Job summary Rugby Health PCN has a great opportunity for a Care Coordinator to join us to provide coordination and help to those who are likely to experience health inequalities, assisting them to navigate the care and support available across health and care services. The successful candidate will play a key role in proactively identifying and working with people, including the frail/elderly/ housebound and vulnerable, particularly those with respiratory conditions, supporting them to understand and manage their condition and ensuring their changing needs are addressed. This will involve working closely with our Practices and as part of an Multi Disciplinary Team including Social Prescribers, the Health and Wellbeing Coach and the Enhanced Nurse Practitioner. The post-holder should have excellent IT skills (Microsoft Office) and experience of working in a Primary Care setting would be desirable. The Care Coordinator must be able to work confidently and effectively in a varied, and sometimes challenging environment. The successful candidate will have excellent interpersonal and communication skills, and be organised, patient and empathetic as they will interact with a diverse range of people from different cultural and social backgrounds. Main duties of the job This post will be based at our GP surgeries where the service will be provided from, and it will focus on coordinating planned reviews and completion of personalised care and support plans. The Care Coordinator has the following key responsibilities, in delivering health services: utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care; support patients to utilise decision aids in preparation for a shared decision-making conversation; holistically bring together all of a persons identified care and support needs, and explore options to meet these within a single personalised care and support plan (PCSP), in line with PCSP best practice, based on what matters to the person; help people to manage their needs through answering queries, making and managing appointments, and ensuring that people have good quality written or verbal information to help them make choices about their care, using tools to understand peoples level of knowledge, confidence in skills in managing their own health; support people to take up training and employment, and to access appropriate benefits where eligible for example, through referral to social prescribing link workers; Please refer to attached Job Description for full responsibilities. Right to work checks All applicants invited for interview will need to prove their right to work in the UK at the interview stage We are not able to offer sponsorship for this role About us Rugby Health PCN Rugby Health is a private limited company wholly owned by all the Rugby GP practices. As a GP led organisation, we represent 12 GP practice shareholders and cover circa 122,000 patients. We describe our work as building on the core of current primary care services to enable greater provision of proactive, personalised, coordinated and more integrated health and social care. Our aim is to move from reactively providing appointments to proactively caring for the people and communities we serve. Why Work For Us? On-site parking at GP practices Flexible hours and working arrangements considered from day 1 Dynamic and adaptable team Training and support, enabling you to develop within the role Date posted 14 January 2025 Pay scheme Other Salary £25,826.76 to £26,838 a year (dependent upon experience) Contract Permanent Working pattern Full-time, Part-time, Flexible working Reference number A5360-25-0000 Job locations Clifton Road Surgery 26 Clifton Road Rugby Warwickshire CV21 3QF Job description Job responsibilities The Care Coordinator has the following key responsibilities, in delivering health services: utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care; support patients to utilise decision aids in preparation for a shared decision-making conversation; holistically bring together all of a persons identified care and support needs, and explore options to meet these within a single personalised care and support plan (PCSP), in line with PCSP best practice, based on what matters to the person; help people to manage their needs through answering queries, making and managing appointments, and ensuring that people have good quality written or verbal information to help them make choices about their care, using tools to understand peoples level of knowledge, and the confidence in skills in managing their own health; support people to take up training and employment, and to access appropriate benefits where eligible for example, through referral to social prescribing link workers; assist people to access self-management education courses, peer support or interventions that support them to take more control of their health and well-being; explore and assist people to access personal health budgets where appropriate; provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches, and other primary care professionals; and i. support the coordination and delivery of MDTs within the PCN In addition to this, the Care Co-ordinator will deliver the following wider responsibilities: work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients, and where required and as appropriate, refer people back to other health professionals within the PCN; raise awareness within the PCN of shared decision-making and decision support tools; and raise awareness of how to identify patients who may benefit from shared decision making and support PCN staff and patients to be more prepared to have shared decision-making conversation Any other duties as may be requested by the Clinical Lead or Operations Director of the PCN. Job description Job responsibilities The Care Coordinator has the following key responsibilities, in delivering health services: utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care; support patients to utilise decision aids in preparation for a shared decision-making conversation; holistically bring together all of a persons identified care and support needs, and explore options to meet these within a single personalised care and support plan (PCSP), in line with PCSP best practice, based on what matters to the person; help people to manage their needs through answering queries, making and managing appointments, and ensuring that people have good quality written or verbal information to help them make choices about their care, using tools to understand peoples level of knowledge, and the confidence in skills in managing their own health; support people to take up training and employment, and to access appropriate benefits where eligible for example, through referral to social prescribing link workers; assist people to access self-management education courses, peer support or interventions that support them to take more control of their health and well-being; explore and assist people to access personal health budgets where appropriate; provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches, and other primary care professionals; and i. support the coordination and delivery of MDTs within the PCN In addition to this, the Care Co-ordinator will deliver the following wider responsibilities: work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients, and where required and as appropriate, refer people back to other health professionals within the PCN; raise awareness within the PCN of shared decision-making and decision support tools; and raise awareness of how to identify patients who may benefit from shared decision making and support PCN staff and patients to be more prepared to have shared decision-making conversation Any other duties as may be requested by the Clinical Lead or Operations Director of the PCN. Person Specification Experience Essential Proven experience in system set up and maintenance Experience in an administrative setting Experience in a care setting Evidence of on-going CPD Desirable Previous NHS experience Good understanding of client group and their needs Knowledge and Skills Essential Excellent organisational skills Ability to plan and organise workload effectively Ability to work accurately and under pressure Committed to continuous professional development of self and staff Ability to work unsupervised Effective communication skills Advanced keyboard skills Reliable and honest, with a respect for privacy and confidentiality Use of a person-centred approach at all times Professional and sensitive telephone manner Desirable Understanding of NHS systems Knowledge of NHS initiatives Ability to contribute ideas and follow through when appropriate Good understanding of client group Qualifications Essential NVQ Level 3 in administration or equivalent Advanced IT Skills (ideally Microsoft Office) Desirable NVQ Level 4 Diploma in Business and Administration Other requirements Essential An ongoing commitment to improving NHS services for the benefit of patients. Demonstrates flexibility. Effective team player Ability to work effectively under pressure. Desirable Driver with access to own transport Person Specification Experience Essential Proven experience in system set up and maintenance Experience in an administrative setting Experience in a care setting Evidence of on-going CPD Desirable Previous NHS experience Good understanding of client group and their needs Knowledge and Skills Essential Excellent organisational skills Ability to plan and organise workload effectively Ability to work accurately and under pressure Committed to continuous professional development of self and staff Ability to work unsupervised Effective communication skills Advanced keyboard skills Reliable and honest, with a respect for privacy and confidentiality Use of a person-centred approach at all times Professional and sensitive telephone manner Desirable Understanding of NHS systems Knowledge of NHS initiatives Ability to contribute ideas and follow through when appropriate Good understanding of client group Qualifications Essential NVQ Level 3 in administration or equivalent Advanced IT Skills (ideally Microsoft Office) Desirable NVQ Level 4 Diploma in Business and Administration Other requirements Essential An ongoing commitment to improving NHS services for the benefit of patients. Demonstrates flexibility. Effective team player Ability to work effectively under pressure. Desirable Driver with access to own transport 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 Rugby Health Limited Address Clifton Road Surgery 26 Clifton Road Rugby Warwickshire CV21 3QF Employer's website https://www.rugbyhealth.nhs.uk/ (Opens in a new tab)