Main area: Complex Case Manager within the CAPT Team
Grade: NHS AfC: Band 7
Contract: Permanent
Hours: Full time - 37.5 hours per week (Monday - Friday - 09:00 - 17:00 hours)
Job ref: 105-6704388-A
Employer: Coventry & Warwickshire Integrated Care Board
Employer type: NHS
Site: Parkside House
Town: Coventry
Salary: £46,148 - £52,809 per annum
Salary period: Yearly
Closing: 04/11/2024 23:59
Complex Case Manager
NHS AfC: Band 7
Job overview
Complex Case Manager substantive post 37.5 hrs per week within the ICB.
Responsible for undertaking CHC assessments and the management of complex patients with identified healthcare needs.
Responsible for the line management of B6 Clinical Nurse Assessors.
Responsible for ensuring KPI's and QIPP savings.
Quality Assurance oversight of complex LD cases.
Liaising and active engagement with CHC stakeholders.
Facilitating Level 1 dispute meetings.
To participate with the allocated duty role within the CHC Team.
Ensuring ICB values are achieved.
Main duties of the job
• To assess, case manage, monitor, and formally review the health needs of patients funded by CWICB within Coventry, Rugby, and Warwickshire North places, as well as those cases placed out of county receiving care under CHC.
• To review existing historical joint funding care packages for learning disabilities clients where the issues are considered to be standard rather than complex.
• To carry out verification and quality assurance of all DSTs and review assessments as one of the primary assignments for the role.
• To coordinate and provide needed support to the Legal Team in all legal cases and report to the line manager on the progress of all cases.
• To liaise with the ICB DOLs Team to provide required clinical information and updates to the Clinical Commissioning Manager.
• To coordinate and ensure timely and effective dispute processes. To lead in Level 1 disputes and escalate unresolved cases to Level 2 stage.
Working for our organisation
Operational Management:
• To manage Clinical Assessors to ensure the CHC team works effectively and maximises individual performance in respect of patient care.
• To be part of the recruitment process for members of the CHC Team.
• Provide peer reviews for clinical staff.
• Have access to and receive all ICB mandatory training and have a current personal development plan.
• Participate in ensuring that those staff under your management fulfil their responsibilities under all appropriate legislation and guidance.
• Ensure that clinical staff are aware of any updates to relevant guidance (CHC) and protocols.
• Undertake appropriate training and ensure that all clinical staff receive training appropriate to their role within the CHC Team.
• To provide professional support, expertise, and input to the CHC Team and verification panels.
Detailed job description and main responsibilities
To ensure that all clinical staff within the CHC team adhere to all ICB policies and procedures.
• Ensure that you receive appropriate supervision and annual appraisal for professional development.
Clinical:
• To assess, case manage, monitor, and formally review the health needs of patients funded by CWICB.
• To provide specialist training, support, and education to other health professionals.
• To case manage your own clinical caseload including resolving issues with funding, placements, invoices, and complaints.
• To attend/chair Best Interest meetings and Clinical Treatment Reviews as required.
• To coordinate and provide needed support to the Legal Team and report to the line manager on the progress of all cases.
• Oversee and ensure that CHC reviews are carried out as per national guidance and take responsibility for managing complex cases.
• To participate, inform, and support continued service developments.
• To provide case management for individuals in receipt of 100% NHS funding.
• To ensure all appropriate correspondence to families is dealt with efficiently.
• To be a constant point of contact and support for those involved and lead in the case management of individual cases.
• To manage complaints and queries to their conclusion relating to your caseload.
• To provide accurate assessments of need when required to support identification of appropriate services.
• To demonstrate a keen desire to improve and drive performance by making a positive impact on care delivery.
Person specification
Evidence and Verbal
* Evidence of leadership skills
* Clinical qualification – RLDN
* Previous experience of leading a team or working in multidisciplinary teams
* Knowledge of working within CHC or understanding of NHS CHC Framework
* Evidence of leadership training or experience in a leadership role
Coventry and Warwickshire ICB are committed to supporting all employees to work flexibly. Flexible working is an arrangement which supports an individual to have greater choice in when, where, and how they work.
We aim to be a great place to work and have many initiatives in place to support staff.
The ICB has a Wellbeing Warriors group which focuses on the physical, mental, and emotional health of all staff.
Employer certification / accreditation badges
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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