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Care coordinators play a vital role in ensuring that individuals receive the necessary support and care to manage their health and wellbeing. As a care coordinator, you will work closely with GPs, practice teams, and other healthcare professionals to identify and address the needs of patients with long-term conditions and frailty.
Your primary responsibilities will include:
Key Responsibilities:- Working with patients, their families, and carers to develop and review personalized care and support plans to manage their needs and achieve better healthcare outcomes.
- Providing information and guidance to patients to help them understand and manage their condition, and ensuring they have access to the necessary support and services.
- Collaborating with GPs and other primary care professionals to proactively identify and manage a caseload of patients, and referring them to other healthcare professionals as needed.
- Supporting the coordination and delivery of multidisciplinary teams within the PCN.
- Raising awareness of shared decision-making and supporting PCN staff and patients to be more prepared for these conversations.
- Working with patients, their families, and carers to encourage effective help-seeking behaviors and support them in navigating the healthcare system.
- Supporting the development of communication channels between GPs, patients, and their families, and other agencies.
- Conducting follow-ups on communications from out-of-hospital and in-patient services.
- Maintaining accurate records of referrals and interventions to enable monitoring and evaluation of the service.
- Supporting practices in keeping care records up-to-date by identifying and updating missing or outdated information about patients' circumstances.
- Contributing to risk and impact assessments, monitoring, and evaluations of the service.
- Working with commissioners, integrated locality teams, and other agencies to support and further develop the role.
- Excellent communication and interpersonal skills.
- Ability to work collaboratively with GPs, practice teams, and other healthcare professionals.
- Strong organizational and time management skills.
- Ability to maintain accurate and up-to-date records.
- Knowledge of the local health and care infrastructure and ability to navigate the system.
- Ability to work in a fast-paced environment and prioritize tasks effectively.
- Commitment to providing high-quality support and care to patients.
- A supportive and collaborative work environment.
- Opportunities for professional development and growth.
- A competitive salary and benefits package.
- The chance to make a real difference in the lives of patients and their families.