Care Coordinator

3 weeks ago

Wareham, Dorset, United Kingdom Purbeck Primary Care Network Full time
About the Role

We are seeking a highly motivated and organized Care Coordinator to join our team at Purbeck Primary Care Network. As a key member of our team, you will play a vital role in supporting our multi-disciplinary teams to coordinate and deliver effective care for our patients.

Key Responsibilities
  • Utilize population health intelligence to proactively identify and work with patients to deliver personalized care.
  • Support patients to utilize decision aids in preparation for shared decision-making conversations.
  • Holistically bring together all a person's identified care and support needs and explore options to meet these within a single personalized care and support plan (PCSP).
  • Help people to manage their needs through answering queries, making and managing appointments, and ensuring that people have good quality written or verbal information to help them make choices about their care.
  • Support people to take up training and employment, and to access appropriate benefits where eligible.
  • Assist people to access self-management education courses, peer support or interventions that support them to take more control of their health and wellbeing.
  • Explore and assist people to access personal health budgets where appropriate.
  • Provide coordination and navigation for people and their carers across health and care services.
  • Work with GPs and other primary care professionals to identify and manage a caseload of patients.
Digital Responsibilities
  • Work closely with PCN colleagues to identify patients who currently do not use digital channels for healthcare access, promoting digital inclusion and encouraging the wider use of the NHS App.
  • Use available data sources to help the multidisciplinary teams understand the health and wellbeing profiles of our residents and to identify specific groups of patients and arrange care for them.
  • Assist the PCN to deliver improvements to the services we provide our patients with relevant data and data analysis.
  • Support the PCN with coding activity appropriately and develop reports to demonstrate PCN activity.
  • Assist the PCN member practices to engage with hard-to-reach populations and to reduce health inequalities.
  • Take a lead in the deployment of new technologies and education of patients.
  • Run regular proactive reports to identify patients who may benefit from new services/new ways of delivering services and ensure appropriate referrals are made.
  • Work with colleagues and partner organizations to promote digital inclusion.
EHCH Responsibilities
  • Work closely with the EHCH Advance Nurse Practitioner to manage patient lists for the upcoming days/weeks, ensuring contingency plans are in place and followed for unexpected leave.
  • Liaise directly with care homes for non-clinical tasks such as booking and managing ward round lists for clinical staff within the PCN SystmOne module.
  • Manage the EHCH inbox daily and deal with requests in a timely manner.
  • Escalate clinical enquiries to the EHCH Advance Nurse Practitioner in a timely manner.
  • Register new care home patients as per the SOP in Practice SystmOne modules.
Person Specification

We are looking for someone with a good understanding of health and social care, who is digitally literate and has a proven experience of working with the general public in a similar role. The ideal candidate will have excellent written and verbal communication skills, be organized with effective time-management skills, and be able to problem solve and analyze information.

We offer a competitive salary and a supportive working environment. If you are a motivated and organized individual who is passionate about delivering high-quality care, we would love to hear from you.

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