Care Co-ordinator

Eltham Medical Practice

The closing date is 18 October 2024

Job summary

We have an exciting opportunity for a Care-Coordinator to join our team at EMP.

This role will be based at Eltham Medical Practice within the Eltham Primary Care Network.

The successful applicant will be placed within our supportive and proactive, friendly team. You will be working together to deliver the PCN's key priorities: identifying patients with unmet clinical and care needs and organising their onward appointments, gathering data for clinicians and management staff, recruiting patients to our proactive care initiatives, and carrying out suitable clinical tasks.

The successful candidate will have excellent interpersonal communication skills, be organised, proactive, patient and empathetic.

The role is to cover 37.5 hours a week and our service operates Monday to Friday, with flexibility of hours between 8am - 6.30pm. Occasional weekend work maybe required for Community projects and events.

Main duties of the job

Care coordinators play an important role within a PCN to proactively identify and work with people, including the frail/elderly and those with long-term conditions to provide coordination and navigation of care and support across the health and care services.

They work closely with GPs and practice teams to manage a caseload of patients, acting as a central point of contact to ensure appropriate support is made available to them and their carers; supporting them to understand and manage their condition and ensuring their changing needs are addressed.

About us

The role will be based at Eltham Medical Practice within the Eltham Primary Care Network, the PCN is formed by 6 local GP practices (Eltham Medical Practice, Eltham Palace Surgery, Everest Health Partnership, Elmstead Medical Clinic, New Eltham Medical Centre and South Street Medical Centre). They will work alongside the PCN Business Manager and the Eltham Medical Practice Contract Team.

Date posted

18 September 2024

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

A4946-24-0001

Job locations

Eltham Medical Practice

180 Well Hall Road

London

SE9 6SR

Job description

Job responsibilities

Work with people, their families and carers to improve their understanding of the patients condition and support them to develop and review personalised care and support plans to manage their needs and achieve better healthcare outcomes.

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.

Work collaboratively with GPs and other primary care professionals within the PCN to proactively identify and manage a caseload, which may include patients with long-term health conditions, and where appropriate, refer back to other health professionals within the PCN.

Support the coordination and delivery of multidisciplinary teams with the PCN.

Raise awareness of how to identify patients who may benefit from shared decision making and support PCN staff and patients to be more prepared to have shared decision-making conversations.

Work with people, their families, carers and healthcare team members to encourage effective help-seeking behaviours.

Support PCNs in developing communication channels between GPs, people and their families and carers and other agencies.

Conduct follow-ups on communications from out of hospital and in-patient services. Maintain records of referrals and interventions to enable monitoring and evaluation of the service.

Support practices to keep care records up-to-date by identifying and updating missing or out-of-date information about the persons circumstances.

Contribute to risk and impact assessments, monitoring and evaluations of the service

Work with commissioners, integrated locality teams and other agencies to support and further develop the role.