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A major healthcare organization in Birmingham is seeking a Clinical Commissioning Case Manager. The role involves managing a caseload of individuals with complex needs, coordinating care, and working within a multidisciplinary team. The ideal candidate should be a registered nurse with strong caseload management skills and experience in commissioning. This is a unique opportunity to make a significant impact on patient outcomes in the healthcare system.
The closing date is 08 December 2025
Are you a qualified RGN, RMN, or RNLD looking for a rewarding role with professional autonomy and the chance to make a real difference?
We're recruiting a Clinical Commissioning Case Manager to join our Continuing Healthcare team across Birmingham and Solihull. You'll manage a caseload of individuals eligible for NHS CHC, ensuring their care is safe, appropriate, and effectively commissioned.
The post holder will be required to provide expert advice and assist in identifying appropriate providers to address the needs of complex individuals.
The post holder will be required to attend Multi-Disciplinary Meetings, Acute Care Facilities, individual's homes and a variety of care provider settings.
The role will be required to regularly review individuals in line with The National Framework for NHS Continuing Healthcare, case management requirements.
To present comprehensive written reports providing assurance to the ICB that the agreed placement is delivering the care to meet identified needs and it is appropriate to continue commissioning the care plan.
They will be responsible for negotiating care costs and following the agreed ICB processes for agreement of care packages.
To support the Head of CHC and Lead Nurses in ensuring appropriate individual placements provide safe and high quality care.
Responsible for Line management of a defined number (up to 4) of Band 6 Clinical Nurse Assessors
Birmingham and Solihull ICB is the largest clinically led commissioning organisation in England. We look after a population of around 1.3 million people. We are responsible for planning and commissioning health services for people living in Birmingham and Solihull and work as part of a large, complex system of health and social care which includes local authorities, providers, the independent sector, and GP practices.
The ICB is committed to having a workforce which is representative of the population of Birmingham and Solihull. Our current staffing profile demonstrates that we are not as representative as we would like to be at this level within the organisation. We would actively welcome applications from males and people from black and minority ethnic backgrounds for this role.
The ICB is registered as a Disability Confident Employer. We actively welcome applications from applicants with a disability and commit to shortlisting all such suitable applicants who meet the essential criteria for an interview. Please let us know of any reasonable adjustments you require in order to participate in the recruitment process.
The post holder will be required to provide high-quality resources, professional advice, guidance, and expertise to members of the AACHC, ICB, and the wider health and social care economy. Autonomously manage a case load of individuals with highly complex health needs, providing significant clinical guidance to providers. Undertaking regular reviews supporting commissioned care, Phb, and ongoing casemanagement. Analysis of supporting documentation to establish critical history of the patients relevant needs to produce a specialist nursing assessment. To have expert level of knowledge regarding The National Framework and its application in practice. To be able to impart this knowledge to a variety of audiences. To provide complex and sensitive information to patients, relatives/ representatives and often work in potentially hostile environments, relaying difficult decisions regarding care provision and managing patient and family expectations. Attend all meetings related to the patient, which may impact on the care provision and costs to meet identified needs. Liaise with multiple professionals involved to ensure that a comprehensive understanding of all identified needs is available.
Ensuring that each patient has a care plan that addresses all their identified needs and can be used to assist assessors when completing CHC assessments/reviews. To be responsible for negotiating care package costs and the monitoring of packages of fully funded care. To be responsible for ensuring these care packages are reviewed within an agreed time scale, identified by the senior clinicians and that these events are clearly recorded on the ICB database. Identify and process any safeguarding and quality issues and take appropriate action to ensure that peoples welfare is protected. Ensure Mental Capacity Act is considered and ensure relevant processes are followed eg. Best Interests, DOLs. Provide a high-quality resource of professional advice, guidance and expertise to the ICB and partner agencies in addressing the needs of individuals with complex health needs. To call and chair multi-disciplinary meetings, including case conferences and discharge meetings, to ensure continuity of care across agencies, thus improving patient and family experience. Deputise for the Clinical Services Delivery Manager as required. To contribute to and deliver training on CHC and FNC to a variety of audiences, particularly in health and social care.
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.
NHS Birmingham and Solihull Integrated Care Board