About this role
Job summary
We are seeking a motivated and compassionate Care Coordinator to join our multidisciplinary Primary Care Network (PCN) team on a part-time basis.
This is a key role supporting patients, particularly those with long-term conditions, frailty, dementia, or complex needs, to navigate health and social care services. You will act as a central point of contact, working closely with GP practices and partner organisations to ensure patients receive coordinated, personalised care.
The role combines administrative coordination and patient-facing work, including engaging directly with patients and carers to support their health and wellbeing.
Main duties of the job
Proactively identify and support patients who would benefit from care coordination, including vulnerable or high-risk groups. Act as a central point of contact for patients, carers, and professionals to help navigate services and access appropriate support. Develop, implement, and review personalised care and support plans based on what matters most to the individual. Coordinate care across a range of services, including primary care, community services, and voluntary organisations. Work closely with GPs and the wider multidisciplinary team (MDT), including attending and supporting MDT meetings. Support patients to improve self-management, access support services, and make informed decisions about their care. Maintain accurate and up-to-date patient records, ensuring compliance with information governance requirements. Provide signposting to internal and external services, including social prescribing and community resources. Undertake follow-up activity to ensure continuity of care following hospital discharges or clinical interventions.
About us
Filey & Scarborough Healthier Communities Network is committed to delivering high-quality, patient-centred care.
You will be part of a supportive multi-disciplinary team, working closely with safeguarding leads, clinical teams and system partners, toimprove patient outcomes by supporting individuals to understand and manage their health, access the right services, and achieve a better quality of life
We offer:
Flexible and hybrid working arrangements A supportive and collaborative team environment Opportunities for training, safeguarding development and career progression
Job description Job responsibilities
Proactively identify and support patients who would benefit from care coordination, including vulnerable or high-risk groups. Act as a central point of contact for patients, carers, and professionals to help navigate services and access appropriate support. Develop, implement, and review personalised care and support plans based on what matters most to the individual. Coordinate care across a range of services, including primary care, community services, and voluntary organisations. Work closely with GPs and the wider multidisciplinary team (MDT), including attending and supporting MDT meetings. Support patients to improve self-management, access support services, and make informed decisions about their care. Maintain accurate and up-to-date patient records, ensuring compliance with information governance requirements. Provide signposting to internal and external services, including social prescribing and community resources. Undertake follow-up activity to ensure continuity of care following hospital discharges or clinical interventions
Person Specification
Qualifications Essential
Experience working in healthcare, social care, or a community-based role. Excellent communication and interpersonal skills, with an empathetic and patient-centred approach. Strong organisational and administrative abilities, with good IT skills. Ability to manage a varied workload and prioritise effectively. Commitment to delivering high-quality personalised care. GCSE (or equivalent) in English and Maths
Desirable
Experience working with older people, dementia patients, or those with complex needs. Knowledge of primary care systems (e.g. EMIS, SystmOne). Understanding of the NHS, social care, and voluntary sector services
Experience Essential
Compassionate, caring, and person-centred approach Ability to build effective relationships with patients, carers, and professionals Proactive and self-motivated with a flexible approach to work Strong teamwork skills within a multidisciplinary environment Commitment to equality, diversity, and inclusion
Desirable
Experience working with older people, dementia patients, or those with complex needs. Knowledge of primary care systems (e.g. EMIS, SystmOne). Understanding of the NHS, social care, and voluntary sector services
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 Scarborough Medical Group
Address Filey and Scarborough healthier communities
Cayley Court
Hopper Hill road
Scarborough
North Yorkshire
YO11 3YJ
United Kingdom
Employer's website https://www.scarboroughmedicalgroup.co.uk/ (Opens in a new tab)