Job summary
CLCH is working in partnership with an alliance of local providers (NHS acute, community and primary care providers, two Local Authorities, and a variety of Third Sector organisations). CLCH is looking for a Band 7 senior nurse who is dynamic, is a creative thinker, is collaborative and works as a team player who understands how to adapt to new situations and is passionate about improving health and social care through integration.
The local system across West London is on an exciting journey to improve the way that health, social care and the third sector services work together. The local system has co-produced its Integrated Care Strategy and is now working together to deliver an Integrated Community Team approach.
The team works collaboratively with patients, their families and carers to ensure that patients receive the necessary support to understand and manage their condition themselves, wherever possible, with a clear treatment plan and information on the range of services available and how to access them.
Main duties of the job
The Case Manager role offers a new and exciting opportunity to become part of the ICT which bringing together health and social care expertise to deliver holistic integrated care for patients in West London CCG. This holistic approach to providing care to people with complex needs includes the following key functions:
- Risk Stratification and managing risk.
- Holistic assessment of health, social and wellbeing needs
- Personalised Care Planning
- Care delivery and care coordination.
- Prevention and Self care
- Patient centred multidisciplinary team working.
The role will involve both care coordination and care delivery and aims (where appropriate) to prevent duplication and minimise the number of professionals involved in the care of the patient.
The post holder will be a key member of the team whose overarching goal will be to work collaboratively to provide improved and more effective integrated care that deliver better outcomes and experiences for patients and their carers.
About us
Central London Community Healthcare (CLCH) is one of the largest community healthcare organisations in London and Hertfordshire, providing our services to diverse communities/boroughs in 11 London Boroughs - Barnet, Brent, Ealing, Hammersmith & Fulham, Harrow, Hounslow, Kensington and Chelsea, Merton, Richmond, Wandsworth, Westminster - and Hertfordshire.
Just as we care about our patients wellbeing, we care about yours!
We can offer you:
- A comprehensive induction into the community service followed by a local induction to introduce you to the role
- Single occupancy accommodation in Central London (we can help you find accommodation in London, support you with your deposit)
- Support with gaining your driving license *T&Cs apply
- Car lease scheme *T&Cs apply
- Flexible working options
- Annual travel card loan
- Training, support and development in your career
To have a full look at our benefits and what its like working for us please go here:https://www.clch.nhs.uk/job/pay-and-benefits
Job description
Job responsibilities
The Case Manager will have a clinical role and will be expected to undertake the following duties (list is indicative not exhaustive):
- Build on MCMW principles of case management, care planning, navigation and MDT working and family MDTs.
- Clinically manage a caseload of complex patients. The Case Manager will work to empower the patients and work in partnership with them and their carers to ensure the patient gets the most appropriate treatment, and support to self-care and self-manage.
- Day to day operational support of the Health and social care assistants
- Work with colleagues as the service and role evolves and share knowledge and learning, drawing upon the expertise within the team to provide multi-faceted, holistic and integrated care.
- Play an active part in multi-disciplinary team meeting and learning sets, providing regular feedback to inform further service development.
- Deliver a high-quality service by collaborating with patients with varying degrees of need to support and empower them with regards to their health and wellbeing.
- Work in an integrated way alongside a multidisciplinary team, including GPs, District Nurses, Social Workers and Pharmacists to identify need and co-ordinate support systems that reduce the risk of avoidable hospital admissions and promote independence.
- Initiating and providing appropriate clinical interventions to improve health and social care outcomes quality of life while providing value for money.
- Modelling and actively promoting a culture of holistic care within their practice, and the wider network, including prevention and self-care.
- Deliver outcomes for patients which align with key performance indicators.
Please refer to the attached Job Description for full list of responsibilities.
Job description
Job responsibilities
The Case Manager will have a clinical role and will be expected to undertake the following duties (list is indicative not exhaustive):
- Build on MCMW principles of case management, care planning, navigation and MDT working and family MDTs.
- Clinically manage a caseload of complex patients. The Case Manager will work to empower the patients and work in partnership with them and their carers to ensure the patient gets the most appropriate treatment, and support to self-care and self-manage.
- Day to day operational support of the Health and social care assistants
- Work with colleagues as the service and role evolves and share knowledge and learning, drawing upon the expertise within the team to provide multi-faceted, holistic and integrated care.
- Play an active part in multi-disciplinary team meeting and learning sets, providing regular feedback to inform further service development.
- Deliver a high-quality service by collaborating with patients with varying degrees of need to support and empower them with regards to their health and wellbeing.
- Work in an integrated way alongside a multidisciplinary team, including GPs, District Nurses, Social Workers and Pharmacists to identify need and co-ordinate support systems that reduce the risk of avoidable hospital admissions and promote independence.
- Initiating and providing appropriate clinical interventions to improve health and social care outcomes quality of life while providing value for money.
- Modelling and actively promoting a culture of holistic care within their practice, and the wider network, including prevention and self-care.
- Deliver outcomes for patients which align with key performance indicators.
Please refer to the attached Job Description for full list of responsibilities.
Person Specification
Education/Qualification
Essential
- Professional Registration as Registered Nurse
- Evidence of post qualifying and continuing professional development
- Educated to degree level or equivalent.
Person Specification
Education/Qualification
Essential
- Professional Registration as Registered Nurse
- Evidence of post qualifying and continuing professional development
- Educated to degree level or equivalent.
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
