Complex Case Manger Adult Chc Ld

As part of an emerging organisation in a changing NHS landscape, our employees have the opportunity to improve the service and individual experience. In these challenging times the culture within the ICB is one of collaboration, creativity and hard work. Ideas are encouraged at all levels with every member of staff given the opportunity to effect positive change to promote a high quality service that is safe and person-centred.

We require a motivated and experienced registered nurse, ideally LD qualified or with significant LD experience, who can work autonomously and collaboratively in a multi-agency environment with individuals and their representatives to support the assessment and review processes for NHS Continuing Healthcare (CHC) and NHS Funded Nursing Care (FNC) including the promotion and review of Personal Health Budgets.

This is a key management role where you will lead a clinical team, providing expertise and acting as case manager for highly complex cases.

You will have knowledge of the National Framework for Continuing Healthcare (2022). You will also need a good understanding of the Mental Health Act (1983), and the Mental Capacity Act (2005). You will be working in partnership with our local authorities, clinical teams, and other stake holders therefore experience of multi-disciplinary working is essential.

A current driving licence and vehicle insured for business use or the ability to otherwise travel to a variety of locations will be required.

Main duties of the job

The post holder will be responsible for the day to day management of a small team of LD nurses. The post holder will also hold a caseload of complex cases and responsibilities will include:
Assessment & case management of patients funded by NHS Continuing Healthcare (CHC). This includes review of commissioned care to ensure that care is robust and effective, taking action where any quality or safety issues arise.

A key aspect of this post will be to provide professional leadership, and clinical expertise to other members of the CHC Team. This includes support to the Clinical Assessors, as well as to the Head of Joint Care Home Contracting & Procurement, Clinical Operational Leads, the Continuing Healthcare Panel, and others as appropriate.

It is expected that the post holder will contribute to the management and be part of the CHC Duty Rota. The CHC Duty role manages referrals through the CHC process, including those patients that have rapidly deteriorating conditions along with managing daily enquiries to the CHC Service and any case management issues that arise unexpectedly.

It is envisaged that the post will be instrumental in securing and ensuring the highest standards within CHC by maintaining standards within the CHC team and by working in partnership with care providers to improve the patient experience. The post holder will act as ambassador for CHC both within the ICB, and in their contacts with all other stake holders.

As part of an emerging organisation in a changing NHS landscape, our employees have the opportunity to help shape healthcare to improve the experience of the individual and of the service moving forwards. There are challenges within healthcare services which present in a variety of ways and the culture within the ICB is one of collaboration, creativity and hard work. Ideas for innovation are encouraged at all levels with every member of staff given the opportunity to effect positive change and help ensure the continued delivery of safe, quality services.

Principal Duties

Operational Management
- To lead a team of Clinical Assessors to provide clinical expertise and guidance
- ensure the CHC team works effectively to maximises individual skills and performance
- ensure that patient care is effective, safe, and delivers outcomes
- To be part of the recruitment process for members of the CHC Team
- Provide 1:1 supervision/support for your team members
- Offer peer review
- Have access to and receive all the ICB mandatory training and have a current personal development plan
- Ensure that team members learning is up to date and mandatory training completed
- 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
- 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
- Undertake appropriate training and ensure that all clinical staff receive training appropriate to their role within the CHC Team
- To provide professional support, expertise, and input to the CHC Team and verification Panels
- To provide professional support, expertise, and input, where required to support the Appeals Procedure
- To ensure that you and all cl