Job summary
This is an exciting opportunity for a Care Coordinator to join an expanding PCN (Primary Care Network) Team, the post holder will support a variety of PCN services such as the Home Visiting Service, Paediatric Hubs, Social Prescribing, Health Coaching, & First Contact Physiotherapy. The Care Coordinator role is essential to support the daily operations of PCN services. The post holder will work closely with our GP practice and PCN teams who are delivering care to our patients each day.
The Care Coordinator will be responsible for managing inbound referrals from GP practice teams and contacting patients to arrange suitable appointments for PCN services such as First Contact Physiotherapist, Proactive Care Reviews, Paediatric Hubs, and other PCN Services as required.
The Care Coordinator will also support other PCN services as required which may include contacting patients following referral into services such as Paediatric Hubs, FCP, Social Prescribing and Health Coaching to support diary management and management of inbound referrals to services.
This role may be required to work at any of our PCN member practice sites but will mostly be based at Shirley Health Partnership, Shirley, Southampton.
Main duties of the job
Responsible for the day-to-day running of PCN services, including the prioritisation of daily visits, inbound referrals and updating the visit list based on capacity and liaising with clinical visiting staff to prioritise on clinical need.
Contacting patients and booking appointments with PCN services such as Proactive Care Reviews, First Contact Physiotherapist, and Social Prescriber appointments.
Managing inbound referrals from GP practices for PCN service and ensuring safe management of caseloads and booking processes
Manage and prioritise workload to ensure patient and service needs are met
Manage clinical systems and appointment ledgers for PCN services
Manage team rotas and service capacity
Coordinate and manage administrative functions of PCN services
Build relationships with PCN Member Practices Clinical and Administrative teams as well as Care Home team members
Track and report service utilisation outlining allocations and booking completion across PCN Services
Communicate effectively with patients and their families/carers
Communicate with other members of the integrated care system if a patient needs to access other services
Coordinate patients long term condition annual reviews
Support administration of Personalised Care Support Plans PCSP
Coordinate, manage, and support onward referral to other services .
For more details please look at full job discription
About us
Southampton West Primary Care Network (PCN) consists of the 9 GP surgeries in the west of the City and covers 84,000 patients. Our mission is to work collaboratively to develop high quality services for our patients, so that we can improve health outcomes that enable people to live well, for longer, whilst developing resilient primary care.
The PCN already hosts a strong and supportive multi-disciplinary wellbeing team consisting of mental health practitioners, peer support workers, social prescribers, care coordinators, Health and Wellbeing Coaches, Pharmacists, and First Contact Physiotherapists.
Job description
Job responsibilities
Responsible for the day-to-day running of PCN services, including the prioritisation of daily visits, inbound referrals and updating the visit list based on capacity and liaising with clinical visiting staff to prioritise on clinical need.
Contacting patients and booking appointments with PCN services such as Proactive Care Reviews, First Contact Physiotherapist, and Social Prescriber appointments.
Managing inbound referrals from GP practices for PCN service and ensuring safe management of caseloads and booking processes
Manage and prioritise workload to ensure patient and service needs are met
Manage clinical systems and appointment ledgers for PCN services
Manage team rotas and service capacity
Coordinate and manage administrative functions of PCN services
Build relationships with PCN Member Practices Clinical and Administrative teams as well as Care Home team members
Track and report service utilisation outlining allocations and booking completion across PCN Services
Communicate effectively with patients and their families, carers
Communicate with other members of the integrated care system if a patient needs to access other services
Coordinate patients long term condition annual reviews
Support administration of Personalised Care Support Plans PCSP
Coordinate, manage, and support onward referral to other services .
Request and coordinate blood, urine test for patients in need
Attend service meetings and contribute to service delivery and growth
Link with GPs and other clinicians in the PCN following appointments to feedback patient outcomes where required
Refer complex cases to the multidisciplinary team meeting and complete administration after the meeting and communicate this back to practices.
Receive and collate information from hospital admissions and discharges and present this information to the team
Work with the PCN management team on other projects from time to time, where capacity allows, such as collating data for quality targets across the PCN or health inequality projects
Take basic history and readings such as Blood Pressure, Height, Weight from patients ahead of appointments with a clinician where required
Complete non-opinion related forms and core elements of other forms to support the clinical teams
Job description
Job responsibilities
Responsible for the day-to-day running of PCN services, including the prioritisation of daily visits, inbound referrals and updating the visit list based on capacity and liaising with clinical visiting staff to prioritise on clinical need.
Contacting patients and booking appointments with PCN services such as Proactive Care Reviews, First Contact Physiotherapist, and Social Prescriber appointments.
Managing inbound referrals from GP practices for PCN service and ensuring safe management of caseloads and booking processes
Manage and prioritise workload to ensure patient and service needs are met
Manage clinical systems and appointment ledgers for PCN services
Manage team rotas and service capacity
Coordinate and manage administrative functions of PCN services
Build relationships with PCN Member Practices Clinical and Administrative teams as well as Care Home team members
Track and report service utilisation outlining allocations and booking completion across PCN Services
Communicate effectively with patients and their families, carers
Communicate with other members of the integrated care system if a patient needs to access other services
Coordinate patients long term condition annual reviews
Support administration of Personalised Care Support Plans PCSP
Coordinate, manage, and support onward referral to other services .
Request and coordinate blood, urine test for patients in need
Attend service meetings and contribute to service delivery and growth
Link with GPs and other clinicians in the PCN following appointments to feedback patient outcomes where required
Refer complex cases to the multidisciplinary team meeting and complete administration after the meeting and communicate this back to practices.
Receive and collate information from hospital admissions and discharges and present this information to the team
Work with the PCN management team on other projects from time to time, where capacity allows, such as collating data for quality targets across the PCN or health inequality projects
Take basic history and readings such as Blood Pressure, Height, Weight from patients ahead of appointments with a clinician where required
Complete non-opinion related forms and core elements of other forms to support the clinical teams
Person Specification
Experience
Essential
- Previous experience in health profession
- Knowledge of primary care
- Understanding of confidentiality
- Experience in use of Microsoft Office
- Experience of administrative duties
Desirable
- Knowledge of medical terminology
- Experience of working in an NHS or social care organisation
- Understanding of health and social care processes
Qualifications
Essential
- GSCE (or equivalent) in Maths and English
Desirable
- UK Driving License & vehicle for traveling between sites
Knowledge, skill and training
Essential
- Communication skills
- Data gathering and interpretation
- Ability to work effectively in a team as a key player
- IT experience / computer skills
- Able to deal with patients sensitively
- Able to prioritise and manage own workload
Desirable
- Experience providing advice/signposting to users
- Analytical skills and ability to interpret information and present it in a clear and concise manner
Person Specification
Experience
Essential
- Previous experience in health profession
- Knowledge of primary care
- Understanding of confidentiality
- Experience in use of Microsoft Office
- Experience of administrative duties
Desirable
- Knowledge of medical terminology
- Experience of working in an NHS or social care organisation
- Understanding of health and social care processes
Qualifications
Essential
- GSCE (or equivalent) in Maths and English
Desirable
- UK Driving License & vehicle for traveling between sites
Knowledge, skill and training
Essential
- Communication skills
- Data gathering and interpretation
- Ability to work effectively in a team as a key player
- IT experience / computer skills
- Able to deal with patients sensitively
- Able to prioritise and manage own workload
Desirable
- Experience providing advice/signposting to users
- Analytical skills and ability to interpret information and present it in a clear and concise manner
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.
