Care Coordinator

Job description

Job responsibilities

Care Coordinators provide extra time, capacity, and expertise to support patients in preparing for or in following-up clinical conversations they have with primary care professionals. They will support the Clinical directors in coordinating all key activity including improving access to services, providing advice and information and ensuring health and care planning is timely, efficient and patient centered. They will work closely and in partnership with the Social Prescribing Link Workers and support delivery of the comprehensive model of care to reflect local priorities, health inequalities or population health management.

Key role requirements

Provide coordination and navigation for people and their carers across health and care services, working closely with Social Prescribing Link Workers, Health and Wellbeing Coaches and other Primary Care roles.

Work alongside the Health & Wellbeing coaches to identify patients that require additional one-to-one support particularly with mental health issues and provide this support.

Liaise with Mind Support workers, GPs and Social Prescribing Link Workers to identify patients that would benefit from one-to-one support and provide this using the available decision support aids.

Feedback appropriate patient information to Place Based Teams to ensure all services can support the timely care of the patient.

Help people to manage their needs and supporting them to make appointments

Raise awareness of shared decision making and decision support tools and assist people to be more prepared to have a shared decision-making conversation.

Ensure people have good quality information to help the make choices about their care.

Support people to understand their level of knowledge, skills and confidence (their Activation level) when engaging with their health and wellbeing, including through use of the Patient Activation Measure.

Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing.

Support the coordination and delivery of MDTs within PCNs.

Collation of agendas, production of minutes / action logs for PCN / MDT meetings and ensure all actions are completed including follow up if necessary.

Collation and management of shared documents on the appropriate platform ensuring the latest versions are available and is made available in a timely manner.

Specific project work liaising with practice leads on implementation of shared process, and collaboration opportunities to support improved patient care.

Person Specification

Qualifications

Essential

• Demonstrable commitment to professional and personal development.

Desirable

• NVQ Level 3, Advanced level or equivalent qualifications or working towards.
• Training in motivational coaching and interviewing or equivalent experience.

Experience

Essential

• Experience of supporting people, their families and carers in a related role.
• Good experience of IT systems and packages including EMIS Web and Docman 10.
• Experience of data collection and providing monitoring information.

Desirable

• Experience of working directly in a community development context, adult health and social care, learning support or public health/health improvement (including unpaid work).
• Experience of supporting people with their mental health.
• Experience of collaborative working and building relationships across varied organisations.

Personal Qualities

Essential

• Able to listen, empathise and provide person-centered support in a non-judgmental way.
• Able to get along with people from all backgrounds, respecting lifestyles and diversity.
• Commitment to reduce health inequalities and proactively reach people from all communities.
• Can support people in a way to inspire trust, confidence, motivating to reach their potential.
• Excellent communication skills including able to communicate effectively, both verbally and in writing, with a wide range of people and stakeholders.
• Able to identify risk and assess/manage risk when working with individuals.
• Understanding of when appropriate or necessary to refer people back to other health professionals/agencies.
• Excellent administration skills including able to priortise and to finish work tasks.
• Able to develop effective working relationships with colleagues and partners.
• Personal accountability, emotional resilience and works well under pressure.
• Able to work flexibly and enthusiastically within a team or on own initiative.
• Able to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

South Warwickshire GP Federation

Address

Gainsborough Hall

Russell Street

Leamington Spa

Warwickshire

CV32 5QB

Employer's website

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