Care Navigator

Primary Integrated Community Services

This job is now closed

Job summary

We have an exciting opportunity for a Care Navigator to join our dynamic team. We are looking for someone who is enthusiastic about providing high quality care.

You will be based within Ashfield South Primary Care Network (PCN) covering:

Selston Surgery
Ashfield House Surgery
Family Medical Centre
Healthcare Complex
Jacksdale Medical Centre
Kirkby Community Primary Care Centre
Kirkby Healthcentre
Lowmoor Road Surgery Healthcentre

Ashfield South PCN has a patient population in excess of 38,800. You will be part of a wider team of Care Navigators and supported by our Care Navigator Team Lead who is on the PICS leadership team.

Main duties of the job

KEY RESPONSIBILITIES

Provide support for GP Practices, patients, carers and professionals to access and navigate resources and services which will help those living with the effects of long term conditions including frailty
Coordinate Multi-Disciplinary Team meetings for GPs
Utilise Population Health Intelligence to proactively identify high risk patients to avoid admissions and readmissions to hospital and work closely with the PCN team to enable them to deliver personalised care
Utilise Population Health Intelligence tools where needed to support other patients in the PCN

KEY REQUIREMENTS

A-level/NVQ level 3 or equivalent experience in admin/business/marketing/customer service environment
Experience of setting up and implementing internal processes and procedures
Proven administrative experience

About us

We offer a comprehensive package which includes:

Part of a team of experienced practitioners and supported by a Team Lead who will help support your professional development
Part of the NHS Pension Scheme or an alternative government based scheme (based on eligibility) with generous employer contributions
Competitive salaries with clear progression pathways referenced to NHS Agenda for Change
Fully integrated with NHS IT systems
Generous annual leave entitlement which references NHS Agenda for Change and recognises previous NHS service

On appointment 27 days plus 8 days bank holiday entitlement
After 5 years 29 days plus 8 days bank holiday entitlement
After 10 years 33 days plus 8 days bank holiday entitlement

Competitive leave entitlement that includes sickness pay and maternity leave
Join a caring culture and a company of can do experts

Date posted

03 June 2021

Pay scheme

Agenda for change

Band

Band 4

Salary

£21,892 to £24,157 a year

Contract

Permanent

Working pattern

Full-time

Reference number

E0220-21-0326

Job locations

Ashfield South Primary Care Network

Kirkby-in-Ashfield

Nottinghamshire

NG17 7BG

Job description

Job responsibilities

The post holder will work within the Care Navigation Team, providing coordination, administrative and support to the Clinical teams and other members of the PCN.

The post holder will work closely with General Practices and existing services to support the coordination and delivery of multidisciplinary team meetings and for care home residents where appropriate.

The post holder will support the PCN to proactively identify hospital admissions avoidance, gaps in care and residents in care homes who require a personalised care and support plan where appropriate.

JOB RESPONSIBILITIES:

The post holder working closely with the GPs, Community Services, PCN Team, and Care Home Team where appropriate will:

Be responsible for daily updating of patients on e-HealthScope Workflow to identify patients to support the PCN team with correct community pathways that may prevent hospital admission and to identify potential gaps in care
Be responsible for arranging, attending and taking minutes of Multi-Disciplinary Team Meetings
Proactively prepare any actions prior to the MDT ensuring all relevant health care professionals and Social care members are present
To record patient interventions on relevant electronic database systems (e.g. SystmOne and e-HealthScope) and contribute to report generation, analysis and production
Follow up on all forward actions resulting from MDT discussions
Be responsible for logging and making referrals
To contribute to the integration of health and social care by maintaining up to date recording systems for all agencies within the PCN Team and providing information to any member of the PCN Team in order to ease processes and communication in agreement with data protection protocol
To be responsible for recording, reporting and producing evaluation reports which will include evaluation detailing effectiveness outcomes of new roles.
To be customer (patient, carer, GP) focused when representing the service
To work collaboratively with other teams and services to maintain an effective and efficient service
To offer appropriate support and guidance to patients and their families/carers
To plan / organise work using own initiative, whilst being able to work as a valuable member of a team
To have excellent IT skills, to include Microsoft Office, Outlook and Excel
To undertake general office duties to support the role
To work effectively as part of a team to provide cover for Care Navigation and PCN Care Coordinators when required and to be flexible regarding working hours to meet the needs of the service
To ensure all electronic records are updated and complete within the agreed time-scales
To use a range of verbal and non-verbal communication tools to communicate effectively with patients, carers and families and colleagues
Provide coordination of and participate in relevant internal and external working groups and provide project advice, expertise and support where requested
Support the PCN team by inputting into the overall strategy development and programming of work streams by applying knowledge and understanding of programme and project management
Work with key personnel in the PCN to develop & support collective general practice projects including areas of federated working
Work towards completing the appropriate training to deliver and support the Comprehensive Model for Personalised Care
Work closely and in partnership with the Social Prescribing Link Worker(s)
Provide coordination of and participate in relevant internal and external working groups and provide project advice, expertise and support where requested
To participate in the review and appraisal process
To carry out any other reasonable duties as requested by a manager to ensure quality of service
To participate in any relevant training/courses/conferences
Complete mandatory training

