About this role
Job summary
Please note this organisation does not hold a sponsorship licence, we regret to inform you that we are unable to consider applications from individuals who require sponsorship.
As a Prior Approval and Audit or Individual Funding Request Officer, you will support the leadership and day-to-day delivery of the Clinical Policy Implementation service. You will work with a dedicated team managing funding applications from GPs and consultants for treatments that are mainly subject to defined access criteria as well as those not normally funded on the NHS.
You will also contribute to compliance audits, activity reporting, and the management of Individual Funding Request panels.
Main duties of the job
This is an exciting opportunity for a motivated and highly organised individual to join the Clinical Policy Unit and help make a difference to patient care. Working within the Clinical Policy Implementation function, you will support the fair, consistent and effective application of clinical commissioning policies, helping to secure best value for public money and optimal clinical outcomes.
You will join a knowledgeable and supportive team with a shared commitment to improving patient outcomes, reducing unwarranted variation and ensuring NHS resources are used fairly and effectively. The role offers the opportunity to develop expertise in clinical policy implementation, funding-request management, assurance and audit while working collaboratively across organisational and professional boundaries.
About us
We offer excellent employment opportunities to new and existing staff. We aim to be a model employer by embedding best HR practice and to support new ways of working.
We pride ourselves on offering good working conditions, job security, lifelong learning, fair pay and benefits, staff involvement and a balance between work and personal life.
We enjoy a forward thinking and innovative culture and our vision is to have healthy people, living healthy lives in healthy communities. We understand the only way to deliver this is to have the right people with the right skills.
Here is a summary of some of the benefits and services which are on offer to staff:
27 days paid minimum holiday and bank holiday entitlement
NHS pension scheme
Sick pay policy
Occupational health services including staff counselling services
Flexible working and family friendly policies
Flexible retirement and retirement vouchers
Health Service Discounts - offers for stores, travel, equipment etc.
Successful candidates will be subject to a six-month probationary period.
Job description
Job responsibilities
Review prior approval and other funding applications against agreed clinical policy criteria.
Communicate decisions, requests for further information and next steps clearly and professionally to referring clinicians.
Maintain accurate electronic case records and a complete audit trail, working within agreed processes, quality standards and response times.
Carry out compliance audits, including gathering and reviewing information, identifying themes and contributing to reports for stakeholders.
Manage the Individual Funding Request process including the IFR screening and Panel
Help monitor workloads and priorities so that urgent cases and service deadlines are managed effectively.
Contribute to activity and performance reporting and support the maintenance of relevant systems, forms and service information.
Provide flexible support across the service as necessary.
Build effective working relationships with colleagues in the Effectiveness and Value team, Business Intelligence, Finance, other ICB services, healthcare providers and clinical stakeholders.
Work in accordance with organisational values, information-governance requirements and equality, diversity and inclusion principles.
Person Specification
Qualifications and experience
Essential
- Diploma/degree level qualifications (or relevant qualification) or equivalent level of experience.
- Good general education with high level of literacy and numeracy.
- Must be able to provide and receive complex, sensitive or contentious information.
- Experience in dealing with the patients or members of the public sensitively.
- Experience of organising information and updating electronic records.
Skills and abilities
Essential
- Exceptional attention to detail and accuracy.
- Ability to communicate complex matters and deal with difficult situations, requiring persuasion and influence.
- Problem solving skills and ability to respond to sudden unexpected demands.
- Understanding of and commitment to equality of opportunity and good working relationships.
- Ability to take comprehensive and concise minutes and actions of meetings.
- Up-to-date understanding of all aspects of Choice policy and the inter relationship of access and choice in the NHS.
- Experience of interpreting information, distilling key messages and themes.
- Excellent customer service skills; Team working skills; Self-motivated; Ability to move between details and the bigger picture. Demonstrates honesty and integrity and promotes organisational values.
- Personal resilience in relation to handling personal, sensitive and potentially distressing information.
- Able to prioritise own work effectively and direct activities of others.
Desirable
- Experience of working with GP commissioners, clinicians and primary care teams.
- Experience of supervising or managing staff, motivating individuals and teams to deliver shared objectives.
- Experience of undertaking individual performance reviews and supporting staff personal development plans.
Knowledge
Essential
- A good understanding of the health and social care environment and roles and responsibilities within it.
- Understanding of NHS funding systems, how evidence of effectiveness is applied in policy development and how effectiveness is measured.
Desirable
- Knowledge and experience of Blueteq System both IFR/Prior Approvals also Provider Portal.
- Knowledge and experience of a Content Management System, for example WordPress.
Communication and interpersonal skills
Essential
- Must be able to demonstrate a high level of verbal and written communication skills.
- Able to liaise effectively and with confidence with senior clinicians.
- Experience in communications and stakeholder management.
Analytical and problem-solving skills
Essential
- Ability to support junior members of staff.
IT and digital literacy
Essential
- Fully computer literate and proficient in Microsoft Word, electronic mail, Excel, Power Point & Access.
Project management
Desirable
- Previous experience in project management and planning.
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
Hampshire and Isle of Wight ICB (104)
Address
Hampshire
Omega House
Hampshire
SO50 5PB
United Kingdom
Employer's website
https://www.hantsiowhealthandcare.org.uk/icb (Opens in a new tab)