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Site: Woodfield Road, 7e Woodfield Rd, Town: London
Salary: £27.48. Weekly pay will include: Basic pay + HCAS + 12.07% Holiday pay.
Salary period: Hourly. Closing: 28/01/2025 12:00.
Central London Community Healthcare (CLCH) is one of the largest community healthcare organisations in London and Hertfordshire, providing our services to diverse communities/boroughs in 11 London Boroughs - Barnet, Brent, Ealing, Hammersmith & Fulham, Harrow, Hounslow, Kensington and Chelsea, Merton, Richmond, Wandsworth, Westminster - and Hertfordshire.
We are rated Good by the Care Quality Commission and are ranked among top NHS employers. Community healthcare is our focus and our passion. We champion the role of community health professionals to ensure our patients receive great care closer to home.
Job overview
Mon – Fri 9-5
The Case Manager will work within an integrated neighbourhood/care team (ICT/INT) to proactively undertake case finding, manage, co-ordinate and support patients with multiple complex long-term conditions using the whole systems integrated care (WSICS) dashboards. The post holder will ensure all health and social care needs are met for risk stratification and managing frailty patient populations registered in the Primary Care Networks (PCNs) aligned to the ICT/INT. The post holder will also support the health inequalities agenda through engagement of patients in the most deprived areas of the West London borough and work with key stakeholders on the wider determinants of health to improve outcomes, functional status, and quality of life, ensuring integration of all elements of care, increasing patient choice, and preventing unnecessary admissions to hospital and reducing the stay of necessary hospital admissions.
Main duties of the job
1. The post holder will work as a minimum, 80% of their time in direct patient care. This will be spent supporting caseload allocation, providing practice development, and education and competence support to the Case Managers and Health and Social Prescribing Coordinators.
2. Work with the Primary Care Networks in the identification of patients at high risk for acute hospital admission and ensure those identified are assessed and have care planned appropriately to reduce their risk of admission.
3. Empower patients and carers through appropriate support and education, ensuring care provided and service delivered are in line with National Service Framework, NICE Guidelines, Trust policies, procedures, and the Clinical Governance Framework.
4. Work with Community Practitioners on the promotion of patient self-management programmes within the local community.
5. Have clinical responsibility for practice caseloads including aspects of care delivery and co-ordination in line with service operating procedures.
6. Support safer caseloads across the ICT/INT, minimising service risk in relation to workflow and productivity, responding to referrals in a timely manner, and acting swiftly to address waiting time portal breaches.
Working for our organisation
We provide community health services to more than two million people across eleven London boroughs and Hertfordshire.
Every day, our professionals provide high-quality healthcare in people's homes and local clinics, helping them to:
* stay well
* manage their own health with the right support
* avoid unnecessary trips to, or long stays in, hospital.
We support our patients at every stage of their lives, providing health visiting for new-born babies through to community nursing, stroke rehabilitation, and palliative care for people towards the end of their lives.
Our vision: deliver great care closer to home.
Our mission: working together to give children a better start and adults greater independence.
Detailed job description and main responsibilities
1. Operational support and management for the Case Managers and Health and Social Prescribing Co-ordinators.
2. Working with other Case Managers providing cover for GP practices during periods of absence and leave, ensuring service cover and clear escalation processes for practice teams to contact.
3. Leading and developing others through role modelling improved and evidence-based practice.
4. Providing supportive and facilitative clinical leadership in ICT/INT forums.
5. Manage the day-to-day ongoing delivery and development of the service that is responsive, high quality, value for money, and meets service specifications.
6. Responsible for service delivery metrics, monitoring of performance activity reports i.e. referrals, hub/home visits, care plans, outcomes, and utilisation.
Person specification
Education/Qualification
* Registered Adult/Mental Health Nurse
* Educated to Degree/Masters level or equivalent postgraduate experience
* Clinical Supervision Training
* Teaching and Mentoring
* Dual Registered Nurse
* V300 Non-Medical Prescriber
* Advance Clinical Practitioner or willing to undertake
Experience
* Extensive work experience at a Band 7 or above in a community/hospital/primary care setting
* Experience of presenting cases at large multi-disciplinary teams
* Experience of Frailty Populations, Long Term Conditions, Palliative Care, Respiratory, Cardiovascular Disease, Dementia
* Experience of working with stakeholders and collaborative negotiating, advocating for patients
* Experience of managing and investigating complaints
* Experience of managing and investigating serious incidents
Skills & Knowledge
* Line management of clinical staff in line with trust HR Process
* Goal setting with patients, coaching techniques to self-care and empowerment
* Knowledge of CHC, Fast track EoL Assessments
Due to the high number of applications received for some posts, we may close this vacancy before the advertised closing date. Therefore please apply for this post as soon as you can if you are interested and meet the requirements of the Person Specification.
Only those candidates who clearly demonstrate how they meet the person specification will be shortlisted for this job.
Interview arrangements will be communicated via email, so please check your email regularly following the closing date.
At CLCH, we appreciate and are proud of the diversity in the communities we serve and the workforce we employ. Applications are open and welcome to anyone, regardless of age, sexual orientation, gender identity and expression, ethnicity, religion, and disability.
We are proud to say that we follow the workforce race equality standard and 28% of our senior staff (8A and above) are from a BAME background. CLCH also has active BAME and LGBTQI networks:
* Disability and Wellbeing Network (DAWN)
* Race Equality Network
* Rainbow Network which supports LGBTQI staff
Each network has a champion who is an executive director at the Trust, and they hold regular meetings to discuss issues and make plans to improve CLCH.
Employer certification / accreditation badges
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020, and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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