Case Management Team Leader
11 hours ago
To be responsible for preparation of correspondence and complex report, assessments and papers
- To undertake complex clinical assessment and clinical report writing. To represent the team on panels and decision making forums as required, participating in the decision-making process and clarification of funding responsibilities for clients who are registered with a NHS Shropshire, Telford and Wrekin GP. To represent NHS Shropshire, Telford and Wrekin on NHSE appeal panels.
- To liaise and communicate with external agencies including; NHS England, care providers, solicitors
- To maintain constructive relationships with a broad range of internal and external stakeholders. To participate in relevant internal and external working groups/projects, services, and initiatives which may be highly complex, sensitive, political, and contain contentious information with the aim of providing information and analytical advice to the teams. To communicate complex, clinical, personal and emotive information about patients and circumstances including risks, issues and dependencies, diagnosis, prognosis and eligibility to NHS funded services. To lead on the management of contentious cases which are highly complex and sensitive, acting as representative in legal proceedings. To deal with regular telephone calls throughout the day, addressing highly sensitive and complex enquiries, issues of concern regarding patient wellbeing, complaints and referrals that may require an immediate response
- To participate in the monitoring, review and complaints procedures of individuals with complex needs whose care is managed in their own homes or in residential care settings. Analytical & Judgement Skills To undertake complex and detailed analysis of specific projects and patients requiring high levels of concentration. To update, maintain, organise, gather and analyse information to predict/meet future individual patient, organisational and team needs by identifying best professional practice. To contribute to the information management of performance, taking a lead for specific projects To provide co-ordination of and participate in relevant meetings, reporting attendance and providing information advice and support where requested Planning & Organisational Skills To plan own workload and diary to ensure local, national and statutory targets and deadlines are met.
To undertake complex clinical assessment and care planning to ensure patient need is met and that where appropriate, step-down/discharge is planned and co-ordinated to ensure patient need is met in the least restrictive way. To work with members of the team and key stakeholders to investigate the causes of any variance from plan/delivery targets and contribute to the implementation of solutions. Patient/Client Care To manage a defined caseload undertaking responsibilities as delegated by the Team Leader/Manager
- this will include the routine management of complex cases and the planning, organising and commissioning of specialised care packages ensuring the maintenance of accurate records. To participate in the assessment, monitoring, review and complaints procedures of individuals with varying levels of complex needs whose care is managed in their own homes or in care settings.
To assist or lead (depending on who is the responsible commissioner) in the co-ordination of complex care packages involving members of the multi-disciplinary / multi-professional team as required. To assist in the collaboration and the co-ordination of the review and assessment process and to undertake reviews and assessments, including formal eligibility assessments as indicated. To undertake needs portrayal and retrospective assessments for PUPOC and appeals. To practice at all times in a manner that is within the NMC Code of Conduct and Guidelines or equivalent for specialist health profession.
To practice at all times within a clinical governance framework that promotes quality. The postholder will be responsible for the formal reviews and compliance with KPIs in relation to review completion for their locality case load, including the quality control and verification/ratification process. To co-ordinate and commission complex care packages involving members of the multi-disciplinary /
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