Community Care Coordination Case Manager

4 weeks ago

Clevedon, North Somerset, United Kingdom Sirona care & health CIC Full time

Position Overview

Are you a healthcare professional seeking a rewarding role within a growing community service?

Do you have a strong commitment to assisting individuals in transitioning back to their homes after experiencing acute health challenges?

Sirona care & health is excited to introduce two innovative Transfer of Care Hubs aimed at enhancing patient discharge processes from hospital to home: one located at our Bristol facility and another at Weston General Hospital. These Hubs will unite various stakeholders, including the acute trust, community partners, local authorities, and voluntary sector representatives, to form a cohesive multidisciplinary team.

The primary objective is to collaboratively facilitate a 'Home First' approach by integrating professionals from diverse organizations to simplify complex discharge scenarios.

We are looking for candidates with experience in community settings and a solid understanding of the clinical acuity levels that can be managed in patients' homes. Additionally, familiarity with rehabilitation pathways, discharge planning, and mental capacity considerations, along with exceptional interpersonal and negotiation skills, is essential.

In return, we offer regular training, supervision, and opportunities to engage in future service enhancements.

Key Responsibilities

As a vital member of the multidisciplinary team, you will:

  • Conduct comprehensive, person-centered assessments to facilitate appropriate discharge pathways from acute care settings.
  • Manage and prioritize referrals received by the Transfer of Care Hub, collaborating with patients, families, and ward staff to determine the best discharge options.
  • Engage with the Transfer of Care Hub team to discuss complex cases and develop joint action and discharge plans.
  • Utilize multidisciplinary assessment skills and sound clinical judgment to ensure timely hospital discharges to suitable environments.
  • Effectively manage a substantial caseload, adjusting daily plans to respond to system-wide demands and optimizing community resources.
  • Demonstrate high-level problem-solving abilities by gathering information from various sources and applying professional expertise to guide decision-making, including conducting mental capacity assessments and making best interest decisions when necessary.

About Sirona care & health

Are you ready to embark on a career that inspires and nurtures your professional development? Imagine waking up each day excited to make a meaningful impact in your community, working alongside teams that appreciate your unique contributions.

As England's largest provider of adult and children's community services, we invite you to join us in Bristol, North Somerset, or South Gloucestershire.

We offer a competitive salary aligned with the Agenda for Change framework, comprehensive NHS benefits, a minimum of 27 days of annual leave, and participation in the NHS Pension Scheme.

We encourage applications from all individuals and are dedicated to building a workforce that reflects the communities we serve. We believe that diversity drives creativity and innovation.

Our commitment to equality of opportunity ensures a fair and inclusive environment where everyone feels they belong. We strive to incorporate a wide range of perspectives and experiences to meet the evolving needs of our colleagues, partners, and the communities we support.

Whether you are starting your healthcare journey, seeking a new challenge within the NHS, or considering a career transition, we provide development opportunities for all our colleagues and apprentices.

For more details on the role, please refer to the attached job description and person specification.

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