Health Care Co-ordinatorNHS

Job summary

An exciting opportunity to make a real difference to our patients.

We are looking for a compassionate, organised and proactive Health Care Co-ordinator to join our friendly general practice team.

Part time (15hrs per week / 2 or 3 days per week)

Salary up to £25,954 per annum, pro rata, dependent upon experience.

This is an important role supporting people living with frailty, helping them to receive coordinated, personalised care and remain independent in their own homes for as long as possible.

Working closely with GPs, practice nurses, community teams, social care and other members of the multidisciplinary team, you will help identify patients who may benefit from additional support and ensure that their care is well coordinated.

Main duties of the job

About the role

As Health Care Co-ordinator, you will:

• Working both remotely in the patients home and within the practice you will proactively support patients living with frailty and those at risk of deterioration.
• Work with patients and their families/carers to understand their individual needs, wishes and priorities.
• Contribute to the review of patients with complex needs and multiple long-term conditions, undertaking clinical observations and phlebotomy.
• Coordinate care between the practice, community services, social care, voluntary organisations and other relevant services.
• Help patients navigate health and social care services and access appropriate support.
• Support proactive management of patients with complex needs and multiple long-term conditions.
• Help identify patients at risk of hospital admission and support appropriate preventative interventions.
• Maintain accurate and up-to-date patient records and care plans.
• Follow up patients where appropriate and escalate concerns to the relevant clinician or service.
• Promote independence, wellbeing and shared decision-making.
• Support the practice in delivering high-quality, coordinated care to its frail and elderly population.

Job description

Care coordinators play an important role within a PCN to proactively identify and work with people, including the frail/elderly and those with long-term conditions, to provide coordination and navigation of care and support across health and care services.

They work closely with GPs and practice teams to manage a caseload of patients, acting as a central point of contact to ensure appropriate support is made available to them and their carers; supporting them to understand and manage their condition and ensuring their changing needs are addressed.

This is achieved by bringing together all the information about a persons identified care and support needs and exploring options to meet these within a single personalised care and support plan, based on what matters to the person.

Care coordinators review patients needs and help them access the services and support they require to understand and manage their own health and wellbeing, referring to social prescribing link workers, health and wellbeing coaches, and other professionals where appropriate.

Their aim is to help people improve their quality of life.

The successful candidate will be caring, dedicated, reliable and person-focused and enjoy working with a wide range of people. They will have good written and verbal communication skills and strong organisational and time management skills. They will be highly motivated and proactive with a flexible attitude, keen to work and learn as part of a team and committed to providing people, their families and carers with high quality support.

About us

Why join us?

You will be joining a supportive practice team where your contribution can have a direct and meaningful impact on the lives of our patients.

This role provides an excellent opportunity to develop strong relationships with patients and partner organisations while helping to improve the coordination and continuity of care.