reviewing issues arising from both Appeals and Previously Unassessed and Assessed Periods of Care (PUPoC).
About us
Birmingham and Solihull Integrated Care System brings together local NHS, councils and voluntary, community and faith sectors to better serve our communities. With a population of circa 1.55 million, our vision is for BSOL to be the healthiest place to live and work, driving equity in life chances and health outcomes for everyone. For an chance to be part of the fantastic opportunity we have as an Integrated Care System, apply for this role today.
As a member of our system you will actively demonstrate system values in all that you do. You will be driven to address health inequalities and create an environment that is inclusive for all people.
In return NHS Birmingham and Solihull can offer you the opportunity to thrive and develop in a team that is supportive, ambitious and inclusive.
You will have plenty of opportunities to build your skills and experience, with a chance to work with colleagues across our five Provider Trusts, two Local Authorities, voluntary organisations, Integrated Care Board (ICB) and NHS England to truly effect change and add value.
We know that diversity fosters creativity and innovation and are committed to challenging discrimination, promoting equality of opportunity for all, being a fair and inclusive employer, and creating a place of work in which all of us feel we belong.
Job description
Job responsibilities
The CHC Appeals Team is an integral part of the wider NHS BSOL All Age Continuing Care Team (AACC). It has strong links with a wide range community, acute and tertiary services and third sector providers. We also work closely with NHS England and the regional Independent Review Panels.
This position requires a proactive, collaborative working style to promote effective relationships within the multi-disciplinary team and with our community colleagues in health and social care is essential.
The post holder will play a key role in supporting the All Age Continuing Healthcare Team in delivering effective, responsive services across the BSOL region.; working within the remit of the National Framework for Continuing Healthcare and PUPoC Guidance.
The post holder will have both experience and a high level of confidence and understanding/experience of working to the Best Practice Guidance of the NHSContinuing Health Care Framework (2022)
The post holder will
- produce comprehensive reports, including Care Needs Portrayal documents identifying a patients journey throughout the period of review for both Appeals and PUPoC.
- have a high level of communication skills across both written and verbal media, to be able to leadand Chair Local Resolution Meetings with patients/individual's and their representatives
- deliver an effective and competent level of service and consistently deliver a client-focused service.
- work autonomously to individual targets and team key performance goals to progress andmanage a caseload of patients as directed and
- support colleagues within the appeals team as required to enable effective case coordination and respond to queries from all interested parties.
Job description
Job responsibilities
The CHC Appeals Team is an integral part of the wider NHS BSOL All Age Continuing Care Team (AACC). It has strong links with a wide range community, acute and tertiary services and third sector providers. We also work closely with NHS England and the regional Independent Review Panels.
This position requires a proactive, collaborative working style to promote effective relationships within the multi-disciplinary team and with our community colleagues in health and social care is essential.
The post holder will play a key role in supporting the All Age Continuing Healthcare Team in delivering effective, responsive services across the BSOL region.; working within the remit of the National Framework for Continuing Healthcare and PUPoC Guidance.
The post holder will have both experience and a high level of confidence and understanding/experience of working to the Best Practice Guidance of the NHSContinuing Health Care Framework (2022)
The post holder will
- produce comprehensive reports, including Care Needs Portrayal documents identifying a patients journey throughout the period of review for both Appeals and PUPoC.
- have a high level of communication skills across both written and verbal media, to be able to leadand Chair Local Resolution Meetings with patients/individual's and their representatives
- deliver an effective and competent level of service and consistently deliver a client-focused service.
- work autonomously to individual targets and team key performance goals to progress andmanage a caseload of patients as directed and
- support colleagues within the appeals team as required to enable effective case coordination and respond to queries from all interested parties.
Person Specification
Person Specification
Essential
- Registered Nurse with current NMC Registration
- Previous experience of Case Management of Adults with complex healthcare needs
- Educated to Degree Level or equivalent level of experience within clinical practice
- Recent experience of completing CHC Assessments
- Objective evidence of strong verbal and written communication skills
- Driver with own transport
- Fully conversant with CHC Framework including Appeals and PUPoC Best Practice Guidance
- IT literate with experience/confidence in using basic Microsoft Office Programmes
Desirable
- Relevant experience in working with Multidisciplinary Teams in clinical practice
- Knowledge and understanding of the role of the AACC Team within the NHS BSOL ICB
- Evidence of experience in a leadership role within clinical practice
- Evidence of continued professional development through Nursing Career
- Fully conversant with CHC Framework including Appeals and PUPoC Best Practice Guidance
- Observant and concordant with ICB policies for Equality and Diversity
- Concordant with ICB policies for Confidentiality and Clinical Governance
- Demonstrates understanding of Quality Assurance and Continuous Improvement in clinical practice
Person Specification
Person Specification
Essential
- Registered Nurse with current NMC Registration
- Previous experience of Case Management of Adults with complex healthcare needs
- Educated to Degree Level or equivalent level of experience within clinical practice
- Recent experience of completing CHC Assessments
- Objective evidence of strong verbal and written communication skills
- Driver with own transport
- Fully conversant with CHC Framework including Appeals and PUPoC Best Practice Guidance
- IT literate with experience/confidence in using basic Microsoft Office Programmes
Desirable
- Relevant experience in working with Multidisciplinary Teams in clinical practice
- Knowledge and understanding of the role of the AACC Team within the NHS BSOL ICB
- Evidence of experience in a leadership role within clinical practice
- Evidence of continued professional development through Nursing Career
- Fully conversant with CHC Framework including Appeals and PUPoC Best Practice Guidance
- Observant and concordant with ICB policies for Equality and Diversity
- Concordant with ICB policies for Confidentiality and Clinical Governance
- Demonstrates understanding of Quality Assurance and Continuous Improvement in clinical practice
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
