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Care Transition Nurse

3 months ago


Derby, United Kingdom Derbyshire Healthcare NHS Foundation Trust Full time

Job summary

As a Care Transition Nurse, you will be working to support the discharge function; providing flexible, responsive, proactive and interactive assessment, care and management to individuals who require funding to enable discharge from acute in patient services. Ensuring empowerment of the service user and their carers / family throughout the process.

It is Trust policy that for posts that are for a time limited period, applicants who are currently employed by an NHS organisation will only be appointed on a secondment basis and should have approval from their line manager this is possible before applying. Applicants who are not employed by an NHS organisation, will receive a fixed term contract.

Main duties of the job

Establish the role within all Acute Inpatient Areas by attending weekly clinical meeting and appropriate ward meetings. To identify present in-patients who would benefit from an alternative placement /or package of care to enable an early discharge from in patient care. To work closely within the in patient service, community and other professionals involved with an individual's care. To introduce placement and community package options to service users and carers/ family. To support the clinical team to complete and update the required paperwork as part of funding applications. To ensure timescales are determined and adhered to. The post holder will also be expected to participate in the completion of the required documentation. The post holder to submit completed documentation to the relevant agencies and will follow up on progress of application and offer regular updates to clinical team. The post holder may be involved in some co-ordination of attendees of the care team to the appropriate funding panel. The post holder may at times need to address conflict of opinion over appropriate placement/ packages with professionals, the clinical team and patients, carers and families.

About us

Join 'Team Derbyshire Healthcare' and become part of a talented, compassionate and enthusiastic workforce committed to a vision of 'making a positive difference in people's lives'.

CQC rated us as 'GOOD' overall, commenting on how our colleagues "treated patients with compassion and kindness" and "felt positive and proud about working for the trust."

Benefits include:

Commitment to flexible working where this is possible 27 days annual leave/year plus bank holidays, increasing to 29 days after 5 years & 33 days after 10 years' service Yearly appraisal and commitment to ongoing training Generous NHS pension scheme Good maternity, paternity and adoption benefits Health service discounts and online benefits Incremental pay progression Free confidential employee assistance programme 24/7 Access to our LGBT+ network, BAME Network and Christian Network Health and wellbeing opportunities Structured learning and development opportunities Job description

Job responsibilities

PLEASE NOTE: To view the Job Description and Person Specification, please click APPLY FOR THIS JOB - this link will take you to the TRAC Recruitment Site. You will need to register if you do not already have an account.

The role will be part of the current bed management team , working alongside a full time Transition of Care Nurse based at the Radbourne Unit. The post holder will support patients leaving the ward and being discharged to community into other care provisions or to their home address.

Supporting patients to engage with local community based support networks to encourage and maintain independence within the local community when they no longer require an acute hospital bed. This will include working alongside social care and third sector providers to ensure the right place at the right time is achieved .

Person Specification

education

Essential

must have professional qulaification ie RMHN experience of working in an acute hospital or crisis setting

Desirable

working with multi disciplinary partners good problem solving skills

Experience

Essential

experience of working in an acute hospital environment or assessment role experience of working with partner agencies such as social care