Care Co-ordinator

Job description

Job responsibilities

Job Responsibilities:

Care coordination and patient support

• Coordinate care for patients with complex health and social care needs.
• Develop positive and supportive relationships with patients and carers.
• Help patients understand and navigate available health, social care and community services.
• Liaise with healthcare professionals and external agencies to ensure effective communication and continuity of care.
• Identify patients requiring additional support and escalate concerns appropriately.

Clinical support

• Undertake clinical and patient-facing activities within the individual's training, competence and agreed scope of practice.
• Undertake blood pressure checks, dementia reviews and other appropriate clinical reviews following appropriate training and assessment.
• Support clinicians with proactive patient care and recall activity.
• Recognise and escalate any concerns identified during patient contact to an appropriate clinician.

QOF and proactive care

• Support the practice in achieving QOF targets and other contractual requirements.
• Maintain and update relevant patient registers.
• Identify patients who are due reviews, investigations or follow-up.
• Assist with searches, recalls and proactive care programmes.
• Support the practice to identify gaps in care and improve patient outcomes.

Team working

• Work closely with the duty doctor and wider clinical team.
• Contribute to multidisciplinary team working.
• Communicate effectively with colleagues across primary, secondary, community and social care.
• Participate in practice meetings and service improvement activity as required.

Administration and record keeping

• Maintain accurate, timely and appropriate patient records.
• Ensure all activity is documented in accordance with practice policies and information governance requirements.
• Manage workload effectively and prioritise according to patient need and clinical urgency.
• Undertake administrative tasks associated with care coordination and proactive patient management.

Person Specification

Experience

Essential

• Experience of working with patients, carers or members of the public in a health, care, social care or similar setting.
• Experience of working as part of a team.
• Experience of managing and prioritising a varied workload.
• Experience of maintaining accurate records.

Desirable

• Previous experience within general practice, primary care, community care or another healthcare environment.
• Experience of working with patients with long-term conditions or complex needs.
• Experience of undertaking patient reviews or clinical observations.
• Experience or training in undertaking clinical observations or patient reviews.

Qualifications

Essential

• Minimum Grade C GCSE or equivalent in English Language and Maths or equivalent qualification
• NVQ Level 3 or equivalent

Desirable

• Care Certificate or equivalent healthcare related training

Knowledge, skills and abilities

Essential

• Understanding of confidentiality and information governance.
• Understanding of the importance of person-centred care.
• Understanding of the needs of patients with complex health and social care needs.
• Understanding of the importance of accurate record keeping.
• Excellent communication and interpersonal skills.
• Compassionate and empathetic approach to patients and carers.
• Ability to work independently and use initiative.
• Ability to prioritise and manage competing demands.
• Good attention to detail.
• Good IT skills
• Ability to work effectively as part of a multidisciplinary team.
• Ability to communicate appropriately with patients who may have complex or additional needs.
• Friendly, approachable and professional.
• Reliable and organised.
• Proactive and willing to take responsibility.
• Flexible and adaptable
• Able to maintain professional boundaries and confidentiality.

Desirable

• Knowledge of QOF and primary care quality targets.
• Understanding of long-term conditions, frailty, dementia or learning disabilities.
• Knowledge of local health, social care and community services.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

The Park Surgery

Address

116 Kings Road

Herne Bay

Kent

CT6 5RE

United Kingdom

Employer's website

https://www.parksurgery.net/