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Senior Case Manager

2 months ago


Coventry, Coventry, United Kingdom Coventry & Warwickshire Integrated Care Board Full time
Job Summary

We are seeking a highly skilled and experienced Senior Case Manager to join our team at Coventry & Warwickshire Integrated Care Board. As a key member of our Complex Care Team, you will be responsible for managing complex cases and ensuring that patients receive the highest level of care.

Key Responsibilities
  • Case Management: Assess, manage, monitor, and formally review the health needs of patients funded by CWICB within Coventry, Rugby, and Warwickshire North places, as well as those cases who are placed out of county placements receiving care under CHC.
  • Quality Assurance: Review existing historical joint funding care packages for learning disabilities clients where the issues are considered to be standard rather than complex.
  • Verification and Quality Assurance: Carry out verification and Quality Assurance of all DSTs and Review Assessments as one of the primary assignments for the role.
  • Legal Support: Coordinate and provide all needed support to the Legal Team in all Legal Cases and report to the line Manager of the progress of all cases.
  • Interagency Collaboration: Liaise with the ICB DOLs Team in order to provide the team with any required clinical information as may be required and provide update to the Clinical Commissioning Manager of the progress.
  • Dispute Resolution: Co-ordinate and ensure timely and effective dispute process. To Lead in Level 1 dispute and if not resolved, this will be escalated to Level 2 stage.
Operational Management
  • Team Leadership: Manage Clinical Assessors to ensure the CHC team works effectively and maximises individual performance in respect of patient care.
  • Recruitment and Development: Be part of the recruitment process for members of the CHC Team and provide peer reviews for clinical staff.
  • Training and Development: Have access to and receive all the ICB mandatory training and have a current personal development plan.
  • Legislative Compliance: Participate in and take responsibility for ensuring that those staff under your management are aware of and fulfil their responsibilities under all appropriate legislation and guidance such as the Mental Capacity Act, The Human Rights Act and Safeguarding Adults and Children Legislation.
  • Guidance and Protocols: Ensure that clinical staff are aware of any updates to relevant guidance (CHC) and protocols in line with DoH policy, case law and clinical research relevant to the case load and clinical discipline.
  • Training and Support: Undertake appropriate training and ensure that all clinical staff receive training appropriate to their role within the CHC Team.
  • Professional Support: Provide professional support, expertise, and input to the CHC Team and verification Panels.
Clinical Responsibilities
  • Case Management: Assess, case manage, monitor, and formally review the health needs of those patients funded by CWICB within Coventry, Rugby, and Warwickshire North places as well as those cases who are placed out of county placements receiving care under CHC.
  • Training and Support: Provide specialist training, support, and education to other Health Professionals.
  • Case Load Management: Case manage your own clinical caseload (end to end) including, but not limited to, resolving issues with funding, placements, invoices, and complaints.
  • Best Interest Meetings: Attend / chair Best Interest meetings and Clinical Treatment Reviews as required.
  • Legal Support: Coordinate and provide all needed support to the Legal Team in all Legal Cases and report to the line Manager of the progress of all cases.
  • Complex Case Management: Oversee and ensure that CHC reviews are carried out as per the National guidance and take responsibility for managing and reviewing complex cases either individually or with the CHC Nurse Assessors.
  • Evidence-Based Practice: Demonstrate evidence-based practice.
  • Service Development: Participate, inform and support continued service developments.
  • Band 6 Clinical Case Management: Having oversight for all the Band 6 Clinical Case Management.
  • Case Management for Individuals: Provide case management for individuals in receipt of 100% NHS funding to include residential, supported Living, domiciliary and respite care packages where appropriate, offer advocacy, support to the voluntary sector, and provide advice and information to both the individual and others.
  • Correspondence and Queries: Ensure all appropriate correspondence to families and correspondence and queries from families are dealt with efficiently.
  • Complaints and Queries: Deal and manage complaints and queries to their conclusion relating to your case load.
  • Accurate Assessment: Provide accurate assessment (s) of need when required to support identification of appropriate services. This includes avoiding hospital admissions, increase / decrease in care and short term 1-2-1.
  • Performance Improvement: Overall, demonstrate a keen desire to improve and drive performance by making positive impact to care delivery and to CWICB.