Social Worker, Specialist Neurorehabilitation inManchester inManchester PUBLISHED 21 OCT 2024
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**Indicative band 7 - subject to job evaluation**
As a member of the Specialist Neurorehabilitation Case Management team, the post holder will provide active support to case managers in the discharge planning process for patients within the "slow stream" care pathway. The post holder will also act as a Trusted Assessor for patient cohorts across all Greater Manchester (GM) localities either requiring slow stream rehabilitation or with an Acquired Brain Injury (ABI). Additionally, the post holder will also complete assessments under the Care Act on behalf of locality partners and will provide expert ongoing social care and signposting for patients and families as required.
Provide active support for specialist neurorehabilitation case managers in the discharge planning process for patients on a slow stream rehabilitation pathway.
Where agreed, act as a Trusted Assessor across the GM footprint for patients with an ABI or on a neurorehabilitation slow stream care pathway.
Provide expert ongoing social care for patients on the team's caseload, liaising with patients and their families as required.
Sign post patients and family members to the most appropriate services for their needs.
Act as a crucial link between the specialist neurorehabilitation case management team and local social services teams to ensure Social Worker allocation and assessment takes place in a timely manner. This will be crucial in ensuring that discharge takes place in as streamlined a way as possible.
Work collaboratively with other place-based services, including housing providers, to ensure successful discharge.
Support patients and carers in their transition from a complex rehabilitation environment to suitable placements or independent living in the community.
Attend multi-disciplinary team (MDT) meetings as required to support the management of patient assessments or potential discharges
About usContribute to the identification of appropriate discharge pathways and support with the development and implementation of discharge plans.
Work with colleagues (both internal and external to the ICB) to unblock barriers encountered when trying to move patients into the most appropriate setting, including discharge to home.
Work collaboratively with others across organisational boundaries to ensure that patients are cared for in the most appropriate setting to meet their needs. This includes, but is not limited to, GM Local Authorities, NHS neurorehabilitation inpatient services, CHC teams, community neurorehabilitation teams (CNRT) and IS providers.
Ensure that data is captured as per local processes so that performance against identified key performance indicators (KPIs) identified can be monitored and reported against in line with agreed processes.
Contribute to the development of improvement plans and provide regular updates of progress against these where performance against KPIs falls below the agreed standard.
Work with both internal and external colleagues to minimise the risk of delayed transfers of care (DTOC), taking appropriate action to address these by facilitating discussions to resolve issues, escalating issues encountered appropriately.
Actively engage with the annual Performance Development Review (PDR) process and managerial and clinical supervision sessions to ensure the opportunity for personal development is maximised.
**Indicative band 7 - subject to job evaluation**
As a member of the Specialist Neurorehabilitation Case Management team, the post holder will provide active support to case managers in the discharge planning process for patients within the "slow stream" care pathway. The post holder will also act as a Trusted Assessor for patient cohorts across all Greater Manchester (GM) localities either requiring slow stream rehabilitation or with an Acquired Brain Injury (ABI). Additionally, the post holder will also complete assessments under the Care Act on behalf of locality partners and will provide expert ongoing social care and signposting for patients and families as required.
Provide active support for specialist neurorehabilitation case managers in the discharge planning process for patients on a slow stream rehabilitation pathway.
Where agreed, act as a Trusted Assessor across the GM footprint for patients with an ABI or on a neurorehabilitation slow stream care pathway.
Provide expert ongoing social care for patients on the team's caseload, liaising with patients and their families as required.
Sign post patients and family members to the most appropriate services for their needs.
Act as a crucial link between the specialist neurorehabilitation case management team and local social services teams to ensure Social Worker allocation and assessment takes place in a timely manner. This will be crucial in ensuring that discharge takes place in as streamlined a way as possible.
Work collaboratively with other place-based services, including housing providers, to ensure successful discharge.
Support patients and carers in their transition from a complex rehabilitation environment to suitable placements or independent living in the community.
Attend multi-disciplinary team (MDT) meetings as required to support the management of patient assessments or potential discharges
About us
Contribute to the identification of appropriate discharge pathways and support with the development and implementation of discharge plans.
Work with colleagues (both internal and external to the ICB) to unblock barriers encountered when trying to move patients into the most appropriate setting, including discharge to home.
Work collaboratively with others across organisational boundaries to ensure that patients are cared for in the most appropriate setting to meet their needs. This includes, but is not limited to, GM Local Authorities, NHS neurorehabilitation inpatient services, CHC teams, community neurorehabilitation teams (CNRT) and IS providers.
Ensure that data is captured as per local processes so that performance against identified key performance indicators (KPIs) identified can be monitored and reported against in line with agreed processes.
Contribute to the development of improvement plans and provide regular updates of progress against these where performance against KPIs falls below the agreed standard.
Work with both internal and external colleagues to minimise the risk of delayed transfers of care (DTOC), taking appropriate action to address these by facilitating discussions to resolve issues, escalating issues encountered appropriately.
Actively engage with the annual Performance Development Review (PDR) process and managerial and clinical supervision sessions to ensure the opportunity for personal development is maximised.
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