Job summary
Bridlington Primary Care Network (PCN) is looking for a highly motivated and knowledgeable Care Coordinator to join our dynamic and friendly team that is committed to delivering exemplary patient care for our patients.
Main duties of the job
We have an exciting opportunity for a full time Care Coordinator to join our dynamic and friendly team at Bridlington PCN.
The successful candidate(s) will play a key role in proactively identifying and working with people including the frail, elderly and those with long tern conditions, to provide coordination and navigation of care and support across the health and care providers. They will work closely with GPs and other primary care colleagues within the Primary Care Network (PCN) to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers (if applicable) and ensuring that their changing needs are addressed. Care Coordinators will focus on the delivery of personalised care to reflect individual patient needs, local PCN priorities, health inequalities and at-risk groups of patients.
The postholder will support the PCN management with conducting searches on data cohorts and helping to meet the Impact and Investment Fund (IIF) indicators and Enhanced Service workstream targets. The successful candidate will have excellent interpersonal and communication skills and be organised, patient and empathetic. They will have experience of working in health, social care or other support roles, including direct contact with people, families or carers.
About us
Bridlington PCN is a forward-thinking network comprising of 2 practices within close proximity to each other with a total patient population of 42,000. Humber Primary Care and Drs Reddy and Nunn are both teaching practices linking into academic partners to provide ongoing support and development to the workforce.
Our aim is to improve care for patients by working collaboratively across primary care and our partners as part of the integrated care partnership.
Job description
Job responsibilities
- Carry out audits to identify improvements and maximise income in particular IIF, Enhanced Service and claiming procedures.
- Update IT system to include templates and protocols in order to meet the requirement of any changes in services specifications, e.g., IIF changes.
- Work across Practices to share good practice, identify information and IT needs and implement effective systems and training. The aim is for all Practices to be the best, work collaboratively and sharing what they do well.
- Establish good working relationships with people employed in Practices across the PCN to enable them to carry out their duties effectively.
- Work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients and where required and as appropriate, refer people back to other health professionals within the PCN.
- Raise awareness within the PCN of shared decision making and decision support tools.
- Utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care. Use Ardens and other appropriate population health dashboards and tools to help deliver the population health management projects.
- Design efficient templates, protocols, alerts, and other IT tools to support safety, patient care, quality record-keeping, reporting and financial claims.
- Have a proactive approach, the ability to work on your own initiative and within a team environment.
Job description
Job responsibilities
- Carry out audits to identify improvements and maximise income in particular IIF, Enhanced Service and claiming procedures.
- Update IT system to include templates and protocols in order to meet the requirement of any changes in services specifications, e.g., IIF changes.
- Work across Practices to share good practice, identify information and IT needs and implement effective systems and training. The aim is for all Practices to be the best, work collaboratively and sharing what they do well.
- Establish good working relationships with people employed in Practices across the PCN to enable them to carry out their duties effectively.
- Work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients and where required and as appropriate, refer people back to other health professionals within the PCN.
- Raise awareness within the PCN of shared decision making and decision support tools.
- Utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care. Use Ardens and other appropriate population health dashboards and tools to help deliver the population health management projects.
- Design efficient templates, protocols, alerts, and other IT tools to support safety, patient care, quality record-keeping, reporting and financial claims.
- Have a proactive approach, the ability to work on your own initiative and within a team environment.
Person Specification
Skills and Knowledge
Essential
- Understanding of, and commitment to equality diversity and inclusion
- Knowledge of policies and procedures, including confidentiality, safeguarding, lone working, information governance and health and safety
Desirable
- Knowledge of how the wider NHS works, including PCNs
- Knowledge of long-term conditions and the complexities involved medical, physical, emotional and social
Experience
Essential
- Experience of working in health, social care and other support roles direct contact with people, families and carers.
- Experience of working in a multi-disciplinary team environment
- Confident in using Microsoft applications (Email, Excel, Word and PowerPoint)and sound IT knowledge
Desirable
- Experience of working in primary care
- Experience of working as a care coordinator
- Experience of using SystmOne
- Experience or training in personalised care and support planning
- Experience of working with data and reporting systems.
Qualifications
Essential
- GSCE or above in English and Maths
Desirable
- Higher level qualification such as NVQ in adult care Level 3
- Qualification relevant to health or social care
Personal Qualities and Attributes
Essential
- Able to organise, plan and prioritise and work on own initiative
- Sound written and verbal communication skills
- Willingness to work flexible hours when required to work demands
- Demonstrate personal accountability, emotion resilience and works well under pressure
- Ability to work collaboratively as part of a team
- Ability to communicate effectively, with a wide variety of people
- Ability to actively listen, empathise with people and provide personalised support in a non judgemental way
Person Specification
Skills and Knowledge
Essential
- Understanding of, and commitment to equality diversity and inclusion
- Knowledge of policies and procedures, including confidentiality, safeguarding, lone working, information governance and health and safety
Desirable
- Knowledge of how the wider NHS works, including PCNs
- Knowledge of long-term conditions and the complexities involved medical, physical, emotional and social
Experience
Essential
- Experience of working in health, social care and other support roles direct contact with people, families and carers.
- Experience of working in a multi-disciplinary team environment
- Confident in using Microsoft applications (Email, Excel, Word and PowerPoint)and sound IT knowledge
Desirable
- Experience of working in primary care
- Experience of working as a care coordinator
- Experience of using SystmOne
- Experience or training in personalised care and support planning
- Experience of working with data and reporting systems.
Qualifications
Essential
- GSCE or above in English and Maths
Desirable
- Higher level qualification such as NVQ in adult care Level 3
- Qualification relevant to health or social care
Personal Qualities and Attributes
Essential
- Able to organise, plan and prioritise and work on own initiative
- Sound written and verbal communication skills
- Willingness to work flexible hours when required to work demands
- Demonstrate personal accountability, emotion resilience and works well under pressure
- Ability to work collaboratively as part of a team
- Ability to communicate effectively, with a wide variety of people
- Ability to actively listen, empathise with people and provide personalised support in a non judgemental way
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.
