Job summary
A patient's recovery can be impacted by staying in hospital longer than is necessary so having the right care plan in place to support the person to leave hospital at the earliest and safest time for them is crucial.
The Acute Trust Case Managers support the effective management of patient discharge from hospital and play a pivotal role in supporting ward-based colleagues with patient discharge plans.
The Acute Trust Case Managers work with all members of the newly formed Transfer of Care Hub (ToCH) based at the Weston General Hospital, including social workers, Sirona CToCH (Community Transfer of Care Hub) team and community therapists and will be encouraged to participate and share learning with colleagues across the team.
We are looking for Registered Nurses or AHPs (Allied Health Professionals) to join our team.
Main duties of the job
Use your expert knowledge to coordinate, facilitate and drive all patient discharges on the wards.
Be responsible for a defined caseload working with specific wards on a rota basis
Manage complex discharges, supporting /completing initial assessments for Continuing Health Care (CHC) fast-track assessments, and referrals to Community Partners (Sirona) for pathway beds.
Liaise with the wider MDT, local authorities (LA) and ICB to drive discharge at all levels.
Ensure that National policies and guidelines are adhered to.
Ensure that patients and relatives are at the heart of everything we do involving, supporting and communicating with them throughout the discharge process.
Build key relationships on the wards with all staff to ensure collaborative working relationships are cultivated to support effective and timely patient discharge.
Provide line management for patient flow coordinators and discharge flow coordinators.
About us
University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, bringing together a combined workforce of over 13,000 staff and over 100 different clinical services across 10 different sites, serving a core population of more than 500,000 people across South West England. UHBW has been rated by the CQC as 'Good' overall and our staff are proud to deliver excellent care to the people of Bristol, Weston and beyond. As a forward- thinking multi-award winning Trust and a digital exemplar committed to improving patient care, our world-leading research and innovations are having a positive local and global impact. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer. UHBW is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we're meeting our pledge.
Job description
Job responsibilities
For a more detailed job description and main responsibilities, please refer to the job description document attached to this vacancy.
Person Specification
Qualifications and Training
Essential
1. Registered Nurse or HCPC registered
2. Evidence of recent CPD
Knowledge and experince
Essential
3. Demonstrate a broad post registration experience
4. In-depth experience of working within a multidisciplinary team in an acute Trust
5. Experience of discharge planning of complex patients
6. Evidence of specialist knowledge relating to patient discharge
7. Knowledge of relevant legislation relating to patient discharge
Desirable
8. Experience of working with, or in Community healthcare
9. Experience of Line Management
10. Experience of undertaking projects/audits(D)
Skills and abilities
Essential
11. Demonstrate excellent clinical assessment, planning, delivering and evaluation skills
12. Ability to manage complex patient cases
13. Ability to motivate and influence staff
14. Remain professional and focussed during pressurised situations
15. Ability to organise and prioritise a large and varied workload
16. Excellent written, verbal and electronic communication skills
17. Ability to use IT systems including Careflow EPR, databases, Careflow workspace and other clinical and non-clinical systems required to perform the job role
18. Ability to lead meetings
19. Ability to manage own caseload with minimal supervision
20. Ability to follow complex instructions and protocols accurately in short timescales
21. Ability to work independently
22. Ability to review & reflect on own skills & knowledge, and to lead own CPD in conjunction with supervisors & peers
Desirable
23. Ability to interpret and relay patient discharge data
Aptitudes
Essential
24. Enthusiastic and self-motivated
25. Innovative and participative in policy change
26. Team Player
27. Can do attitude
28. Ability to communicate effectively & sensitively with a wide range of people
29. Ability to manage own time appropriately & to prioritise tasks
30. Excellent organisational skills
31. Ability to meet deadlines & work under pressure