Job summary
This vacancy is being advertised by One Wight Health Ltd - GP Federation, on behalf of Ventnor Medical Practice.
Ventnor Medical Practice will be the employer for this post.
Hours: Up to 15 hours per week
Salary: Depending on experience
The vacancy will close when sufficient applications have been received.
The Care Coordinator plays an important role within a Practice to
proactively identify and work with people, including the frail/elderly and
those with long-term conditions, to provide coordination and navigation of care
and support across health and care services.
This role will be an integral part of Ventnor Medical Practices multidisciplinary
team, working alongside social prescribing link workers and health and
wellbeing coaches to provide an all-encompassing approach to personalised care
and promoting and embedding the personalised care approach across the practice.
Main duties of the job
The Care Coordinator will help identify the patients health and social
care needs and will help signpost them to the appropriate services to ensure
that they get the most suitable care and support from whichever health or
social care providers are appropriate.
There may be a need to work remotely depending on the requirements of
the role.
About us
At Ventnor Medical we aim to provide holistic patient care within
a safe, effective, caring, responsive and friendly environment.
To help us achieve this we have well trained, highly skilled
clinical and non-clinical teams who enjoy a good work life balance to ensure
resilience of our team.
Our GP Partners and Management team ensure this is maintained in
accordance with local and national policies and is achieved in a responsible
financial way.
Job description
Job responsibilities
The Care
Coordinator will:
Provide personalised support to patients with frailty and
specifically care home residents, their families and carers enabling them to
take control of their wellbeing and improve their health outcomes.
Manage and prioritise their caseload in accordance with the
needs, priorities and any urgent support required by individuals on the
caseload
Work with frail and care home residents and carers to co-produce
a simple personalised support plan identifying health and social care needs
Provide targeted support and proactive reviews for vulnerable,
complex patients and those at risk of admission and re-admission to secondary
care
Manage a caseload of potentially complex patients and to provide
advice for the GP management on the more complex patients
Take referrals for individuals or
proactively identify people who could benefit from support through care
coordination. You would be required to have a positive, empathetic and
responsive conversation with the person and their family and carer(s) about
their needs.
Work towards
increasing patients understanding of how to manage and develop health and
wellbeing through offering advice and guidance.
The Care Coordinator will need to
develop an in-depth knowledge of the local health and care infrastructure and
know how and when to enable people to access support and services that are
right for them alongside work with the wider PCN, MDTs, and the social
prescribing service to look at how Carers can support people.
Support
people to develop and implement personalised care and support plans whilst
reviewing and updating them on regular intervals You will ensure the
personalised care and support plans are communicated to the GP and any other
professionals involved in the persons care and uploaded to the relevant online
care records, with activity recorded using the relevant SNOMED codes.
Job description
Job responsibilities
The Care
Coordinator will:
Provide personalised support to patients with frailty and
specifically care home residents, their families and carers enabling them to
take control of their wellbeing and improve their health outcomes.
Manage and prioritise their caseload in accordance with the
needs, priorities and any urgent support required by individuals on the
caseload
Work with frail and care home residents and carers to co-produce
a simple personalised support plan identifying health and social care needs
Provide targeted support and proactive reviews for vulnerable,
complex patients and those at risk of admission and re-admission to secondary
care
Manage a caseload of potentially complex patients and to provide
advice for the GP management on the more complex patients
Take referrals for individuals or
proactively identify people who could benefit from support through care
coordination. You would be required to have a positive, empathetic and
responsive conversation with the person and their family and carer(s) about
their needs.
Work towards
increasing patients understanding of how to manage and develop health and
wellbeing through offering advice and guidance.
The Care Coordinator will need to
develop an in-depth knowledge of the local health and care infrastructure and
know how and when to enable people to access support and services that are
right for them alongside work with the wider PCN, MDTs, and the social
prescribing service to look at how Carers can support people.
Support
people to develop and implement personalised care and support plans whilst
reviewing and updating them on regular intervals You will ensure the
personalised care and support plans are communicated to the GP and any other
professionals involved in the persons care and uploaded to the relevant online
care records, with activity recorded using the relevant SNOMED codes.
Person Specification
Qualifications
Essential
- Good standard of education with excellent literacy and numeracy skills
- Ability and willingness to undertake further study and training.
Experience
Essential
- Experience working in a health care setting
- Understanding of community services and personalised care
- Experience of dealing with people with complex needs.
Desirable
- Experience working with the general public in a similar role
- Experience working in the NHS/Primary Care General Practice setting
Skills
Essential
- Ability to work in a multi disciplinary team in a sensitive and supportive manner.
- Ability to build strong relationships with other service providers including care homes, social workers and other health care providers.
- Excellent communication skills (written and oral) including the ability to listen.
- Confident IT skills including MS Office and databases.
- Excellent boundaries and understanding of role.
- Excellent administrative skills working under own initiative at times.
- Effective time management skills, often in a fast paced environment.
- Proven problem solving and analytical skills.
- Ability to adapt to changing situations and changing needs of the service.
- Excellent customer care skills.
- Motivated to achieve good outcomes for patients.
- Able to follow policies and procedures effectively.
- Able to maintain confidentiality at all times.
Desirable
- Knowledge of GP clinical system SystmOne TPP
Personal Qualities
Essential
- Polite & confident with good customer care skills remaining calm under pressure.
- Caring, sensitive and empathetic, sensitive to patients' life stages, concerns and problems.
- Self motivated, reliable and dedicated.
- Excellent interpersonal skills.
- Motivated and proactive.
- Ability to use initiative and judgement.
- High levels of integrity and loyalty.
- Ability to work under pressure.
- Confident and resilient.
Person Specification
Qualifications
Essential
- Good standard of education with excellent literacy and numeracy skills
- Ability and willingness to undertake further study and training.
Experience
Essential
- Experience working in a health care setting
- Understanding of community services and personalised care
- Experience of dealing with people with complex needs.
Desirable
- Experience working with the general public in a similar role
- Experience working in the NHS/Primary Care General Practice setting
Skills
Essential
- Ability to work in a multi disciplinary team in a sensitive and supportive manner.
- Ability to build strong relationships with other service providers including care homes, social workers and other health care providers.
- Excellent communication skills (written and oral) including the ability to listen.
- Confident IT skills including MS Office and databases.
- Excellent boundaries and understanding of role.
- Excellent administrative skills working under own initiative at times.
- Effective time management skills, often in a fast paced environment.
- Proven problem solving and analytical skills.
- Ability to adapt to changing situations and changing needs of the service.
- Excellent customer care skills.
- Motivated to achieve good outcomes for patients.
- Able to follow policies and procedures effectively.
- Able to maintain confidentiality at all times.
Desirable
- Knowledge of GP clinical system SystmOne TPP
Personal Qualities
Essential
- Polite & confident with good customer care skills remaining calm under pressure.
- Caring, sensitive and empathetic, sensitive to patients' life stages, concerns and problems.
- Self motivated, reliable and dedicated.
- Excellent interpersonal skills.
- Motivated and proactive.
- Ability to use initiative and judgement.
- High levels of integrity and loyalty.
- Ability to work under pressure.
- Confident and resilient.
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.
