Care Coordinator - Horsham Central PCN inHorsham inHorsham PUBLISHED FRI 8 NOV 2024

£23,285.69 to £28,385.13 a year PERMANENT
CASELOAD EMPATHY FAMILY MENTAL HEALTH

Alliance for Better Care CIC rU3frgDh

The Care Coordinator role at Alliance for Better Care CIC in Horsham Central PCN involves facilitating the coordination of patient care within a primary care setting. The position requires full-time engagement (37.5 hours per week) and is permanent. Key responsibilities include consulting with patients to assess their needs, developing and maintaining care plans, and educating them about their health conditions to promote independence. The Care Coordinator will also manage a caseload of patients, liaising with healthcare providers and community services to ensure comprehensive support, and will be responsible for organizing multidisciplinary team (MDT) meetings.

Additional duties encompass using practice data to identify service improvements, maintaining accurate records in SystmOne, and collaborating with caregivers and family members to enhance patient care. The role emphasises empathy, effective communication, and continuous improvement within the healthcare system, aiming to empower patients while evaluating their progress regularly. Overall, the Care Coordinator plays a vital role in navigating patients through their healthcare journey, ensuring their needs are met efficiently and compassionately.

This role is to support the smooth co-ordination of patient care for one practice within the Primary Care Network for the benefit of our patients.

Full time - 37.5 hours per week.

Permanent position.

The Care Coordinator will be responsible for consulting with patients and determining their needs, developing care plans, coordinating patient-care services, educating them about their condition, empowering them to be independent whenever possible and working with the care team to evaluate interventions.

About us
Key Responsibilities and Duties
1. To support adult patients and assist them through the healthcare system by acting as a patient advocate and navigator, empowering them and educating them to promote and support their independence.
2. Use practice data to make informed decision, identify inequalities and initiate projects to improve services and the lives of our patients and community.
3. To talk to patients, and where appropriate their families and/or carers, on the practice premises, remotely by telephone or video, or in the patients home if needed.
4. Liaise with Care Homes as necessary.
MDT Coordination
1. Overall responsibility for arranging MDT meetings and the smooth running of integrated care within the medical centre. A key role of the Care Coordinator will be to schedule the MDT meetings and manage the meeting agenda items, ensuring that all new referrals are identified, and information is circulated to team members in advance of the meeting.
2. Identify patients to discuss at PCN level MDTs with a view to reducing unplanned admissions and exacerbation of conditions.
Managing a caseload
1. Identify patients that may need support by receiving information about transfers of care (including hospital admissions and discharges) and from internal practice intelligence.
2. Educate patients (and if applicable and if appropriate consent is in place, their carers or family) about their condition and medication, and give them specific instructions.
3. Help patients understand their condition by liaising with clinical colleagues, especially the practice pharmacy team, regarding their medication. Aim for patients to have specific instructions regarding their medication and understand how they access repeat prescriptions and reviews.
4. With the help of relevant clinical colleagues, develop a care plan to address patients personal health care needs. Ensure care plans are maintained, updated, and uploaded to all relevant systems for sharing with other providers, including SystmOne and ShareMyCare.
5. Promote clear communication amongst a care team and treating clinicians by ensuring awareness regarding patient care plans.
6. Assist and empower the patient to consult and collaborate with other health care providers and specialists to set up patient appointments and treatment plans.
7. Check in on the patient regularly and evaluate and document their progress.
Linking with other services
1. Signpost team members, service users and carers to relevant services including the PCN Social Prescribing Link Worker Service.
2. Liaise with the Social Prescriber and Mental Health Support Coordinator regarding patients that are identified as needing well-being support.
3. Liaise with practice clinicians responsible for frailty regarding patients that are identified as needing ongoing support.
4. Liaise with acute trusts, care homes, hospices, community and social care providers as required.
Record Keeping
1. Keep accurate and up-to-date records of contact with patients, carers and professionals, including use of SystmOne to record patient contact on the medical record.
2. Use accurate SNOMED codes to record patient contacts and interventions, mainly via the use of provided templates, for audit purposes and monitoring and measuring outcomes.
3. Manage reporting required and associated within the DES specifications for required services e.g IIF and other services such as EA.
4. Report case studies and outcomes to the PCN on a quarterly basis.
General Responsibilities
1. Work as part of the team to seek feedback, continually improve the service and contribute to business planning.
2. Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.
3. Attend ongoing training and courses to keep abreast of new developments in health care.
4. Treat patients with empathy and respect and conduct oneself in a professional manner.
5. Attend and contribute to relevant meetings.

6. Duties may vary from time to time, without changing the general character of the post or the level of responsibility.
Please see full Job Description for further information.

More information related to this job opportunity, from jobsincare:

Possible interview questions for this job Click to view Start practice interview NEW!

Please wait...this will take a moment...

More about MENTAL HEALTH

Mental health has emerged as a critical issue in the United Kingdom, particularly in the wake of the COVID-19 pandemic. The crisis highlighted the fragility of mental well-being across different demographics, from children and adolescents to adults and the elderly. It has sparked a wider conversation about the importance of mental health care, accessibility, and the stigmas often associated with mental illnesses. Learn more...

Useful skills for a Care Coordinator - Horsham Central PCN: Click to view

To work as a Care Coordinator in the UK, you should possess a range of skills and qualifications to effectively coordinate patient care and support. Here are the key skills typically required:

1. Communication Skills: Strong verbal and written communication skills are essential for interacting with patients, families, and healthcare professionals.

2. Organisational Skills: You need to manage multiple tasks, schedules, and patient needs efficiently, ensuring that care plans are followed properly.

3. Interpersonal Skills: Building rapport with patients and collaborating with multidisciplinary teams is crucial.

4. Problem-Solving Skills: The ability to assess situations, identify issues, and develop effective solutions is important for ensuring patient care.

5. Attention to Detail: Care Coordinators must carefully track patient information, appointments, and care plans to ensure nothing is overlooked.

6. Empathy and Compassion: Understanding the emotional and psychological needs of patients and being sensitive to their circumstances is key.

7. IT Skills: Proficiency in using healthcare software and electronic health records (EHR) systems is often required for managing patient data.

8. Knowledge of Healthcare Systems: Familiarity with local health services, referral pathways, and support resources is essential.

9. Time Management: The ability to prioritize tasks and manage time effectively to meet deadlines and patient needs.

10. Teamwork: Ability to work collaboratively with healthcare teams and other professionals to deliver comprehensive care.

11. Crisis Management: Skills to handle emergency situations calmly and effectively.

12. Cultural Competence: Awareness and respect for diverse cultural backgrounds, which may affect how care is provided.

Qualifications

In addition to skills, having relevant qualifications can enhance your opportunities as a Care Coordinator. Common background fields include nursing, social work, or other health and social care professions. Many positions may also require a degree or a diploma in health or social care.

Experience

Prior experience in healthcare settings, particularly in roles that involved patient interaction, health administration, or case management, is often beneficial.