Job summary
Are you seeking a new challenge in 2025, if so, this may be the new and exciting role you've been looking for! The Team is responsible for the case management for people with complex health needs.
An opportunity has arisen for us to recruit 4 Case Management, Team Leaders. As team leader you will be responsible for the management of the locality case managers and will hold a caseload of cases with complex ongoing health conditions. You will get to know your patients and the cases of the patients that you case managers work with and develop a long-term relationship with them, their families and care provider to make a positive difference to the experiences to those that your team cares for. You will be responsible for ensuring that their needs are met and regularly reviewed in line with local and national requirements and undertake eligibility assessments as indicated.
Joining our inclusive and innovative team comes with a range of benefits including flexible & agile working arrangements, a pension scheme, and a generous annual leave allowance.And as a member of NHS staff, you will receive plenty of discounts too.
Hours of work are Monday to Friday 09:00 - 17:00
Main duties of the job
You must possess a current NMC (Adult, Mental Health or LD), HCPC or Social Work England registration and have the ability to travel within the locality.
You will be expected to have a full understanding of the National Framework for NHS Continuing Healthcare and Funded Nursing Care, Who Pays guidance and relevant sections of the Mental Health Act and commissioning and contracting principles.
Ideally, you will be an experienced CHC assessor however, if you are an experienced case manager and do not have CHC experience we would still like to hear from you.
Job Summary
- The postholder will manage the co-ordination and monitoring of complex packages of care and NHS funded placement It will be necessary to work closely with patients and their relatives ensuring that they understand the process, the eligibility criteria to be applied, and to provide empathy to patients.
- The postholder will have a flexible approach to care and will work across inter-agency boundaries, maintaining good communication and liaison skills with all professionals and members of the public
- The postholder will undertake care reviews for people whose care is fully or partially funded by the NHS ensuring patient focused support and facilitating the most appropriate and cost-effective pathway for individual
- The postholder will lead the management of packages of care for people in a variety of care and support settings.
About us
Working for our organisation
NHS Shropshire, Telford and Wrekin was created on 1 July 2022 and is responsible for planning and buying a wide range of health and care services for the whole of Shropshire, Telford and Wrekin. These include GP and primary care services, hospital care, community healthcare and mental health services. We also have a duty to monitor these services to ensure they provide a high level of care and are value for money. We are clinically led and work closely with the 51 GP practices across the county. This means we can have closer links to our patients so we can develop more personalised local health services.
In return, we provide a supportive environment in which to learn and develop, with the opportunity to further your skills and career within an exciting and evolving environment. Joining our inclusive and innovative team comes with a range of benefits including flexible & agile working arrangements, pension scheme and generous annual leave allowance. With our training schemes and support networks, you will be empowered to play a leading role in the future of healthcare, whatever your specialism or interest. And as a member of NHS staff you will receive plenty of discounts too.
Job description
Job responsibilities
To support your application you may like to familiarise yourself with the 2022 National Framework for CHC available at https://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-care and if you would like to undertake some online training for this post you can register with E-Learning for Healthcare and complete the E learning for NHS continuing Healthcare available at https://www.e-lfh.org.uk/programmes/continuing-healthcare/. The training is free!! This would provide a competent practitioner all the theoretical knowledge required for working in our team.
Main responsibilities:
Communication & Relationships Skills
- To provide relevant and timely specialist advice and guidance on functional and information matters.- To analyse, interpret and compile highly complex, contentious and occasionally emotional and/or distressing reports, case reviews, care packages for physical disabilities patients, presenting such reports to a board-level audience.- To support the development of internal and external communications where required by regular contact with the teams, stakeholders and Communications team- To be responsible for preparation of correspondence and complex report, assessments and papers- To undertake complex clinical assessment and clinical report writing.- To represent the team on panels and decision making forums as required, participating in the decision-making process and clarification of funding responsibilities for clients who are registered with a NHS Shropshire, Telford and Wrekin GP.- To represent NHS Shropshire, Telford and Wrekin on NHSE appeal panels.
- To liaise and communicate with external agencies including; NHS England, care providers, solicitors- To maintain constructive relationships with a broad range of internal and external stakeholders.- To participate in relevant internal and external working groups/projects, services, and initiatives which may be highly complex, sensitive, political, and contain contentious information with the aim of providing information and analytical advice to the teams.- To communicate complex, clinical, personal and emotive information about patients and circumstances including risks, issues and dependencies, diagnosis, prognosis and eligibility to NHS funded services.- To lead on the management of contentious cases which are highly complex and sensitive, acting as representative in legal proceedings.- To deal with regular telephone calls throughout the day, addressing highly sensitive and complex enquiries, issues of concern regarding patient wellbeing, complaints and referrals that may require an immediate response- To participate in the monitoring, review and complaints procedures of individuals with complex needs whose care is managed in their own homes or in residential care settings.
