Job summary
The role involves working veryclosely with the practices and the multidisciplinary team (MDT) within the PCN.The role is pivotal in ensuring all patients receive the best possible care andservice. The Care Coordinators role will support the clinical director andmember practices in coordinating all key activity including access to services,advice, and information, and ensuring health and care planning is timely,efficient, and patient-centered. The role will include supporting digitalinitiatives and includesresponsibilities for the co-ordination of the patients journey through primary care.
Main duties of the job
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); 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; Support people to take up training and employment, and to access appropriate benefits where eligible; Support people to understand their level of knowledge, skills and confidence (their Activation level) when engaging with their health and wellbeing, including through the use of the Patient Activation Measure;
About us
Our mission in Redbridge is to strengthen, develop and support local general practice, to enable the delivery of high quality care to local people. We are in the very fortunate position where 5 of the Primary Care Networks (PCNs) in Redbridge are working together as part of the Redbridge-wide GP federation Healthbridge Direct.
This means we are able to build strong clinical teams within and across the PCNs. We are now at the very start of an exciting journey of building a team of over 100 additional clinical roles to support and enable the delivery of services within each of our 5 PCNs. We are building teams within and across the PCNs to enable peer support and team working both within and across professions.
Job description
Job responsibilities
The Care Coordinatorresponsibilities include but are not limited to the following:
1.The main focus of the role is to provide reception cover at ahealthcare setting in central Romford. Where time allows we will also belooking for the candidate to undertake the following:-
2.To work with the GPs and other primary care professionalswithin the PCN to identify and manage a caseload of patients
3.To work closely and in partnership with the SocialPrescribing Link Worker and Clinical Pharmacist(s)
4.To support patients to utilise decision aids, helpcreate single personalised care and support plans, in line with best practice
5.To support the Clinical director and memberpractices in the delivery of the DES specifications
6.To help people to manage their needs throughanswering queries, making, and managing appointments
7.To provide coordination and navigation with the aidof digital tools for people and their carers across health and care services
8.To support the coordination and delivery of MDTswithin the PCN
Person Specification
Qualifications
Essential
1. Educated to GCSE or equivalent NVQ 3 or equivalent and/or relevant basic/first level professional qualification
Desirable
2. Experience of working within a social care and/or health setting, working with multi-disciplinary teams. Demonstrable experience of effective planning and organisational skills to deliver targets to deadlines Experience of working with people with diverse health and social care needs Patient clinical system knowledge Experience of using recognised assessment tools Experience of mental health either as service user, carer, worker or volunteer Experience of multi-agency working and signposting to appropriate support
Experience
Essential
3. Experience of working within a social care and/or health setting, working with multi-disciplinary teams. Demonstrable experience of effective planning and organisational skills to deliver targets to deadlines Experience of working with people with diverse health and social care needs Patient clinical system knowledge Experience of using recognised assessment tools Experience of mental health either as service user, carer, worker or volunteer Experience of multi-agency working and signposting to appropriate support