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Care Coordinator
2 weeks ago
**About Us**
At the Blandford Group Practice we are passionate about making a difference to our patient's health and wellbeing. We pride ourselves on being a friendly and welcoming team. We deliver NHS services from three surgeries across Blandford and employ a variety of non-clinical staff and health professionals such as GP's, Nurses, Physios, Mental Health Practitioner, Pharmacists and Paramedics. We are part of the NHS Pension Scheme.
**Role Description**
We are looking to recruit a **Care Coordinator** to work as part of our Primary Care Network Team. Care Coordinators play an important role within a PCN to provide coordination and navigation of care and support across health and care services, providing a more joined-up and coordinated care journey for patients. Our Care Coordinator will:
- Help people to manage their health and wellbeing needs, answering their queries, signposting and supporting them to access a variety of services that will help them.
- Support our Practice clinicians with a range of patient focused administrative tasks that helps deliver high quality patient care and frees up clinician time.
- 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.
**Key Responsibilities**
- Take referrals for individuals or proactively identify people who could benefit from support through care coordination
- Review and update personalised care and support plans at regular intervals
- Coordinate and integrate care
- Help people transition seamlessly between services and support them to navigate through the health and care system
- Refer onwards to social prescribing link workers and health and wellbeing coaches where required
- Regularly liaise with the range of multidisciplinary professionals and colleagues involved in the person’s care, facilitating a coordinated approach and ensuring everyone is kept up to date so that any issues or concerns can be appropriately addressed and supported
- Identify when action or additional support is needed, alerting a named clinical contact in addition to relevant professionals, and highlighting any safety concerns.
- Work innovatively with other internal and external partners to support patients self-care and self-help.
- Work with people, their families, carers and healthcare team members to encourage effective help-seeking behaviours
- Conduct follow-ups on communications from out of hospital and in-patient services
- Maintain records of referrals and interventions to enable monitoring and evaluation of the service;
- Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.
- Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.
- Duties may vary from time to time, without changing the general character of the post or the level of responsibility.
- Work flexibly to support people on a 1-1 basis, making home visits where required building trust with patients and working in a supportive, caring and non-judgemental way.
This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post-holder commensurate with the position. This description will be open to regular review and may be amended to take into account development within the PCN.
**CARE COORDINATOR PERSON SPECIFICATION**
**Personal Qualities & Attributes**
- Ability to actively listen, empathise with people and provide personalised support in a non-judgemental way
- Ability to provide a culturally sensitive service supporting people from all backgrounds and communities, respecting lifestyles and diversity
- Commitment to reducing health inequalities and proactively working to reach people from diverse communities
- Ability to support people in a way that inspires trust and confidence, motivating others to reach their potential
- Ability to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders
- Ability to identify risk and assess / manage risk when working with individuals
- Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the care coordinator role - e.g. when there is a mental health need requiring a qualified practitioner
- Ability to maintain effective working relationships and to promote collaborative practice with all colleagues
- Ability to demonstrate personal accountability, emotional resilience and work well under pressure
- Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
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