Permanent - Primary Care Network - Care Coordinator

4 weeks ago

London, United Kingdom Maxxima Full time

Maxxima’s permanent team are recruiting for a experienced PCN Care Coordinator to support an innovative, collaborative and dynamic Primary Care Network, serving a population of over 80K patients, at one of the largest in North West London. You will work operationally with the Senior PCN Development Manager, Digital and Transformation Lead and Social Prescribing Link Worker to drive forward key patient initiatives across our 7 practices within our local neighborhood team. You must be able to work independently with mínimal guidance and use your initiative to deal with a wide variety of queries and requests from the PCN leadership team, using enhanced engagement skills to build strong relationships with key contacts including community organisations, neighbourhood leads, health development coordinators and locality leads to ensure you are working with and as a vital part of an evolving wider view of health and social care in a community setting.

Accountable To: Senior PCN Development Manager
Location: Across the Healthsense PCN practices

They will work closely with GPs and practice teams, supporting them to understand and manage their condition and ensuring their changing needs are addressed. They will enable people to access the support required to meet their health & wellbeing needs, helping to improve peoples quality of life.
They will work alongside social prescribing link workers to enable people navigate through the health and care system.
The postholder will support the PCN management with conducting searches on data cohorts and helping to meet Impact and Investment Fund (IIF) indicators and Enhanced Service workstream targets.

**Location**: London**

**Employment Type**: Permanent**

**Hours**: Full time**

**On a typical day you will**:
The postholder will support the PCN management with conducting searches on data cohorts and helping to meet Impact and Investment Fund (IIF) indicators and Enhanced Service workstream targets.
Work with people, their families and carers to improve their understanding of the patients condition and support them to develop and review personalised care and support plans to manage their needs and achieve better healthcare outcomes.
Help people to manage their needs through answering queries, making and managing appointments, and ensuring that people have good quality written or verbal information to help them make choices about their care.
Assist people to access self-management education courses, peer support, health coaching and other interventions that support them in their health and wellbeing, and increase their levels of knowledge, skills and confidence in managing their health.
Support people to take up training and employment, and to access appropriate benefits where eligible; for example, through referral to social prescribing link workers.
Provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches, and other primary care professionals; helping to ensure patients receive a joined-up service and the most appropriate support.
Work collaboratively with GPs and other primary care professionals within the PCN to proactively identify and manage a caseload, which may include patients with long-term health conditions, and where appropriate, refer back to other health professionals within the PCN.
Support the coordination and delivery of multidisciplinary teams with the PCN.
Raise awareness of how to identify patients who may benefit from shared decision making and support PCN staff and patients to be more prepared to have shared decision-making conversations.
Explore and assist people to access a personal health budget where appropriate.
Work with people, their families, carers and healthcare team members to encourage effective help-seeking behaviours;
Identify unpaid carers and help them access services to support them;
Conduct follow-ups on communications from out of hospital and in-patient services;
Support practices to keep care records up-to-date by identifying and updating missing or out-of-date information about the persons circumstances.

**What will you need to succeed in this role?**

Proficient in MS Office and web-based services.
NVQ Level 3 in adult care - advanced level or equivalent qualifications or working towards it.
Experience of working in health, social care and other support roles in direct contact with people, families or carers (in a paid or voluntary capacity).
Experience of working within multi-professional team environments.
Experience of supporting people, their families and carers in a related role.
Experience of data collection and using tools to measure the impact of services.
Experience of working directly in a care coordinator role, adult health and social care, learning support or public health /health improvement.Experience or training in personalised care and support planning.

**Unlock your potential**:
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