Care Coordinator

4 weeks ago

Redruth, United Kingdom North Kerrier East Primary Care Network (PCN) Full time

An exciting opportunity has arisen with North Kerrier East Primary Care Network (PCN), for a Care Coordinator to join our Health and Wellbeing team. The Care Coordinator is a new role within North Kerrier East PCN and will be an integral part of the Health and Well-being PCN team. The Care Coordinator will be involved in supporting clinical teams to proactively identify and work with people, including the frail/elderly and those with long-term conditions, eg diabetes and COPD, to provide proactive, person-centred care planning, helping coordinate care, by bringing together the different specialists whose help that individual might need. This might involve a wide range of services, such as hospital care, community care, social care, housing and the voluntary sector. The role will support the delivery of better outcomes for people living with multiple long term conditions, to help them improve the quality of their life, fostering self-care, independence and choice. The Care Coordinator will be a key contact within our PCN, helping a person to navigate health and social care, supporting them to understand and manage their conditions and ensuring their changing needs are addressed. The role will work flexibly across the North Kerrier East PCN with some home working. - Work with individual patients, their families and carers, using a holistic approach, to identify their goals for care, and agree a personalised care and support plan for their care;
- Support delivery of these care plans by co-coordinating input from a range of different professionals and services, and helping patients and their carers/family to navigate across health and social care services;
- Work as part of the primary care team, coordinating care between GPs, practice nurses, clinical pharmacists, physiotherapists, mental health practitioners, health and well-being coaches; social prescribing link worker and health and well-being coaches;
- Help patients to manage their needs through answering queries, being a first point of contact across the PCN, and by making and managing appointments;
- Support patients to utilise decision aids in preparation for a shared decision-making conversation and ensure that they, and their carers/family, have access to good quality written and verbal information to help them make choices about their care;
- Help patients to access personal health budgets where appropriate;
- Make use of tools such as MyCaw when engaging with patients;
- Help patients to access self-management education courses, peer support or other interventions that support them in improving their health and wellbeing. - Undertake regular reviews of the personalised care and support plans developed with patients;
- Work in line with national best practice when developing personalised care and support plans;
- Work with patients over the phone, in person in the practice or for those who are housebound where necessary carry out home visits.

**Job Types**: Full-time, Part-time, Permanent
Part-time hours: 37.5 per week

**Salary**: £22,000.00-£24,500.00 per year

**Benefits**:

- Company pension
- Cycle to work scheme
- Work from home

Schedule:

- 8 hour shift
- Monday to Friday
- Weekend availability

Work Location: Hybrid remote in Redruth

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