Case Management Team Leader

Job description

Job responsibilities

To support your application you may like to familiarise yourself with the 2022 National Framework for CHC available at https://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-care and if you would like to undertake some online training for this post you can register with E-Learning for Healthcare and complete the E learning for NHS continuing Healthcare available at https://www.e-lfh.org.uk/programmes/continuing-healthcare/. The training is free!! This would provide a competent practitioner all the theoretical knowledge required for working in our team.

Main responsibilities:

Communication & Relationships Skills

- To provide relevant and timely specialist advice and guidance on functional and information matters.

- To analyse, interpret and compile highly complex, contentious and occasionally emotional and/or distressing reports, case reviews, care packages for physical disabilities patients, presenting such reports to a board-level audience.

- To support the development of internal and external communications where required by regular contact with the teams, stakeholders and Communications team

- To be responsible for preparation of correspondence and complex report, assessments and papers

- To undertake complex clinical assessment and clinical report writing.- To represent the team on panels and decision making forums as required, participating in the decision-making process and clarification of funding responsibilities for clients who are registered with a NHS Shropshire, Telford and Wrekin GP.

- To represent NHS Shropshire, Telford and Wrekin on NHSE appeal panels.

- To liaise and communicate with external agencies including; NHS England, care providers, solicitors

- To maintain constructive relationships with a broad range of internal and external stakeholders

.- To participate in relevant internal and external working groups/projects, services, and initiatives which may be highly complex, sensitive, political, and contain contentious information with the aim of providing information and analytical advice to the teams.

- To communicate complex, clinical, personal and emotive information about patients and circumstances including risks, issues and dependencies, diagnosis, prognosis and eligibility to NHS funded services.

- To lead on the management of contentious cases which are highly complex and sensitive, acting as representative in legal proceedings.

- To deal with regular telephone calls throughout the day, addressing highly sensitive and complex enquiries, issues of concern regarding patient wellbeing, complaints and referrals that may require an immediate response

- To participate in the monitoring, review and complaints procedures of individuals with complex needs whose care is managed in their own homes or in residential care settings.

Analytical & Judgement Skills

- To undertake complex and detailed analysis of specific projects and patients requiring high levels of concentration.

- To update, maintain, organise, gather and analyse information to predict/meet future individual patient, organisational and team needs by identifying best professional practice.

- To contribute to the information management of performance, taking a lead for specific projects

- To provide co-ordination of and participate in relevant meetings, reporting attendance and providing information advice and support where requested

Planning & Organisational Skills

- To plan own workload and diary to ensure local, national and statutory targets and deadlines are met.

- To undertake complex clinical assessment and care planning to ensure patient need is met and that where appropriate, step-down/discharge is planned and co-ordinated to ensure patient need is met in the least restrictive way.

- To work with members of the team and key stakeholders to investigate the causes of any variance from plan/delivery targets and contribute to the implementation of solutions.

Patient/Client Care

- To manage a defined caseload undertaking responsibilities as delegated by the Team Leader/Manager- this will include the routine management of complex cases and the planning, organising and commissioning of specialised care packages ensuring the maintenance of accurate records.

- To participate in the assessment, monitoring, review and complaints procedures of individuals with varying levels of complex needs whose care is managed in their own homes or in care settings.

- To assist or lead (depending on who is the responsible commissioner) in the co-ordination of complex care packages involving members of the multi-disciplinary / multi-professional team as required.

- To assist in the collaboration and the co-ordination of the review and assessment process and to undertake reviews and assessments, including formal eligibility assessments as indicated.

- To undertake needs portrayal and retrospective assessments for PUPOC and appeals.

- To practice at all times in a manner that is within the NMC Code of Conduct and Guidelines or equivalent for specialist health profession.

- To practice at all times within a clinical governance framework that promotes quality

- The postholder will be responsible for the formal reviews and compliance with KPIs in relation to review completion for their locality case load, including the quality control and verification/ratification process.

Person Specification

Qualifications

Essential

• Clinical or professional registration

Skills, Knowledge & Competencies

Essential

• Significant experience of working in a clinical field and management of patients.
• Competent in case management.
• Line management experiences within a clinical environment, managing clinical staff.
• Experience of CHC assessment.
• Commissioning experience.
• Clear communicator
• Previous experience in project management and planning
• Skills for communication on complex matters and difficult situations, requiring persuasion and influence.
• Skills for nurturing key relationships and maintaining networks.
• Ability to analyse and interpret information, pre-empt and evaluate issues, and recommend an appropriate course of action to address the issues
• Problem solving skills and ability to respond to sudden unexpected demands
• Independent thinker with demonstrated good judgement, problem-solving and analytical skills
• Takes decisions on difficult and contentious issues where there may be a number of courses of action.
• Ability to work on own initiative and organise own workload without supervision working to tight and often changing timescale
• An ability to maintain confidentiality and trust
• Used to working in a busy environment
• Adaptability, flexibility and ability to cope with uncertainty and change
• Demonstrate a strong desire to improve performance and make a difference by focusing on goals.
• Demonstrated capabilities to manage own workload and make informed decisions in the absence of required information, working to tight and often changing timescales
• Working knowledge of Microsoft Office with intermediate keyboard skills.
• Able to travel both in and out of county as required.

Experience

Desirable

• Use of Broadcare and NHS systems.
• Previous experience in a similar role in public sector.
• A good understanding of the health and social care environment and roles and responsibilities within this
• Experience of monitoring budgets and business planning processes.
• Knowledge of Financial Systems e.g. monitoring budget management, processing invoices and procurement.
• Demonstrated capability to plan over short, medium and long-term timeframes and adjust plans and resource requirements accordingly.

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.

Certificate of Sponsorship

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).

Employer details

Employer name

NHS Shropshire, Telford and Wrekin Integrated Care Board

Address

Halesfield 6

Halesfield

Telford

TF7 4BF

Employer's website

https://www.shropshiretelfordandwrekinccg.nhs.uk (Opens in a new tab)