Care Coordinator - Children & Families

Job description

Job responsibilities

Main Duties and Responsibilities

• This role will be the first point of contact for patients within this new pathway. They will be responsible for quickly building a trusted, supportive relationship with each family we work with and understanding how our programme may be able to help them.
• They will verify selected patients via a defined process, then contact patients to enrol them in the programme and triage them into a pathway depending on their response to a series of questions about their situation with support from an Advanced Nurse Practioner, and an integrated team including GP and social care support.
• Support the ongoing case management of patients and families on this pathway through regular check-ins, helping them make progress on their plans and supporting them to access the right resources and services.
• Work closely with multiple professionals from across the sectors to coordinate the support for patients and their families, ensure care plans meet the families needs and they receive the help and support they need.
• Support the PCN on implementation of this new model of care by providing updates & feedback on the model and helping adapt and improve it going forward to best meet the needs of our patients.
• Maintain a log that records the journey of each patient on the PHM programme, including the services they are referred to.
• Identify where there may be health inequalities and provide feedback on where engagement could be enhanced.
• Use technology and appropriate software e.g., EMIS and Graphnet as an aid to management in planning, implementation and monitoring of care, presenting and communicating information.
• Reports to: PHM Operational Lead.

Responsibilities To PCN Teams

• Actively develop effective working relationships and lines of communication within the practice, with the PCN, and with wider multi-professional teams across Central e.g. NCA, schools, childrens social care, social prescribers.
• Can work effectively as a member of a team with the practice, PCN and ANP as a key person within the PHM model.
• Can recognise personal limitations and knows when to seek support from colleague(s).
• Develops an in-depth knowledge of local health and care infrastructure and knows how and when to enable people to access support and services that are right for them.

Responsibilities To Patients

• Quickly build trusting, supportive relationships with the children and families our model seeks to support.
• Manage a caseload of patients comprising at-risk children and families across the PCN.
• Proactively checks in with patients on the case load to help manage their needs through answering queries and ensuring that people have good quality written or verbal information to help them make choices about their care.
• Support people to understand their level of knowledge, skills and confidence when engaging with their health and wellbeing.

Person Specification

Skills and Attributes

Essential

• Willingness to undergo further training or development
• Flexible approach and highly motivated.
• Works well within a team.
• Proven experience building relationships with people in different settings and backgrounds.
• Evidence of good written and verbal communication skills with colleagues and patients and the public.
• Ability to communicate effectively at a range of levels.
• Good telephone manner.
• Able to deal with service users sensitively, recognising cultural and psychological needs.
• Excellent teamworking skills.
• Able to prioritise and manage own workload.
• Excellent interpersonal skills including ability to listen and empathise with people.
• Excellent organisational and administration skills.
• Professional attitude.
• Committed to personal development.
• Ability to meet deadlines and work.
• Approachable.
• Flexible and adaptable as the role will evolve.

Desirable

• Knowledge of using NHS IT systems such as EMIS.
• Experience providing advice/signposting to users.
• Ability to analyse and interpret information and present results in a clear and concise manner.

Qualifications

Essential

• Experience within Primary Care.

Desirable

• Educated to GCSE Standard (Grades A-C) or Diploma/ HNC level (or relevant experience).
• Experience in Care Coordination.

Experience

Essential

• Experience of working in Primary Care/Voluntary Sector/Community.
• Experience working with children and families.
• Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality.
• Use of MS Office (Word, Excel, Outlook).

Desirable

• Relevant health and social care experience at AfC Band 3 or 4 or equivalent and/or previous experience in the NHS or social care or relevant field.
• Experience of administrative duties.
• Practical experience of being in a patient facing role.
• Working in a multi-disciplinary setting.
• Experience in use of databases.

Other

Essential

• Excellent record keeping skills.
• At times there will be a requirement to travel across practices within the PCN (Central Oldham) and to other sites and partners.

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.

Employer details

Employer name

Gtd Healthcare

Address

St Mary's Medical Practice

Rock St

Oldham

OL1 3UL

Employer's website

https://www.gtdhealthcare.co.uk/ (Opens in a new tab)