Job summary
Integrated Neighbourhood Team (INT) Senior Case Manager
We are looking for an enthusiastic and dynamic individual to join the Integrated Neighbourhood Team. The INT Senior Case Manager will work with core community-based MDTs and wider professional network to develop integrated neighbourhood/care teams. They will proactively undertake case finding, manage, co-ordinate and support patients with multiple complex long-term conditions using the whole systems integrated care approach.
The post holder has the overall responsibility for overseeing core MDT operations and developing INTs. Building relationships with Primary Care Networks (PCNs) and key stakeholders to improve outcomes and quality of life and prevent unnecessary admissions to hospital.
The post holder will support core team members to ensure patients with complex needs on the community caseload are receiving optimum health and social care support. The role is approximately 60% clinical. You will work flexibly across the team, and will ideally have experience operational change management as well as good knowledge of social care and/or health delivery.
As the role supports partnership working, good communication and inter-personal skills are fundamental, alongside strong technical ability. You will use your experience to ensure a structured management process of methodologies and principles to deliver positive outcomes and measurable results.
Interviews: tbc
Main duties of the job
The key responsibilities include :
1. Responsibility for the operational management and professional clinical leadership of INT functions. This includes supporting Huddle meetings on GP and/or Neighbourhood level.
2. Oversee the performance of the core teams, delivering against agreed objectives and target outcomes within available allocated resources
3. Oversee the coordination function that supports the existing community base services with forming multidisciplinary teams, delivering care via MDT meetings and enabling closer working across Health and Care Localities teams and Primary Care Networks
4. Oversee the core co-ordination function and support alignment and integration across the teams as part of service delivery. Y
5. Work closely with the Integrated Management Team and existing service leads, to focus on testing and embedding innovative solutions to transform service delivery and work towards improving outcomes for residents.
6. Responsible for exploring current practice, identifying areas for improvement, and providing professional and expert input into development, and planning of the appropriate change using current evidence to evaluate outcomes.
7. Ensure the quality of patients' experience and lead on facilitating changes designed to improve patient experience.
8. Support the development of care pathways that deliver on partner objectives and ensure excellent patient outcomes and experience.
About us
Croydon Health Services NHS Trust provide hospital and community services from a number of community and specialist clinics throughout Croydon. The Trust was formed on 1st August 2010 through the integration of Croydon Community Health Services and Mayday Healthcare NHS Trust. Around 4,100 staff provide services for a population of over 360,000 people who are relatively young with a high level of ethnic main hospital site, Croydon University Hospital is one of the busiest in London. We're also leading the way in providing more healthcare outside hospitals at clinics, specialist centres and in people's homes. Our experienced district nursing teams, Allied Health Professionals and community matrons look after people of all ages across the NHS everyone is working hard to meet growing demand and we're no exception. But with the right people on board, we are rising to this challenge, putting our people in the driving seat, encouraging innovation and transforming our services to give local people the quality of care they deserve. Croydon Health Services puts a great deal of importance on education and training throughout the careers of all of our you want the opportunity to have a real impact, challenge yourself and be part of an NHS Trust that's making a real difference then a career at Croydon Health Services could be just what you're looking for.
Job description
Job responsibilities
Please see the attached supporting document (Job Description) which contains more information about the role
Person Specification
Education and qualifications
Essential
1. Education to first level degree or equivalent
2. Independent prescriber V300
3. Enhanced Physical Assessment Skills and history taking
4. Current NMC/HCPC registration
5. Car driver and owner
Desirable
6. Masters level study or willing to work towards
7. ENB 998/997 or equivalent mentoring training
8. Case Management of people with LTC module
Experience
Essential
9. Evidence of post registration education specialist practitioner, nurse practitioner, post, registration cousperses or portfolio of evidence
10. Primary Care experience in care of people with long term conditions
11. Experience of working in Community services
12. Experience of clinical audit, benchmarking and evaluation of services
13. Experience of interagency and collaborative working
Skills
Essential
14. Report writing skills, including presentation of data
15. Excellent IT, written and communication skills
16. Excellent time management skills and well-developed ability to prioritise work and to tight internal and external deadlines across multiple delivery areas
17. Able to influence and lead change at senior level
18. Ability to monitor the quality of work in others, to identify their learning and development needs, devising strategies to resolve
Personality and personal attributes
Essential
19. Able to work effectively in different situations, with groups or individuals exhibiting a range of competences, behaviours, and motivations
20. Able to investigate, de-escalate and resolve issues that may be sensitive or difficult, requiring tact and patience
21. Able to plan and deliver work effectively, logically, and systematically. Organised, methodica
22. Experience of customer service in a multi-cultural environment
Knowledge and understanding
Essential
23. Knowledge of current community service changes and direction
24. Knowledge of current local priorities and developments within the community setting
25. Knowledge of clinical risk strategies and able to apply risk reduction techniques
26. Good working knowledge of wider health and social care system and structures, policies, procedures, and legislation relevant to services areas.
27. Understanding of effective team working
28. Understanding of change management