Job summary
The Care Coordinator plays a vital role in ensuring that patients receive the highest quality of care through effective communication and organisation. This position involves coordinating patient care and appointments, liaising with healthcare professionals, and managing administrative tasks to support the overall healthcare delivery process. The ideal candidate will have strong office skills and a compassionate approach to patient care.
Main duties of the job
To work closely with the Duty Doctor within the Triage Team to coordinate patient care and appointments in a professional and courteous manner.
You will support the provision of continuity of care and act as a point of contact for patients, families, residents, and professionals.
The Care Coordinator acts as a Care Navigator to ensure patients have access to appropriate appointments, services, advice and information, in a clinically safe, efficient, and person-centred manner.
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 might reasonable be required by their Team Leader or Manager
About us
Riverport Medical Practice is a GMS practice with 13,500 patients. Our three sites in St Ives, Somersham and Fenstanton are rated 'Good' by CQC.
The Practice uses SystmOne clinical system as well as other digital healthcare solutions such as AccuRx.
Riverport Medical Practice works in collaboration with the St Ives Primary Care Network to provide services to patients across St Ives and the surrounding villages.
Job description
Job responsibilities
- Provide coordination and navigation for people and their carers across health and care services. This includes assessment of queries and appointment requests in the Practice triage queue.
- Working closely with Duty Doctors and other primary care professionals and third party organisations involved in the care of our patient population.
- Making and managing patient appointments, whilst identifying where recall for screening or chronic disease is required in order to support making every contact count.
- Help people 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.
- Holistically bring together all of a persons identified care and support plan, in line with best practice, based on what matters to the person.
- Supporting shared-decision making by including patients in decisions about their care and offering clinically appropriate options and signposting.
- As part of the multidisciplinary team, build relationships with staff in GP practices within the PCN, organising and attending relevant meetings, providing information and feedback on care coordination priorities: for example, support for the care home residents and MDTs.
- Be proactive in identifying local voluntary sector organisations that may be approved for signposting appropriate patient.
- Liaise directly with care homes and other key providers to support MDT care reviews: for example, Care Home Managers, Practice Team, Pharmacists, Community Pharmacies, SPLWs, District Nursing, Palliative Care Teams, Speech and Language Teams etc.
- Understand and adhere to the requirements of the safeguarding protocols for vulnerable individuals as they pertain to your role.
- Capture and code key information to enable comprehensive and accurate medical records: inputting these into clinical systems as required and adhering to data protection legislation.
- Being aware of health inequalities to ensure patients from disadvantaged groups are supported to access care. Organising translation services or supporting with transport.
- Requesting and sending patient questionnaires or communication to patients to obtain information. Understanding sensitivities around requesting and saving patient information.
- Following the Health Education England competency framework for Care Navigation and participating in supervision sessions with GPs and further learning/training where indicated.
- Arranging referrals for patients to other primary care settings, such as District Nursing or Community Pharmacy services.
- Having comprehensive knowledge of wider healthcare settings and service providers, understanding the eligibility criteria for a range of local healthcare services in order to appropriately signpost patients.
- Supporting the Safer Working in General Practice BMA principles by assisting the GP Team and Duty Doctors with incoming appointment requests and outgoing communication to patients.
- Identifying urgent or emergency queries and recognising where red flag symptoms may require urgent escalation, prioritisation, or emergency services signposting.
- Redirecting patients within the Practice to suitable teams or individuals: for example, prescription team, secretarial team, social prescribers etc.
- Directing patients to other healthcare services outside the scope of General Practice: for example, dental or optometry services.
Job description
Job responsibilities
- Provide coordination and navigation for people and their carers across health and care services. This includes assessment of queries and appointment requests in the Practice triage queue.
- Working closely with Duty Doctors and other primary care professionals and third party organisations involved in the care of our patient population.
- Making and managing patient appointments, whilst identifying where recall for screening or chronic disease is required in order to support making every contact count.
- Help people 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.
- Holistically bring together all of a persons identified care and support plan, in line with best practice, based on what matters to the person.
- Supporting shared-decision making by including patients in decisions about their care and offering clinically appropriate options and signposting.
- As part of the multidisciplinary team, build relationships with staff in GP practices within the PCN, organising and attending relevant meetings, providing information and feedback on care coordination priorities: for example, support for the care home residents and MDTs.
- Be proactive in identifying local voluntary sector organisations that may be approved for signposting appropriate patient.
- Liaise directly with care homes and other key providers to support MDT care reviews: for example, Care Home Managers, Practice Team, Pharmacists, Community Pharmacies, SPLWs, District Nursing, Palliative Care Teams, Speech and Language Teams etc.
- Understand and adhere to the requirements of the safeguarding protocols for vulnerable individuals as they pertain to your role.
- Capture and code key information to enable comprehensive and accurate medical records: inputting these into clinical systems as required and adhering to data protection legislation.
- Being aware of health inequalities to ensure patients from disadvantaged groups are supported to access care. Organising translation services or supporting with transport.
- Requesting and sending patient questionnaires or communication to patients to obtain information. Understanding sensitivities around requesting and saving patient information.
- Following the Health Education England competency framework for Care Navigation and participating in supervision sessions with GPs and further learning/training where indicated.
- Arranging referrals for patients to other primary care settings, such as District Nursing or Community Pharmacy services.
- Having comprehensive knowledge of wider healthcare settings and service providers, understanding the eligibility criteria for a range of local healthcare services in order to appropriately signpost patients.
- Supporting the Safer Working in General Practice BMA principles by assisting the GP Team and Duty Doctors with incoming appointment requests and outgoing communication to patients.
- Identifying urgent or emergency queries and recognising where red flag symptoms may require urgent escalation, prioritisation, or emergency services signposting.
- Redirecting patients within the Practice to suitable teams or individuals: for example, prescription team, secretarial team, social prescribers etc.
- Directing patients to other healthcare services outside the scope of General Practice: for example, dental or optometry services.
Person Specification
Experience
Essential
- Experience working in healthcare, specifically NHS Primary Care
Desirable
- Experience working in a GP practice
Person Specification
Experience
Essential
- Experience working in healthcare, specifically NHS Primary Care
Desirable
- Experience working in a GP practice
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.
