Job summary
**Indicative band 8a - subject to job evaluation**
To provide a case management function for patients receiving slow stream neurorehabilitation services. This includes regularly monitoring progress against rehabilitation goals and attending multi-disciplinary team (MDT) meetings to discuss progress and support the discharge planning process. The post holder will also support NHS commissioned Level 1 and 2b services and will facilitate the assessment and costing process for patients whose needs sit outside such routinely commissioned services. The post holder will also build and maintain relationships with key individuals across NHS inpatient services, local authority, community services, independent sector (IS) providers and Continuing Healthcare (CHC) teams to ensure that a consistent and high-quality service can be provided.
Main duties of the job
The post holder will:
Provide specialist case manager in-reach support for Level 1 or 2b NHS commissioned services.
Identify patients in NHS commissioned Level 1 or 2b beds that may require slow stream rehabilitation outside of core commissioned services and facilitate the assessment and costing process for these, submitting costings and assessments for authorisation through the agreed governance routes.
Provide a robust specialist case management service for a caseload of patients in slow stream placements, commissioned either within the NHS or the Independent Sector (IS).
Attend regular MDT meetings for those on active caseload.
Ensure that data is captured as per local processes so that performance against identified key performance indicators (KPIs) identified can be monitored and reported against in line with agreed processes.
Ensure that data to support monitoring of NHS commissioned services is captured via UKROC.
Contribute to the development of improvement plans and provide regular updates of progress against these where performance against KPIs falls below the agreed standard.
Work with both internal and external colleagues to minimise the risk of delayed transfers of care (DTOC), taking appropriate action to address these by facilitating discussions to resolve issues, escalating issues encountered appropriately.
About us
This is an exciting opportunity to join a newly established team, providing a centralised coordination role for the management for patient who require a neurorehabilitation placement. The team form part of the Sustainable Services programme.
Our NHS People Promise
Our NHS People Promise -the promise we must all make to each other, to work together to improve the experience of working in the NHS for everyone. Like many other employers, NHS GM currently has evidence of unwarranted inequalities in the workforce, most notably in relation to minoritised ethnic, female and\or disabled staff and their intersectionality. As a result, we will use positive action measures to bring benefits to our organisation, including a wider pool of talented, skilled, and experienced people from which to recruit and a better understanding of the needs of a more diverse range of customers.
Job description
Job responsibilities
The role is responsible for maintaining oversight of a specific caseload of individuals within Neurorehabilitation placements ensuring access to appropriate treatment, commissioning oversight, quality and governance and discharge planning development.
Review patient progress against current rehabilitation goals, ensuring that clear care plans are in place to help maximise recovery.
Contribute to the identification of appropriate discharge pathways and support with the development and implementation of discharge plans.
Ensure processes are in place to allow patients to progress from IS placements in a seamless manner once their treatment goals have been reached or when the placement no longer meets their needs
Work with colleagues (both internal and external to the ICB) to unblock barriers encountered when trying to move patients into the most appropriate setting, including discharge to home.
Provide operational support to Neuroscience, Trauma and Critical Care Networks and MDTs in the identification of the most suitable pathways for patients requiring specialist neurorehabilitation.
Work collaboratively with others across organisational boundaries to ensure that patients are cared for in the most appropriate setting to meet their needs. This includes, but is not limited to, GM Local Authorities, NHS neurorehabilitation inpatient services, CHC teams, community neurorehabilitation teams (CNRT) and IS providers.
Provide both line management and clinical supervision to members of the GM specialist case management team where this is required.
Job description
Job responsibilities
The role is responsible for maintaining oversight of a specific caseload of individuals within Neurorehabilitation placements ensuring access to appropriate treatment, commissioning oversight, quality and governance and discharge planning development.
Review patient progress against current rehabilitation goals, ensuring that clear care plans are in place to help maximise recovery.
Contribute to the identification of appropriate discharge pathways and support with the development and implementation of discharge plans.
Ensure processes are in place to allow patients to progress from IS placements in a seamless manner once their treatment goals have been reached or when the placement no longer meets their needs
Work with colleagues (both internal and external to the ICB) to unblock barriers encountered when trying to move patients into the most appropriate setting, including discharge to home.
Provide operational support to Neuroscience, Trauma and Critical Care Networks and MDTs in the identification of the most suitable pathways for patients requiring specialist neurorehabilitation.
Work collaboratively with others across organisational boundaries to ensure that patients are cared for in the most appropriate setting to meet their needs. This includes, but is not limited to, GM Local Authorities, NHS neurorehabilitation inpatient services, CHC teams, community neurorehabilitation teams (CNRT) and IS providers.
Provide both line management and clinical supervision to members of the GM specialist case management team where this is required.
Person Specification
Qualifications
Essential
- NMC Registered General Nurse, Mental Health Nurse or Social Worker.
- Educated to masters level or equivalent level of experience of working at a senior level in a specialist area.
Experience
Essential
- Experience of working within a multi-disciplinary team (MDT) and chairing MDT meetings or panels.
- Experience of working with patients with complex neurorehabilitation needs on a slow stream pathway
- Presenting complex and sensitive information to a range of recipients
Person Specification
Qualifications
Essential
- NMC Registered General Nurse, Mental Health Nurse or Social Worker.
- Educated to masters level or equivalent level of experience of working at a senior level in a specialist area.
Experience
Essential
- Experience of working within a multi-disciplinary team (MDT) and chairing MDT meetings or panels.
- Experience of working with patients with complex neurorehabilitation needs on a slow stream pathway
- Presenting complex and sensitive information to a range of recipients
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).