About this role
Job summary
Under the direction of the PCN team, a care coordinator will be required to undertake the following and will receive the relevant training and supervision to:
identify a cohort of patients who meet specific criteria as determined by the Service priority areas using population health intelligence;
Deliver personalised holistic healthcare and support in order to manage their needs proactively, exploring options or a single personalised care and support plan.
Provide advice, guidance and signpost to other services, co-ordinate patient care services and work with the care team to evaluate interventions
The core competencies required of a Care Co-ordinator are as follows and the specific duties and responsibilities are identified below.
Main duties of the job
The Care Coordinator will work as part of the PCN team to provide personalised, holistic support to patients, helping them to access appropriate care, services and support. Key duties will include:
Using population health intelligence to identify and proactively support cohorts of patients in line with service priorities and contractual requirements. Contacting patients to understand their individual needs, supporting shared decision-making and developing trusting, person-centred relationships. Supporting patients to manage their health and wellbeing by providing information, answering queries, coordinating appointments and helping them understand their care options.
Developing and supporting personalised care and support plans with patients and their families, ensuring records are accurate and kept up to date.
Navigating and signposting patients, carers and families to appropriate health, social care, community and voluntary sector services, working closely with social prescribing and other PCN roles.
Monitoring patient progress and recognising when additional or urgent support is required, escalating concerns appropriately to relevant professionals. Supporting access to self-management education, peer support, training, benefits and other interventions that promote health and wellbeing.
Supporting MDT meetings, including those relating to care homes, and assisting with vaccination programmes where required.
About us
Trinity Health Group is a PCN made up of four practices on the west of the district (Trinity Medical Centre, Maybush Medical Centre, Crofton and Sharlston Medical Practice and Warrengate Medical Centre). Our vision is that all our patients should have the same chance at a happy, healthy life. We believe that a sustainable, resilient Primary Care Service working collaboratively with volunteer and community services and social enterprise organisations supports this vision. Our Mission is to add years to the lives of our patients and to add life to those years.
Job description Job responsibilities
For the full Job Description and Person Specification for this role, please see the additional documents attached.
Person Specification
Qualifications Essential
Educated to NVQ level 3 in a relevant subject or equivalent qualification or proven relevant experience.
Desirable
Experience of working in a support role either in the health and social care sector or within a customer focused based organisation. Evidence of undertaking the relevant care coordinator training and/or the care certificate.
Attributes Essential
Recognises when the limits of own competence are exceeded and is able to identify how and from whom to seek support. Listens proactively and collaborates with colleagues and wider teams and is able to share learning from their experiences Acts with integrity and professionalism at all times and is conscientious and committed to provide a high-quality service.
Experience Essential
Is able to demonstrate evidence that the role holder is able to meet the core competencies outlined in the above description. Experience of clearly communicating with a range of stakeholders, with excellent writing, data entry/IT, Microsoft packages and presentation skills. Experience of creating high quality documentation for information and meetings. Experience of working positively and productively with colleagues and external stakeholders
Desirable
Previous knowledge of working in the NHS or primary care or a similar health and social care setting
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 Conexus Healthcare CIC
Address Trinity Medical Centre (and across the PCN district)
Thornhill Street
Wakefield
West Yorkshire
WF2 7PJ
United Kingdom
Employer's website https://conexus-healthcare.org/ (Opens in a new tab)