Care Coordinator

4 months ago

WestonsuperMare, United Kingdom Pier Health Group Ltd Full time

Job summary Care coordinators in the One Weston Care Home Hub provide a dual role: of administration support to the care home clinical team and also of managing and organising a caseload of care home residents looked after by the care home hub, acting as a key portal of communication between both care home staff and clinicians and other external organisations forming part of this interface. The One Weston Care Home Hub is a growing team of multidisciplinary clinicians including GPs, Advanced Nurse Practitioners, Pharmacists and Pharmacy technicians, paramedics, mental health and dementia professionals and community nursing. We also host placements for clinicians in training, and currently look after 23 of our 65 care homes in Weston, with plans to increase this footprint in the very near future. Working with different practices and teams both within the Pier Health family, and outside of our organisation will be the focus of care co-ordinator work, and post holders will need good interpersonal skills and attention to detail to ensure clinicians provide timely and clear management to care home residents, and that changes and actions are completed promptly and communicated clearly.

Support new starters with induction package and set up prior to start date Supporting time-limited clinical work administratively, identifying actions that needs completing before deadlines e.g. immunisation programs, annual health checks, covid response or frailty response teamwork and ensuring that essential documents are visible. Ensuring complete clinical information is available, which may include problem solving and initiative such as: Chasing old case notes and clinic letters, legal documents, community pharmacy liaison Liaising with previous services, care homes or healthcare providers and families Act as first point of contact for care providers, hospital and community teams and local authorities and patients and their relatives Secondary responsibilities In addition to your primary responsibilities, you can expect to contribute to: Creating a framework for clinicians working with the Hub that are aligned to other practices. Formation of a practice cluster link role Ensuring that responsibility is taken for monitoring of acute work that is Supporting MDT meetings across practices and organisations and keeping an action log to ensure that tasks are allocated and completed.

Drive proactive care in care homes by identifying patients to add to ward round lists in need of healthcare checks or non-urgent or interval review. Population reporting and data searches, use of population health data to drive workload. Adoption of new digital solutions eg
- Electronic Advance Care Planning Record, championing its use and supporting and training other practice teams to use this effectively. Creation of a frailty housebound caseload tracking list, working with clinicians and social prescribers to co-ordinate a care response

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