Care Coordinator

6 months ago

Winchester, United Kingdom Winchester City Primary Care Network Full time

This is an excellent opportunity to join a successful and progressive PCN and experience variety through working with our three member GP Practices in central Winchester.

The Care Coordinator will work closely with GPs and other primary care professionals to support patient care. This role will be part of the Primary Care Network team and will sit alongside a multi-disciplinary team of colleagues to ensure that patients receive the appropriate support they need. Working closely with the Multi Service Manager and the member practice teams they will support the effective workload management of GPs and other clinical colleagues.

The Care Coordinator will support clinicians to bring together patient identified care and support needs and ensure all patients have a single personalised care support plan in line with best practice, based on what matters to the patient. They will ensure that clinicians have access to the tools they need to develop a personalised care plan.

To be responsible for undertaking a wide range of care coordination duties including secretarial and administrative and the provision of administrative support to the multidisciplinary team. Duties can include but are not limited to, the processing of information (electronic and hard copy) in a timely manner, creating agendas, taking meeting minutes, liaising with multidisciplinary team members and external agencies such as secondary care and community service providers in accordance with current policies, including the use of the electronic referral service (ERS).

**Main Responsibilities**
- Production of patient letters, reports, and associated documentation as required
- Produce agendas, take and typing up minutes for various meetings
- Process referrals using the electronic referral system (ERS)
- Managing the ERS and Docman workflows
- Scanning of patient related documentation and attaching scanned documents to patient’s healthcare records
- Input data into the patient’s healthcare records as necessary
- Read code data on EMIS Web
- To ensure regular and consistent communication with the referrer regarding patient progress and any complications or guidance
- To offer appropriate support and guidance to patients and their families/carers, both in individual and group settings
- Maintain an accurate referrals database and contribute to report generation, analysis and production
- 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
- Liaising with external agencies such as hospitals and community services, ensuring referrals are processed efficiently
- To support the population health project with liaising with identified cohorts of patients and other agencies
- To be responsible for recording, reporting and producing evaluation reports which will include evaluation detailing effectiveness outcomes of new roles.
- To work effectively as part of a team to provide cover for Care Coordination Teams 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 monitoring the care coordination and PCN enquiries task inbox
- Provide coordination of and participate in relevant internal and external working groups and provide project advice, expertise and support where requested
- Work closely and in partnership with the other Care Coordinators across PCN and member practices
- To be customer (patient, carer, GP) focused when representing the service
- Dependant on work plans, there may be a requirement to work across different groups and teams
- To use a range of verbal and non-verbal communication tools to communicate effectively with patients, carers and families and colleagues
- To work collaboratively with other teams and services to maintain an effective and efficient service
- To support the induction and integration of new staff
- To plan / organise work using own initiative, whilst being able to work as a valuable member of a team
- To work with other team members to cover leave and sickness as required.
- To support the PCN Manager and Clinical Directors in diary management, arranging meetings, taking minutes as needed and circulating papers
- To have excellent IT skills, to include Microsoft Office, Outlook and Excel
- To undertake general office duties to support the role
- To carry out any other reasonable duties as requested by a manager to ensure quality of service

**Education and Training**
- To work towards completing the appropriate training to deliver and support the Comprehensive Model for Personalised Care
- To participate in any relevant training/courses/conferences
- To complete mandatory training
- To maintain your own continuing professional development, keeping up to dat

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