Care Coordinator

3 weeks ago


Mansfield, United Kingdom Primary Integrated Community Services Ltd Full time

**POST**:PCN Care Coordinator

**SALARY**:Reference to Agenda for Change, Band 4 (£23,949 - £26,282)

**HOURS**:37.5 hours per week

**Base**: Rosewood Primary Care Network

**CONTRACT**: Permanent

**ABOUT THE ROLE**

We have an exciting opportunity for a PCN Care Co-ordinator to join our dynamic team. Working closely with Care Homes, General Practices and other services you’ll provide coordination and administrative support to other members of the PCN.
- Acorn Medical Practice, 11-13 Wood Street, Mansfield, Nottinghamshire, NG18 1QA
- Churchside Medical Practice, Wood Street, Mansfield, NG18 1QB
- Forest Medical Group, Oak Tree Lane Surgery, Jubilee Way South, Mansfield, NG18 3SF
- Forest Medical Group, Rosemary Street Health Centre, Rosemary St, Mansfield, NG19 6AB
- Millview Surgery, 1a Goldsmith Street, Mansfield, Nottinghamshire, NG18 5PF
- Roundwood Surgery, Wood Street, Mansfield, Nottinghamshire, NG18 1QQ

You will be part of a wider team of PCN Care Coordinators supported by our Care Navigation Team Leader, who is on the PICS leadership team.

**KEY RESPONSIBILITIES**
- Coordinate Multi-Disciplinary Team meetings for people living in care homes
- Utilise Population Health Intelligence to proactively identify care home residents and work with the PCN team to enable the PCN team to deliver personalised care
- Utilise Population Health Intelligence tools where needed to support other patients in the PCN

**KEY REQUIREMENTS**
- Good standard of education - GCSE or equivalent in English and Mathematics
- Experience of office procedures working at a high level as part of an administration team / within an administration role
- Understanding and able to deal with confidential and sensitive issues when liaising with team members / other professionals

**Job Purpose**

The post holder will work within the PCN Team, providing coordination, and administrative support to the Clinical teams and other members of the PCN.

The post holder will work closely with Care Homes, General Practices and existing services to support the coordination and delivery of multidisciplinary team meetings for care home residents.

The post holder will support the PCN to proactively identify residents in care homes who require a personalised care and support plan

The post holder, working closely with the PCN team, Care Home, GPs and existing community services will:

- Coordinate Multi-Disciplinary Team meetings for people living in care homes
- Utilise Population Health Intelligence to proactively identify care home residents and work with the PCN team to enable the PCN team to deliver personalised care
- Utilise Population Health Intelligence tools where needed to support other patients in the PCN.

**KEY RESPONSIBILITIES**
- Be responsible for daily updating of patients on e-HealthScope Workflow to identify care home residents to support the PCN team with identifying community pathways that might prevent hospital admission and for identifying potential gaps in care
- Be responsible for arranging, attending and minuting Care home Multi-Disciplinary Team Meetings
- Proactively prepare any actions prior to the care home MDT meetings ensuring all relevant clinicians are present
- To record patient interventions on relevant electronic database systems (e.g. SystmOne) and contribute to report generation, analysis and production
- Follow up on all forward actions resulting from MDT discussions
- Be responsible for logging and making referrals
- 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
- To be responsible for recording, reporting and producing evaluation reports which will include evaluation detailing effectiveness outcomes of new roles.
- To be customer (patient, carer, GP) focused when representing the service
- To work collaboratively with other teams and services to maintain an effective and efficient service
- To offer appropriate support and guidance to patients and their families/carers
- To plan / organise work using own initiative, whilst being able to work as a valuable member of a team
- To have excellent IT skills, to include Microsoft Office, Outlook and Excel
- To undertake general office duties to support the role
- 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 use a range of verbal and non-verbal communication tools to communicate effectively with patients, carers and families and colleague
- Provide coordination of and participate in relevant internal and external working groups and provide project advice, expertise and support where requested
- Work with key


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