About this role
Job summary
The Care Coordinator provides a patient-centered coordination service, supporting patients to access appropriate health, wellbeing, social and community services. The role involves working collaboratively with clinical and non-clinical teams to identify patient needs, coordinate appropriate support, improve engagement with healthcare and contribute to reducing health inequalities.
The role combines care coordination, patient support, health promotion, community engagement, patient education, outreach, administration, and service development.
A key aspect of the role is identifying gaps in patient support and developing innovative initiatives, educational activities and community-based opportunities that respond to identified health needs and encourage patients to become more engaged in managing their health and wellbeing.
Main duties of the job
1. Works within the primary care team, contributing to leadership of service evaluation and research to promote quality improvement activity.
2. Works with the Practices Patient Participation Group to support communication with the wider patient community.
3. Collaborates with other members of the team, patients and their carers when managing and coordinating care.
4. Uses healthcare technologies to optimise service delivery, patients access, and continuity of care
About us
Havering Marshalls PCN consists of four GP practices in Romford, totaling approximately 50,000 patients
North Street Medical Care, Romford
The New Medical Centre, Heath Park
Western Road Medical Centre, Romford
St. Edwards Medical Centre, Romford
Through the Additional Role Reimbursement Scheme (ARRS) the PCN has expanded traditional GP services by employing individuals to undertake various roles in order to provide more proactive, personalised and integrated care for patients registered at the four practices. Our ARRS team consists of Care Coordinators, Physiotherapists, Dietitian, Pharmacists, Pharmacy Technicians and Social Prescribers, as well as our leadership team which includes two Clinical Directors, PCN Manager, and Digitial & Transformation Lead.
Job description Job responsibilities
The Care Coordinator responsibilities include but are not limited to the following:
1. Support our network of four GP practices in achieving clinical quality and population health management targets, such as chronic disease management, mental health care, long-term condition reviews, and preventative screening programs. This includes coordinating patient follow-up appointments, providing information and guidance by telephone, and distributing relevant health resources, all via our clinical health records system: EMIS.
2.Plan, organise and facilitate educational group sessions for targeted patient populations, helping to improve health literacy, encourage self-management, and promote proactive wellbeing. Topics include weight management, menopause, men's health and wellbeing, and pre-diabetes.
3.Build and maintain strong relationships with social care providers, community organisations, voluntary sector partners, and local services to strengthen neighbourhood healthcare initiatives and support the delivery of patient wellbeing events.
Conduct proactive telephone assessments with frequent healthcare service users and individuals absent from work due to illness or disability, identifying barriers to recovery and connecting patients with appropriate health, wellbeing, and community support services.
4.Support the delivery of COVID-19 vaccination and Point of Care Testing programmes through stock and inventory management, including receiving deliveries, maintaining accurate records, and assisting practice managers with operational requirements.
5.Provide reception and administrative support, including welcoming and checking in patients attending ARRS services such as Physiotherapy, Dietician, Social Prescribing, and Clinical Pharmacy. Respond to patient enquiries and coordinate follow-up appointments to ensure a positive patient experience and continuity of care.
Person Specification
Experience Essential
Must have some experience of working in general practice. Must have experience of either working in social care or acute community care Experience or understanding of co-ordinating an MDT in a health or social care setting Excellent organisational skills Excellent communication skills
Qualifications Essential
GCSE grade A-C in English & Maths
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 Healthbridge Direct
Address 85 Western Road
Romford
RM1 3LS
United Kingdom
Employer's website https://www.healthbridgedirect.co.uk/ (Opens in a new tab)