Care Coordinator

Its an exciting time to come and work with us as we are expanding our services to support primary care, working with GP practices and other partners across our health and care system

Our patients come from all walks of life and so do we. We hire great people from a wide variety of backgrounds, not just because its the right thing to do, but because it makes DGS stronger. If you share our values of caring for our diverse patients and have the skills and experience needed to undertake the role of a Care Coordinator, then we would love for you to join our caring and enthusiastic team.

The Care Coordinator will be part of the Primary Care Network. This will involve coordinating the work of healthcare professionals and non-clinical staff involved in the care of patients registered at GP practices within the wider PCN population. This particular role will be for Gravesend Central PCN and will be based within Pelham Surgery and Rochester Road.

Supporting the PCN with projects such as early cancer diagnoses, learning disability checks and administrative duties relating to patient care.

**Main duties of the job**

A key part of the role of a care coordinator role is in the care Homes MDT, supporting the PCN with projects such as early cancer diagnoses, learning disability checks and administrative duties relating to patient care. The role will also include improving the continuity of care by acting as a point of contact for residents, families and professionals who visit care homes.

1.To work closely and in partnership with the Social Prescribing Link Workers and Health and Wellbeing Coach(es)

2. To support patients to utilise decision aids, help create single personalised care and support plans, in line with best practice.

3. Working closely with the GPs and other primary care professionals within the PCN to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers.

**About us**

The Dartford, Gravesham and Swanley area is located in North Kent, only a 15 minute commute by train from London St Pancras, and our main GP Federation office is metres away from Ebbsfleet International Rail Station. The area is undergoing considerable housing, retail and leisure development including the Ebbsfleet Garden City Area. The area also boasts the Bluewater retail centre, and there are a good variety of high performing schools including state, grammar and independent schools. All practices in the area are members of the GP Federation and we work together to design and deliver clinically led and managerially enabled services.

**Job description**

**Job responsibilities**

The Care Coordinator will be part of the Primary Care Network (PCN) Multi-Disciplinary Team (MDT) who are responsible for managing the care of people registered with practices within the Dartford Central PCN.

Working closely with the GPs and other primary care professionals within the PCN to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed.

Key role requirements

Supporting the PCN with projects such as early cancer diagnoses, learning disability checks and administrative duties relating to patient care.

Support the PCN with any QOF related work eg. Patient data for smears, height, weight and diabetes.

To work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients.

To work closely and in partnership with the Social Prescribing Link Workers (SPLWs) and Health and Wellbeing Coach(es).

To support patients to utilise decision aids, help create single personalised care and support plans, in line with best practice.

To help people to manage their needs through answering queries, making and managing appointments.

To support the coordination and delivery of MDTs within the PCN

Key Duties & Responsibilities:
The Care Coordinator responsibilities include but are not limited to the following:
1. To work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients

2. To work closely and in partnership with the Social Prescribing Link Workers and Health and Wellbeing Coach(es)

3. To support patients to utilise decision aids, help create single personalised care and support plans, in line with best practice

4. To support the Clinical directors in the delivery of the DES specifications

5. To help people to manage their needs through answering queries, making, and managing appointments

6. To provide coordination and navigation with the aid of digital tools for people and their carers across health and care services

7. To support the coordination and delivery of MDTs within the PCN

EDUCATION, LEARNING AND DEVELOPMENT:
It is the responsibility of the employee to comply with all organisational and statutory requirements (e.g. health and saf