Complex Case Manager-Integrated Discharge Team
An exciting opportunity has arisen to work in the Integrated discharge team. Practising as an independent specialist clinical practitioner responsible for the management of a defined case load. The post holder will work in partnership with the multi-disciplinary team (MDT) to implement and improve the patient pathway.
You will play a vital role within hospital flow and be the escalation point to progress the patients journey reducing the number of non-valued added in-patient days and in turn facilitate a timely discharge on EDD.
They will be a main contact for patients and families to advise and guide them through the complex discharge process., Post Holder will be based within hospital Complex Discharge Team.
The post holder will be practising as an independent specialist clinical practitioner responsible for the management of a defined case load.
The post holder will work in partnership with the multi-disciplinary team (MDT) to implement and improve the patient pathway.
You will play a vital role within hospital flow and be the escalation point to progress the patient's hospital journey reducing the number of non- valued added in-patient days and in turn facilitate a timely discharge on the EDD.
They will be a main contact for patients and families to advise and guide them through the complex discharge process.
Working for our organisation
Northampton General Hospital is one of the largest employers in the area and we are on an exciting journey. All of our divisions are committed to doing things better, with more efficiency as we update, modernise, and advance. We have also entered into a Group Model with neighbouring Kettering General Hospital NHS Foundation Trust and become University Hospitals of Northamptonshire.
Our Excellence Values
Compassion
Accountability
Respect
Integrity
Courage
We want to recruit the best people to deliver our services across the University Hospitals of Northamptonshire and help to unleash everyone's full potential. As an organisation, we value how we communicate and promote our vacancies to all communities.
We are a Defence positive trust, supporting our reservists, veterans, spouses and partners.
The Hospital Group encourages applications from people who identify from all protected groups, especially those from BAME, Disabled and LGBTQ+ backgrounds as these are underrepresented in our hospitals.
We understand that we need to work with colleagues from diverse backgrounds and make sure the environment they work in is inclusive and collaborative.
We have active Networks that promote and support colleagues from all backgrounds. This ensures everyone feels supported and has a sense of belonging working for Kettering and Northampton General Hospitals., To actively facilitate effective and timely discharge of patients through liaison with appropriate departments, organisations, and professionals.
Attended the daily ward board rounds of patients on your case load to review patients' needs related to discharge and update the ward MDT.
Provide Specialist Knowledge, support, and guidance to colleagues regarding discharge planning and mental capacity.
Demonstrable working knowledge and practical application of legislation relevant to discharge and transfer of care process including the Care Act.
Have extensive knowledge of health and social care services, roles and responsibilities and apply this to support patient discharges.
Liaise with Site Manager to ensure complex discharges are expedite on date of discharge.
To Coordinate / Participate in family, professional, and best interest meetings with multi-agencies to discuss Patients discharge arrangements.
Identify delays in the patient journey and act appropriately to challenge process.
Expert knowledge and understanding of the D2A model and pathways
Be the health lead in understanding the appropriate Discharge to Assess (D2A) pathway appropriate for patients and be ready to facilitate this pathway as soon as the patient is medically optimised.
Responsible for the integrated discharge hub and ensuring patient referrals are forwarded to relevant agencies in a timely manner
Responsible for updating Transfer of Care form (TOC) post IDT Hub with pertinent information identified to support Patients needs for a pathway to be agreed.
Work collaboratively with Specialist Teams internal and external to confirm clinical plans in place to reduce non valued added in-patient days and follow-on care post discharge.
Liaise with General Practitioners, community nurses, clinical support professionals and other agencies to facilitate a patient discharge.
Liaise with the community hospitals to ensure the continuity of patient care, when crossing healthcare boundaries.
Act as a focus for investigations and resolution of individual patient discharge problems, utilising the links with other professionals and an overall knowledge of available facilities and options for patient care within the community.
Support wards to diffuse and deal with conflict and delicate discharge situations to agree a discharge plan.
At Northampton General Hospital we provide general acute services and hyper-acute stroke, vascular and renal services to people living in Northamptonshire. As well as this we are an accredited cancer centre and provide cancer services to a wider population of Northamptonshire and parts of Buckinghamshire.
We are proud to be the first hospital in the UK to have obtained Pathway to Excellence® designated accreditation from the American nurses credentialing centre (ANCC).
We celebrate staff achievements and value the importance of working as one big team. That's why we talk about Team NGH. It's all about working together to provide the best possible care for our patients and supporting each other to grow and develop our skills. We are driven to helping you to be the best you can be.
We want to recruit the best people to deliver our services across the University Hospitals of Northamptonshire and help to unleash everyone's full potential. As an organisation, we value how we communicate and promote our vacancies to all communities. The Hospital Group encourages applications from people who identify from all protected groups, especially those from BAME, Disabled and LGBTQ+ backgrounds as these are underrepresented in our hospitals. We understand that we need to work with colleagues from diverse backgrounds and make sure the environment they work in is inclusive and collaborative. We have active Networks that promote and support colleagues from all backgrounds. This ensures everyone feels supported and has a sense of belonging working for Kettering and Northampton General Hospitals.