Continuing Health Care Nurse Co-ordinator/Care Manager

Job responsibilities

• Providing highly specialist advice in relation to the National Framework for Continuing Healthcare eligibility in complex situations, necessitating a high level of interpersonal and communication skills. This includes care procurement incorporating personal health budgets, and ongoing care management and reviews of eligible individuals and providing information in a timely manner.
• Ensuring that there is a clear timetable for the decision-making process, and DST processes are completed in accordance with the requirements in the National Framework.
• Ensuring that there is a clear timetable for the decision-making process, having regard to the expectation that decisions should usually be made within 28 days of the Checklist being received.
• Acting as an impartial resource to the MDT and the individual on any policy or procedure questions that arise
• Ensuring that the MDTs recommendation on eligibility is sent for ratification through the relevant local decision-making processes in a timely manner
• Ensuring timely "End of life" care procurement and ongoing management for individual eligible for the Fast Track pathway within the CHC service.
• Completing CHC / FNC / Joint Funded / Fastrack reviews in a timely manner in line with the national framework. As a care manager, will co-ordinate and undertake ongoing care package reviews for individuals and liaise with the multi-disciplinary team to ensure that the package is able to meet needs safely and in accordance with Sheffields Commissioning Care Principles for those who are eligible.
• Ability to communicate complex information and handle sensitive conversations in a way which supports understanding of the recipient.
• Providing relevant continuing healthcare advice to secondary care, primary care, nursing homes etc. in relation to the continuing healthcare process. Developing and maintaining effective and appropriate communication networks with health and social care professionals and act as a resource to them.
• Interpreting national and regional guidance relating to the implementation of the National Framework and subsequent developments within the CHC service.
• Exercising professional judgement as necessary when communicating information on behalf of the CHC service and application of the associated criteria.
• Working with relevant health professionals, CHC colleagues, business support staff, senior leads and other support staff within the CHC team to ensure delivery of quality premiums and products required.
• Delivering specialist formal and non-formal education programs to Community and hospital staff including nursing/residential homes, GPs, community nursing and therapy staff relating to the assessment and management of CHC patient groups in line with the latest research, evidence and DHSC/NICE guidance.
• It is expected that care managers will operate as part of a wider team, providing cover for each others caseloads during periods of leave (absence) and an ongoing inter-team support network, ensuring the needs of the whole patient group are met with a consistent and best practice orientated approach.
• The post holder will hold and manage an active case load, providing care management for individuals who are eligible for full NHS funding in order to meet their identified care needs.
• The post holder will be involved in identifying appropriate care placements and setting up a package of care delivery to meet identified assessed care needs. They will present these to the ICB Sheffield resource panel to inform and advise how an individuals identified care needs can be met.
• The post holder will represent individuals who are care managed, attending MDT meetings, at times instigating and leading on these meetings, around decision making processes, such as assessment of mental capacity and best interest decision making.
• The post holder will take an active role in risk management and safeguarding of all individuals on their active caseload, liaising with other professionals and attending meetings as and when required.
• The post holder will be required to be an autonomous practitioner, able to work independently and routinely travel significant distances both within and out of Sheffield as the needs of the case load require.
• As an experienced member of the Continuing healthcare team the post holder will be able to provide guidance, training and support to other team members.
• The Sheffield Continuing Healthcare team can take students; the post holder will be expected to work with and support these students and act as a mentor to them.
• Ensure adherence to relevant confidentiality and GDPR regulations at all times, and meeting of NMC code of conduct around record keeping and management
• Develop a culture that promotes equality and values diversity. The post holder must be aware of and committed to the Equality and Diversity policies of NHS SYICB, comply with all the requirements of these policies and also actively promote Equality and Diversity issues relevant to the post.
• Ensure the principles of openness, transparency and candor are observed and upheld in all working practices.
• The post holder will have, or acquire through training provided by the organisation, the appropriate level of safeguarding and knowledge, skills and practice required for the post and be aware of and comply with the organisations safeguarding protection policies and procedures.
• Ensure that any infection prevention and control issues are reported to the line manager/Infection Prevention and Control.

Attributes

Essential

• An ability to maintain confidentiality and trust.
• Used to working in a busy and dynamic environment.
• Adaptability, flexibility and ability to cope with uncertainty and change.
• Commitment and enthusiasm towards continuing professional development.
• Professional calm and efficient manner.
• Effective organiser.
• Demonstrate a strong desire to improve performance and make a difference by focusing on goals.

Qualifications

Essential

• Registered Nurse (Adult, Mental Health, Learning Disability).
• Educated to degree level in relevant subject or an equivalent level of experience working at a similar level.

Desirable

• Mentorship qualification.

Skills and Competencies

Essential

• Able to deliver against objectives, achieving quality outcomes, prioritising own workload and working to tight deadlines.
• Able to demonstrate clear communication skills with excellent report writing and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences.
• Communication skills for nurturing key relationships and maintaining networks.
• An ability to communicate on complex and sensitive matters and in potentially difficult situations that may require persuasion and influence, at times an ability to convey compassion and understanding to the individual circumstance.
• An ability to analyse and interpret information, to pre-empt and evaluate issues, and recommend an appropriate course of action to address the issues.
• Attention to detail combined with the ability to extract key messages from analysis of complex information.
• An autonomous practitioner with demonstrated good judgement, problem-solving and analytical skills.
• Able to make recommendations on difficult and/or contentious issues where there may be a number of potential courses of action.
• Able to demonstrate problem solving skills and ability to respond to sudden unexpected demands at short notice.
• Able to demonstrate experience of line management abilities and provide team/peer supervision as required.
• Proficient and competent use of Office 365 packages especially Word, Outlook, and at time use of Power Point.

Desirable

• Able to provide specialist training around specific subjects, advice and support on own role/responsibilities where necessary.
• A knowledge of recruitment processes within NHS and/or relevant health or social care organisations.
• Exposure to and awareness of change management processes within area of service delivery.
• Experience of performance and governance strategies and the development and implementation of improvement programs.

Experience

Essential

• Demonstrate relevant post registration experience as a registered nurse with some knowledge of case management or transferrable skills.
• Experience of working both in a team and on own initiative.
• Experience of working with the multi-disciplinary team and with a wide range of health and social organisations.

Desirable

• Experience of working in or knowledge of Continuing Healthcare.
• Experience of supporting change management processes, along with evaluating these processes and an understanding of a performance lead service.

Knowledge and Understanding

Essential

• Must demonstrate an excellent knowledge and understanding of the care needs presented by individuals with a variety of conditions and disabilities.
• Must have a working knowledge and experience of current government legislation around safeguarding strategy and the process of implementing this.

Desirable

• Knowledge and awareness of resource management, including awareness of Personal Health Budgets (PHBs).

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).