Care Coordinator

Job description

Job responsibilities

PRIMARY DUTIES AND AREAS OF RESPONSIBILITIES

· Provide coordination and navigation for people and their carers across health and care services, working closely with Pharmacists, social prescribers, health and wellbeing coaches and other primary care professionals.

· Utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care.

· Support the PCN including utilising decision aids and tools where relevant to help primary care professionals to support patients to understand their level of knowledge, skills and confidence (their ‘activation’ level) when engaging with their health and wellbeing.

· Help our patient population to manage their needs through answering queries, making, and managing appointments and ensuring that people have good quality written or verbal information to help them make choices about their care.

· Raise awareness within the PCN of shared decision making and decision support tools, including how to identify patients who may benefit from this.

· As part of the multidisciplinary team, build relationships with staff in GP practices within the PCN, attending relevant meetings, providing information and feedback on care coordination priorities and strategies.

· Liaise directly with care homes and other key providers, and compile and circulate relevant information across stakeholder groups.

· Capture key information to enable comprehensive and accurate records of support, inputting these into clinical systems as required and adhering to data protection legislation

· Liaise with patients for information required to complete their medical notes, which does not require a face to face consultation.

· Run searches to provide quarterly statistics on clinical activity for CCG and Public Health QOF reporting purposes.

· Maintain a diary of required monthly, quarterly, biannual and annual data input to support the practice in ensuring all required financial eligibility is met and ensure it is submitted in a timely manner.

· Support the Operations Manager in the delivery of training to ensure staff can use the EMIS population reporting database to best effect.

· Support the Operations Manager in the delivery of mass annual vaccination clinics including, but not limited to, flu and COVID

CONFIDENTIALITY

The post holder may have access to confidential information relating to patients, their carer’s, practice staff and other healthcare workers. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the Federation may only be divulged to authorised persons in accordance with the Federations policies and procedures relating to confidentiality and the protection of personal and sensitive data.

HEALTH AND SAFETY

The post holder will assist in promoting and maintaining their own and other’s health, safety and security as defined in the Federations Health & Safety Policy.

EQUALITY AND DIVERSITY

The post holder will support the equality, diversity and rights of patients, carers and colleagues to include:

- acting in a way that recognises the importance of people’s rights, interpreting them in a way that is consistent with the practice procedures and policies and current legislation.

- respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.

The job description and person specification are an outline of the tasks, responsibilities and outcomes required of the role. The job holder will carry out any other duties as may reasonably be required by their line manager.

Person Specification

Skills

Essential

• Excellent communication skills (written and oral).
• IT skills.
• Time management and the ability to work to deadlines.
• Problem solving skills.
• Interpersonal skills.

Qualifications

Essential

• Good standard of general education.

Experience

Essential

• Time manage effectively with the ability to work autonomously and plan/prioritise work under pressure.
• A basic understanding of a General Practice environment.
• Experience of working within a nursing or healthcare environment.
• Practical experience of computerised recording system.

Desirable

• Experience of supporting a multi-disciplinary team in delivering care plans to vulnerable individuals who may have multiple needs.
• Experience of working in partnership and collaboratively with agencies across the public and voluntary sector.
• Experience of using a unified approach to data capture, ensuring the quality and integrity of all data.

Behaviours

Essential

• Smart, polite and confident.
• Planning and organising.
• Performing under pressure.
• Adaptability.
• Team working.
• Using initiative.
• Self-motivated.
• Flexibility.
• Confidentiality.

Employer details

Employer name

Pocklington Group Practice

Address

The Beckside Centre

1 Amos Drive

Pocklington

East Riding of Yorkshire

YO42 2BS

Employer's website

https://www.pocklingtongps.nhs.uk/ (Opens in a new tab)