Care Coordinator

Job responsibilities

WEAVERS MEDICAL

Job Description

Title: PCN Care Coordinator

Responsible to: Practice Manager

Location: Weavers Medical

Occasional working from home if required (COVID)

Another local practice as required from time to time

Hours per day: 4 x positions available

• 32.5 hours per week M-F

• 21.25 hours per week 4 days per week

• 2 x 20 hours per week 4 days per week

  Salary: Starting salary £21,892 wte

  Main Purpose:

• To provide coordinated care for all patients resident in care homes.

• To maintain patient electronic records for clerical reasons, the Quality and Outcomes Framework and for medical care. The records must be accurate and contemporaneous.

Key Tasks

Working as part of the Care Coordinator team to provide a single point of contact for all the Kettering Care homes for all non-urgent requests: dedicated phone line, nhs.net email address, Microsoft Teams.

Proactively contact all the care homes at least weekly to discuss patient related concerns.

Navigate the non-urgent requests and the patient related concerns to the most appropriate service or clinician

Contribute towards the creation and maintenance of the advanced care plans (including when appropriate frailty score, GSF level, date of last SMR, etc).

Ensure all information about the patient is updated using appropriate ARDENs templates and associated read codes.

Support alignment of care home to practices, including registration, updating care plans and liaising with clinical pharmacist to ensure medications are updated.

Maintain and update records of all patients in care homes who have been admitted to secondary care (date admission discharge, reason for admission, post discharge contact.

Coordinate MDTs with the practice GP and community teams.

Manage and prioritise workload on a daily basis and dealing with the competing demands of the care coordinator role.

Other Admin tasks

Attend regular team meetings.

Take part in any training as required from time to time.

Work to the schedule as set by the line manager and report any backlogs of work.

Any other duties considered relevant to the post.

Health & Safety & Fire Safety

The post holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Practice Health & Safety Policy.

The post holder will adhere to the Prospect House Fire Strategy.

Equality and Diversity

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

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

Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights

Personal/Professional Development

The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include:

Participation in an annual individual performance review, including responsibility for maintaining a record of own personal and/or professional development.

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Communication

The post-holder should recognise the importance of effective communication within the team and will strive to:

Communicative effectively with other team members.

Communicate effectively with patients and carers.

Recognise peoples needs for alternative methods of communication and respond accordingly.

Qualifications

Essential

• Acceptable basic GCSE's
• Good English written and spoken
• Computer Literate
• Excellent communication skills
• Medical Terminology & or clinical background

Desirable

• Microsoft office including e mail

Experience

Essential

• Task orientated
• Accuracy in all work

Desirable

• Experience of inputting data onto a computer system
• Customer service/patient facing background

Innate Abilities

Essential

• Logical
• Attention to detail
• Ability to learn new skills quickly

Desirable

• Ability to "up the pace" when necessary
• To recognise workload priorities and communicate any problems to the supervisor
• Ability to question correctly

Motivation

Essential

• Desire to learn new skills
• To work with minimal supervision
• To work to deadlines
• Ability to work in a team

Desirable

• Experience of organising own work to achieve best outcome

Adjustment/ Attitude

Essential

• Understands the need for confidentiality
• Caring
• Smart and professional
• Ability to use VDU and telephone with headset throughout she shift

Desirable

• Flexible and adaptable

Other

Essential

• Able to travel to/from work for the hours required.
• No questionable sickness record
• Ability to use VDU and telephone with headset throughout she shift

Desirable

• Flexible over hours on an occasional basis.