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Care Coordinator
3 months ago
Job summary
gtd healthcare are one of the largest urgent and primary care healthcare providers in North West England, we are proud to have a member practice of the Oldham Central Primary Care Network (PCN) and work in collaboration within the PCN to support the healthcare needs of the Oldham population.
The Oldham Central PCN are currently recruiting for a Care Coordinator. The Oldham Central PCN is a network of 11 GP Practices lying within the Oldham Integrated Care System. Oldham South PCN services a population of 72,000 patients.
The role will work within the PCN team and across an integrated neighbourhood team of different health and care professionals involved in the care of this group of patients to coordinate their care plans.
This role involves contacting patients directly, the post holder will be responsible for providing support to patients and their families. The post holder will also act as a conduit for patients and families within the PCN, liaising with GPs, school nursing, health visitors, social prescribers, childrens social care, voluntary sector, and other PCN colleagues as needed.
This is an exciting time to join Oldham Central PCN in the progression and development of the PCN and the delivery of this innovative health programme focussed on prevention and early intervention in improving the health of children and young people.
Main duties of the job
This role will be the first point of contact for patients within this new pathway. They will be responsible for quickly building a trusted, supportive relationship with each family we work with. They will verify selected patients via a defined process, then contact patients to enrol them in the programme and triage them into a pathway depending on their response to a series of questions about their situation with support from an Advanced Nurse Practioner, and an integrated team including GP and social care support. Support the ongoing case management of patients and families on this pathway through regular check-ins, helping them make progress on their plans and supporting them to access the right resources and services. Work closely with multiple professionals from across the sectors to coordinate the support for patients and their families, ensure care plans meet the families needs and they receive the help and support they need. Support the PCN on implementation of this new model of care by providing updates & feedback on the model and helping adapt and improve it going forward to best meet the needs of our patients. Maintain a log that records the journey of each patient on the PHM programme, including the services they are referred to. Identify where there may be health inequalities and provide feedback on where engagement could be enhanced.For further details, please refer to the job description attached.
About us
At gtd healthcare we believe we do things differently. Our not-for-profit ethos, with a drive to innovate care offers patients the best experience possible and a unique opportunity to transform services.
We are keen to develop and support staff to excel their career aspirations whilst making a positive difference to patients and the community. We put our people at the heart of everything we do. We are a values driven organisation and we are passionate about providing the best possible healthcare for our patients.
Benefits package
As an employee of gtd healthcare, you'll be able to take advantage of our benefits package, including:
working for a values-driven organisation; Real living wage employer; access to Wagestream, which provides flexible and on-demand access to stream your pay during the month, in real-time, when picking-up extra shifts; 30 days annual leave, rising to 32 after five years of continuous service; flexible pension benefits including NHS pension scheme; flexible working hours and policies; family friendly and carer policies; opportunities to apply for innovation and quality awards; access to gtd healthcares wellbeing initiatives, which offer a wide range of tools and resources; gtd healthcare social and fun activities; cycle to work scheme. Job description
Job responsibilities
Main Duties and Responsibilities
This role will be the first point of contact for patients within this new pathway. They will be responsible for quickly building a trusted, supportive relationship with each family we work with and understanding how our programme may be able to help them. They will verify selected patients via a defined process, then contact patients to enrol them in the programme and triage them into a pathway depending on their response to a series of questions about their situation with support from an Advanced Nurse Practioner, and an integrated team including GP and social care support. Support the ongoing case management of patients and families on this pathway through regular check-ins, helping them make progress on their plans and supporting them to access the right resources and services. Work closely with multiple professionals from across the sectors to coordinate the support for patients and their families, ensure care plans meet the families needs and they receive the help and support they need. Support the PCN on implementation of this new model of care by providing updates & feedback on the model and helping adapt and improve it going forward to best meet the needs of our patients. Maintain a log that records the journey of each patient on the PHM programme, including the services they are referred to. Identify where there may be health inequalities and provide feedback on where engagement could be enhanced. Use technology and appropriate software , EMIS and Graphnet as an aid to management in planning, implementation and monitoring of care, presenting and communicating information. Reports to: PHM Operational Lead.Responsibilities To PCN Teams
Actively develop effective working relationships and lines of communication within the practice, with the PCN, and with wider multi-professional teams across Central NCA, schools, childrens social care, social prescribers. Can work effectively as a member of a team with the practice, PCN and ANP as a key person within the PHM model. Can recognise personal limitations and knows when to seek support from colleague(s). Develops an in-depth knowledge of local health and care infrastructure and knows how and when to enable people to access support and services that are right for them.Responsibilities To Patients
Quickly build trusting, supportive relationships with the children and families our model seeks to support. Manage a caseload of patients comprising at-risk children and families across the PCN. Proactively checks in with patients on the case load to help manage their needs through answering queries and ensuring that people have good quality written or verbal information to help them make choices about their care. Support people to understand their level of knowledge, skills and confidence when engaging with their health and wellbeing. Person Specification
Skills and Attributes
Essential
Willingness to undergo further training or development Flexible approach and highly motivated. Works well within a team. Proven experience building relationships with people in different settings and backgrounds. Evidence of good written and verbal communication skills with colleagues and patients and the public. Ability to communicate effectively at a range of levels. Good telephone manner. Able to deal with service users sensitively, recognising cultural and psychological needs. Excellent teamworking skills. Able to prioritise and manage own workload. Excellent interpersonal skills including ability to listen and empathise with people. Excellent organisational and administration skills. Professional attitude. Committed to personal development. Ability to meet deadlines and work. Approachable. Flexible and adaptable as the role will evolve.
Desirable
Knowledge of using NHS IT systems such as EMIS. Experience providing advice/signposting to users. Ability to analyse and interpret information and present results in a clear and concise manner.
Qualifications
Essential
Experience within Primary Care.
Desirable
Educated to GCSE Standard (Grades A-C) or Diploma/ HNC level (or relevant experience). Experience in Care Coordination.
Experience
Essential
Experience of working in Primary Care/Voluntary Sector/Community. Experience working with children and families. Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality. Use of MS Office (Word, Excel, Outlook).
Desirable
Relevant health and social care experience at AfC Band 3 or 4 or equivalent and/or previous experience in the NHS or social care or relevant field. Experience of administrative duties. Practical experience of being in a patient facing role. Working in a multi-disciplinary setting. Experience in use of databases.
Other
Essential
Excellent record keeping skills. At times there will be a requirement to travel across practices within the PCN (Central Oldham) and to other sites and partners.