Analytical & Judgement Skills
To undertake complex and detailed analysis of specific projects and patients requiring high levels of concentration. To update, maintain, organise, gather and analyse information to predict/meet future individual patient, organisational and team needs by identifying best professional practice. To contribute to the information management of performance, taking a lead for specific projects To provide co-ordination of and participate in relevant meetings, reporting attendance and providing information advice and support where requested
Planning & Organisational Skills
To plan own workload and diary to ensure local, national and statutory targets and deadlines are met. To undertake complex clinical assessment and care planning to ensure patient need is met and that where appropriate, step-down/discharge is planned and co-ordinated to ensure patient need is met in the least restrictive way. To work with members of the team and key stakeholders to investigate the causes of any variance from plan/delivery targets and contribute to the implementation of solutions.
Patient/Client Care
To manage a defined caseload undertaking responsibilities as delegated by the Team Leader/Manager- this will include the routine management of complex cases and the planning, organising and commissioning of specialised care packages ensuring the maintenance of accurate records. To participate in the assessment, monitoring, review and complaints procedures of individuals with varying levels of complex needs whose care is managed in their own homes or in care settings. To assist or lead (depending on who is the responsible commissioner) in the co-ordination of complex care packages involving members of the multi-disciplinary / multi-professional team as required. To assist in the collaboration and the co-ordination of the review and assessment process and to undertake reviews and assessments, including formal eligibility assessments as indicated. To undertake needs portrayal and retrospective assessments for PUPOC and appeals. To practice at all times in a manner that is within the NMC Code of Conduct and Guidelines or equivalent for specialist health profession. To practice at all times within a clinical governance framework that promotes quality. The postholder will be responsible for the formal reviews and compliance with KPIs in relation to review completion for their locality case load, including the quality control and verification/ratification process. To co-ordinate and commission complex care packages involving members of the multi-disciplinary /
Job description
Job responsibilities
To support your application you may like to familiarise yourself with the 2022 National Framework for CHC available at https://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-care and if you would like to undertake some online training for this post you can register with E-Learning for Healthcare and complete the E learning for NHS continuing Healthcare available at https://www.e-lfh.org.uk/programmes/continuing-healthcare/. The training is free!! This would provide a competent practitioner all the theoretical knowledge required for working in our team.
Main responsibilities:
Communication & Relationships Skills
- To provide relevant and timely specialist advice and guidance on functional and information matters.- To analyse, interpret and compile highly complex, contentious and occasionally emotional and/or distressing reports, case reviews, care packages for physical disabilities patients, presenting such reports to a board-level audience.- To support the development of internal and external communications where required by regular contact with the teams, stakeholders and Communications team- To be responsible for preparation of correspondence and complex report, assessments and papers- To undertake complex clinical assessment and clinical report writing.- To represent the team on panels and decision making forums as required, participating in the decision-making process and clarification of funding responsibilities for clients who are registered with a NHS Shropshire, Telford and Wrekin GP.- To represent NHS Shropshire, Telford and Wrekin on NHSE appeal panels.
- To liaise and communicate with external agencies including; NHS England, care providers, solicitors- To maintain constructive relationships with a broad range of internal and external stakeholders.- To participate in relevant internal and external working groups/projects, services, and initiatives which may be highly complex, sensitive, political, and contain contentious information with the aim of providing information and analytical advice to the teams.- To communicate complex, clinical, personal and emotive information about patients and circumstances including risks, issues and dependencies, diagnosis, prognosis and eligibility to NHS funded services.- To lead on the management of contentious cases which are highly complex and sensitive, acting as representative in legal proceedings.- To deal with regular telephone calls throughout the day, addressing highly sensitive and complex enquiries, issues of concern regarding patient wellbeing, complaints and referrals that may require an immediate response- To participate in the monitoring, review and complaints procedures of individuals with complex needs whose care is managed in their own homes or in residential care settings.
Analytical & Judgement Skills
To undertake complex and detailed analysis of specific projects and patients requiring high levels of concentration. To update, maintain, organise, gather and analyse information to predict/meet future individual patient, organisational and team needs by identifying best professional practice. To contribute to the information management of performance, taking a lead for specific projects To provide co-ordination of and participate in relevant meetings, reporting attendance and providing information advice and support where requested
Planning & Organisational Skills
To plan own workload and diary to ensure local, national and statutory targets and deadlines are met. To undertake complex clinical assessment and care planning to ensure patient need is met and that where appropriate, step-down/discharge is planned and co-ordinated to ensure patient need is met in the least restrictive way. To work with members of the team and key stakeholders to investigate the causes of any variance from plan/delivery targets and contribute to the implementation of solutions.
