Complex Case Manager

6 days ago

Blackburn, Blackburn with Darwen, United Kingdom East Lancashire Hospitals NHS Trust Full time
About the Role

We are seeking an experienced and skilled Complex Case Manager to join our Integrated Neighbourhood Team at East Lancashire Hospitals NHS Trust. As a key member of our team, you will play a vital role in providing high-quality, patient-centered care to individuals with complex needs in the community.

Key Responsibilities
  • Provide case management services to patients with complex needs, working closely with General Practitioners, community services, and other healthcare professionals to ensure seamless care coordination.
  • Lead and support the development of a responsive and proactive neighbourhood locality-based approach to prevent avoidable hospital admissions.
  • Act as a resource and first point of contact for Complex Case Managers, improving communication and consistency of care for patients receiving multiple services.
  • Ensure the coordination, planning, and delivery of regular multi-disciplinary team meetings, chairing complex multidisciplinary meetings, and facilitating the process of agreeing a case manager and case management approach.
  • Support case managers in setting up meetings and liaising with appropriate services, patients, and carers as needed.
  • Utilize clinical expertise to facilitate care closer to home, promoting a holistic, multi-agency response to case management to meet patients' needs.
  • Engage proactively with key stakeholders to identify patients who require supportive intervention and case management to prevent avoidable hospital admission and enable those individuals to remain in their own home environment.
  • Follow the progress of patients identified on case management registers, supporting an early transfer home once the patient's condition has stabilized, and liaising with case managers and members of the integrated team and key partners to reduce the risks associated with transfer of care.
  • Assess, receive, and review data regarding patients who regularly attend or are admitted to acute care, liaising with patients, relatives, carers, and the integrated neighbourhood team and key stakeholders to develop a holistic case management approach to support individuals to remain independent and prevent avoidable readmission.
  • Contribute to the development and implementation of systems and processes that ensure the needs of disadvantaged groups are identified and progressed.
  • Contribute to and/or lead training and/or development activities within and beyond the Division to raise awareness of community provision, capacity, and capability.
  • Actively promote a focus on self-care/management to reduce reliance on services and increase levels of independence within the patient population.
  • Work in collaboration with the integrated neighbourhood team to provide information, prepare patients and their families/carers for changes in the patient's condition, and actively encourage and support decision-making and choice for end-of-life care, including the use of fast-track and CHC processes.
  • Prioritize and manage own workload to ensure responsive care/interventions by staff with the level of skill and competence to meet patient need and provide advice and support to team members regarding the care/management plan.
Person Specification
  • RGN/RMN/HCPC registered therapist/social worker
  • Evidence of recent professional development
  • Post-registration experience, usually 12 months
  • Understanding of a case management approach
  • Ability to demonstrate evidence of working holistically to deliver person-centered care
  • Understanding of self-management and self-care principles
  • Community care legislation. Health and Social Care policy, including Mental Capacity. Current developments in Integrated Neighborhood team developments.
  • Up-to-date clinical knowledge, including long-term conditions management and integration. Evidence-based practice

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