Advanced Case Manager - Home First

NHS; Aylesbury; Hybrid; GBP 47,000 - 55,000; Full time

Job summary

A public healthcare organization is seeking an Advanced Case Manager to support patients discharged from hospital in Buckinghamshire. The role involves proactive case management, ensuring safe discharge processes, and collaborating with multi-disciplinary teams. Ideal candidates should have substantial experience in health or social care, proficiency in communication, and strong problem-solving skills. Positions are available for full-time, part-time, or job share, with a salary range of £47,810 to £54,710 pro rata.

Benefits

Generous annual leave

NHS pension scheme

Health and wellbeing services

NHS discount schemes

Qualifications

• 3-4 years experience in a clinical environment.
• Experience supervising junior staff.
• Ability to work effectively in an interdisciplinary team.

Responsibilities

• Provide proactive case management for discharged patients.
• Coordinate safe discharge and ongoing care support.
• Work with teams to set and review patient recovery goals.
• Facilitate partnerships with Home Care agencies.

Skills

Excellent communication skills

Ability to interpret health needs

Problem-solving skills

Knowledge of discharge processes

Education

Registered health or social care professional qualification

Current registration with HCPC/NMC/SWE

Tools

IT programmes and databases

Job description

An exciting opportunity has arisen to join the Home First Team in Buckinghamshire, as an Advanced Case Manager.

The team is still in its infancy of becoming a substantive service and this provides team members with the opportunity to influence and contribute to growing and shaping the service.

We are looking for a skilled and motivated, registered health or social care professional (Physiotherapist, Occupational Therapist, Nurse or Social Worker) to join the service, which supports patients that have recently been discharged from hospital, to regain their independence and remain in their own homes.

The ideal candidate will have excellent communication skills and will be able to demonstrate experience in leading teams, developing services, quality improvement and data monitoring. The post holder will be approachable and supportive of the wider team and be able to offer advice and make decisions in the interests of our patients.

They will have sound knowledge and experience of discharge processes and pathways and will have the ability to accurately interpret and relay information relating to patients health and social care needs. The ability to build and maintain effective working relationships with a variety of professionals and stakeholders is essential to the role. Experience of working in both an acute and community setting would be an advantage.

The successful candidate will be required to work both remotely, on site and visit patients at home as required.

Main duties of the job

1. To provide a proactive, personalised and multidisciplinary case management approach to people who are being discharged from hospital.

2. To co-ordinate a timely, safe and effective discharge home for people which supports their ongoing care and health needs being assessed at home.

3. To work with patients and therapy staff to identify appropriate goals are set for each person and that these are reviewed, revised and updated to best support a person's recovery using a strength-based approach.

4. To pro-actively draw on personal expertise and the skills and knowledge of all team members to improve outcomes for people and their carers.

5. To work in partnership with Home Care agencies to facilitate and support a reablement approach to care provision. Ensuring proactive right sizing of packages.

6. To proactively facilitate the person through their pathway in a way that facilitates timely discharge from home first whilst ensuring the appropriate intervention reablement/rehabilitation takes place to minimise the need for long term care.

7. To address gaps in the provision of care and changing needs through flexible and adaptable care planning, sign posting, onward referral and supported interventions.

8. To document the required information to support information sharing and monitoring of service key performance indicators.

To follow agreed case management pathway to ensure consistency of process.

About us

Why colleagues think we are "a great place to work!"

What does Buckinghamshire Healthcare NHS Trust offer you?

As part of our BHT family, you'll benefit from learning and development opportunities to support your career progression.

Alongside NHS benefits of generous annual leave entitlement and pension scheme, you'll have access to NHS discount schemes.

We provide a range of health and wellbeing services to promote a healthy, happy workforce.

What do we stand for?

Our vision is to provide outstanding care, support healthy communities and be a great place to work.

Our mission is to provide personal and compassionate care every time.

We are working hard to increase diversity at all levels within the trust. We believe a diverse workforce can have a positive effect on both staff wellbeing and patient outcomes.

We welcome applications from black, Asian and minority ethnic candidates, LGBTQ+ candidates, candidates with disabilities and care-experienced candidates.

We are proud to achieve the Gold award for the Armed Forces Covenant and support applications from the Armed Forces Community. Please contact [e-mail] (our Armed Forces Covenant Lead) if you would like guidance or assistance with your application.

We make employment decisions by matching our service needs with the skills and experience of candidates, regardless of age, disability, gender, gender identity, marriage and civil partnership, pregnancy and maternity, race, religion or belief, or sexual orientation.

Job responsibilities

For a comprehensive list of responsibilities and duties, please kindly refer to the Job Description and Person Specification by downloading the JD and PS attachment in the advert.

If you are an internal applicant there is the option for secondment, all applicants must have the endorsement/support of their line manager prior to application.

If you have a disability that makes submitting this online application difficult and would like assistance, please contact us on [e-mail] quoting the vacancy reference number.

Person Specification

Education, Qualifications & Training

• Current registration with HCPC/NMC/SWE.
• Recognised qualification in Physiotherapy/Occupational Therapy/Nursing/Social Work.
• Able to evidence CPD, in line with regulatory body standards
• Training/Formal Courses in courses appropriate to post (e.g. Continuing Healthcare)

Experience

• At least 3 - 4 years' experience in a clinical/frontline environment (Band 6 or equivalent)
• Experience in supervision of junior staff/students.
• Ability to work and interact effectively within an interdisciplinary team.
• Evidence of commitment to continuing professional development, and reflective practice

Skills, Experience & Knowledge

• Excellent communication skills (verbal & non-verbal) and interpersonal skills.
• Ability to accurately interpret and convey information relating to patients' health & social care needs.
• Able to maintain accurate and contemporaneous records and documentation.
• Effective partnership working with health and social care colleagues
• Excellent problem solving and coordination skills.
• Proven ability to use a variety of IT programmes and databases
• Ability to prioritise and manage time effectively.
• Comprehensive knowledge of discharge processes and pathways in Health & Social Care
• Knowledge of legislation relevant to post (Care Act, Mental Capacity Act, Health and Safety, Data Protection)
• Awareness of limitation of own professional abilities
• Positive response to constructive criticism

Special Circumstances

• To demonstrate appropriate level of assertiveness
• Self-Motivated
• Willingness to work flexibly across locations.
• Ability to work flexibly (weekends/bank holidays)

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

£47,810 to £54,710 per annum pro rata

Contract

Permanent

Working pattern

Full-time,Part-time,Job share,Flexible working