Please download the supporting documentation for full role details.

Job description

Job responsibilities

The post holder will work within the Care Navigation Team, providing coordination, administrative and support to the Clinical teams and other members of the PCN.

JOB RESPONSIBILITIES:

The post holder working closely with the GPs, Community Services, PCN Team, and Care Home Team where appropriate will:

Be responsible for daily updating of patients on e-HealthScope Workflow to identify patients to support the PCN team with correct community pathways that may prevent hospital admission and to identify potential gaps in care
Be responsible for arranging, attending and taking minutes of Multi-Disciplinary Team Meetings
Proactively prepare any actions prior to the MDT ensuring all relevant health care professionals and Social care members are present
To record patient interventions on relevant electronic database systems (e.g. SystmOne and e-HealthScope) and contribute to report generation, analysis and production
Follow up on all forward actions resulting from MDT discussions
Be responsible for logging and making referrals
To contribute to the integration of health and social care by maintaining up to date recording systems for all agencies within the PCN Team and providing information to any member of the PCN Team in order to ease processes and communication in agreement with data protection protocol
To be responsible for recording, reporting and producing evaluation reports which will include evaluation detailing effectiveness outcomes of new roles.
To be customer (patient, carer, GP) focused when representing the service
To work collaboratively with other teams and services to maintain an effective and efficient service
To offer appropriate support and guidance to patients and their families/carers
To plan / organise work using own initiative, whilst being able to work as a valuable member of a team
To have excellent IT skills, to include Microsoft Office, Outlook and Excel
To undertake general office duties to support the role
To work effectively as part of a team to provide cover for Care Navigation and PCN Care Coordinators when required and to be flexible regarding working hours to meet the needs of the service
To ensure all electronic records are updated and complete within the agreed time-scales
To use a range of verbal and non-verbal communication tools to communicate effectively with patients, carers and families and colleagues
Provide coordination of and participate in relevant internal and external working groups and provide project advice, expertise and support where requested
Support the PCN team by inputting into the overall strategy development and programming of work streams by applying knowledge and understanding of programme and project management
Work with key personnel in the PCN to develop & support collective general practice projects including areas of federated working
Work towards completing the appropriate training to deliver and support the Comprehensive Model for Personalised Care
Work closely and in partnership with the Social Prescribing Link Worker(s)
Provide coordination of and participate in relevant internal and external working groups and provide project advice, expertise and support where requested
To participate in the review and appraisal process
To carry out any other reasonable duties as requested by a manager to ensure quality of service
To participate in any relevant training/courses/conferences
Complete mandatory training

Please download the supporting documentation for full role details.

Person Specification

Experience

Essential

Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Skills and abilities

Essential

Please provide detailed information of how you feel that your skills and ability are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Personal qualities

Essential

Please provide details for why you would be a great fit for this role and why you have decided to apply.

Person Specification

Experience

Essential

Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Skills and abilities

Essential

Please provide detailed information of how you feel that your skills and ability are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Personal qualities

Essential

Please provide details for why you would be a great fit for this role and why you have decided to apply.

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.