Job summary
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:
Main duties of the job
- 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.
About us
We providecommunity health services to more than two million people across eleven London boroughs and Hertfordshire.
Every day, our professionals provide high-quality healthcare in people's homes and local clinics, helping them to:
-
stay well
-
manage their own health with the right support
-
avoid unnecessary trips to, or long stays in, hospital.
We support our patients at every stage of their lives, providing health visiting for new-born babies through to community nursing, stroke rehabilitation and palliative care for people towards the end of their lives.
Our vision:deliver great care closer to home.
Our mission: working together to give children a better start and adults greater independence
Job description
Job responsibilities
- Focusing on prevention and proactive care to maintain good health for longer and reducing the need for unplanned care
- Establishing strong links with Primary Care Homes as they start to mobilise by mapping ICT locality teams to emerging PCHs where relevant
- Build on MCMW principles of case management, care planning, navigation and MDT working and family MDTs.
- 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.
- Be clinically responsible for a case load of patients including aspects of care delivery and care coordination.
- To provide care and attention to the needs of vulnerable adults including risk assessment and taking appropriate action as required.
Job description
Job responsibilities
- Focusing on prevention and proactive care to maintain good health for longer and reducing the need for unplanned care
- Establishing strong links with Primary Care Homes as they start to mobilise by mapping ICT locality teams to emerging PCHs where relevant
- Build on MCMW principles of case management, care planning, navigation and MDT working and family MDTs.
- 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.
- Be clinically responsible for a case load of patients including aspects of care delivery and care coordination.
- To provide care and attention to the needs of vulnerable adults including risk assessment and taking appropriate action as required.
Person Specification
Essential
Essential
- Professional Registration as Registered Nurse
- Educated to degree level or equivalent
- Evidence of post qualifying and continuing professional development
Desirable
- Qualified and able to prescribe or willing to work towards
Experience
Essential
- Extensive post-registration health care experience at a minimum of band 6 (AfC) or equivalent or Extensive post-registration social care experience at a minimum of band 6 (AfC) or equivalent
- Experience of communicating with a diverse range of patients
- Extensive experience of assessing and providing care to people with long term conditions
- Experience of working in collaboration and negotiating across organisational boundaries
Skills and Knowledge
Essential
- Knowledge of principles of care for long term conditions, relevant NSFs and other national standards Knowledge of NMC Code of Professional Conduct
- Knowledge of current health care policy and relevance to the delivery of healthcare services
- Knowledge of the basic concepts of the Care Act, Mental Capacity Act and the protection of adults at risk of abuse
- Negotiate on difficult and controversial issues including performance and change in order to achieve good outcomes for patients
- Must be able to use initiative to decide relevant actions and make recommendations to Sponsor/ Manager, with the aim of improving deliverables and compliance to policies.
Desirable
- Must have an understanding of the background to and aims of current healthcare policy in London and appreciate the implications of this on engagement
- Ability to demonstrate knowledge of the health, social and voluntary sector
Person Specification
Essential
Essential
- Professional Registration as Registered Nurse
- Educated to degree level or equivalent
- Evidence of post qualifying and continuing professional development
Desirable
- Qualified and able to prescribe or willing to work towards
Experience
Essential
- Extensive post-registration health care experience at a minimum of band 6 (AfC) or equivalent or Extensive post-registration social care experience at a minimum of band 6 (AfC) or equivalent
- Experience of communicating with a diverse range of patients
- Extensive experience of assessing and providing care to people with long term conditions
- Experience of working in collaboration and negotiating across organisational boundaries
Skills and Knowledge
Essential
- Knowledge of principles of care for long term conditions, relevant NSFs and other national standards Knowledge of NMC Code of Professional Conduct
- Knowledge of current health care policy and relevance to the delivery of healthcare services
- Knowledge of the basic concepts of the Care Act, Mental Capacity Act and the protection of adults at risk of abuse
- Negotiate on difficult and controversial issues including performance and change in order to achieve good outcomes for patients
- Must be able to use initiative to decide relevant actions and make recommendations to Sponsor/ Manager, with the aim of improving deliverables and compliance to policies.
Desirable
- Must have an understanding of the background to and aims of current healthcare policy in London and appreciate the implications of this on engagement
- Ability to demonstrate knowledge of the health, social and voluntary sector
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).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