Patient/Client Care
To manage a defined caseload undertaking responsibilities as delegated by the Team Leader/Manager- this will include the routine management of complex cases and the planning, organising and commissioning of specialised care packages ensuring the maintenance of accurate records. To participate in the assessment, monitoring, review and complaints procedures of individuals with varying levels of complex needs whose care is managed in their own homes or in care settings. To assist or lead (depending on who is the responsible commissioner) in the co-ordination of complex care packages involving members of the multi-disciplinary / multi-professional team as required. To assist in the collaboration and the co-ordination of the review and assessment process and to undertake reviews and assessments, including formal eligibility assessments as indicated. To undertake needs portrayal and retrospective assessments for PUPOC and appeals. To practice at all times in a manner that is within the NMC Code of Conduct and Guidelines or equivalent for specialist health profession. To practice at all times within a clinical governance framework that promotes quality. The postholder will be responsible for the formal reviews and compliance with KPIs in relation to review completion for their locality case load, including the quality control and verification/ratification process. To co-ordinate and commission complex care packages involving members of the multi-disciplinary /
Person Specification
Qualifications
Essential
- Clinical or professional registration
Skills, Knowledge & Competencies
Essential
- oSignificant experience of working in a clinical field and management of patients.
- oCompetent is case management.
- oLine management experiences within a clinical environment, managing clinical staff.
- o Experience of CHC assessment.
- Commissioning experience.
- oClear communicator
- oPrevious experience in project management and planning
- oSkills for communication on complex matters and difficult situations, requiring persuasion and influence.
- oSkills for nurturing key relationships and maintaining networks.
- oAbility to analyse and interpret information, pre-empt and evaluate issues, and recommend an appropriate course of action to address the issues
- oProblem solving skills and ability to respond to sudden unexpected demands
- oIndependent thinker with demonstrated good judgement, problem-solving and analytical skills
- oTakes decisions on difficult and contentious issues where there may be a number of courses of action.
- oAbility to work on own initiative and organise own workload without supervision working to tight and often changing timescale
- oAn ability to maintain confidentiality and trust
- oUsed to working in a busy environment
- oAdaptability, flexibility and ability to cope with uncertainty and change
- oDemonstrate a strong desire to improve performance and make a difference by focusing on goals.
- oDemonstrated capabilities to manage own workload and make informed decisions in the absence of required information, working to tight and often changing timescales
- oWorking knowledge of Microsoft Office with intermediate keyboard skills.
- oAble to travel both in and out of county as required.
Experience
Desirable
- oUse of Broadcare and NHS systems.
- oPrevious experience in a similar role in public sector.
- oA good understanding of the health and social care environment and roles and responsibilities within this
- oExperience of monitoring budgets and business planning processes.
- oKnowledge of Financial Systems e.g. monitoring budget management, processing invoices and procurement.
- oDemonstrated capability to plan over short, medium and long-term timeframes and adjust plans and resource requirements accordingly.
Person Specification
Qualifications
Essential
- Clinical or professional registration
Skills, Knowledge & Competencies
Essential
- oSignificant experience of working in a clinical field and management of patients.
- oCompetent is case management.
- oLine management experiences within a clinical environment, managing clinical staff.
- o Experience of CHC assessment.
- Commissioning experience.
- oClear communicator
- oPrevious experience in project management and planning
- oSkills for communication on complex matters and difficult situations, requiring persuasion and influence.
- oSkills for nurturing key relationships and maintaining networks.
- oAbility to analyse and interpret information, pre-empt and evaluate issues, and recommend an appropriate course of action to address the issues
- oProblem solving skills and ability to respond to sudden unexpected demands
- oIndependent thinker with demonstrated good judgement, problem-solving and analytical skills
- oTakes decisions on difficult and contentious issues where there may be a number of courses of action.
- oAbility to work on own initiative and organise own workload without supervision working to tight and often changing timescale
- oAn ability to maintain confidentiality and trust
- oUsed to working in a busy environment
- oAdaptability, flexibility and ability to cope with uncertainty and change
- oDemonstrate a strong desire to improve performance and make a difference by focusing on goals.
- oDemonstrated capabilities to manage own workload and make informed decisions in the absence of required information, working to tight and often changing timescales
- oWorking knowledge of Microsoft Office with intermediate keyboard skills.
- oAble to travel both in and out of county as required.
Experience
Desirable
- oUse of Broadcare and NHS systems.
- oPrevious experience in a similar role in public sector.
- oA good understanding of the health and social care environment and roles and responsibilities within this
- oExperience of monitoring budgets and business planning processes.
- oKnowledge of Financial Systems e.g. monitoring budget management, processing invoices and procurement.
- oDemonstrated capability to plan over short, medium and long-term timeframes and adjust plans and resource requirements accordingly.
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).
