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A leading healthcare provider is looking for a Care Coordinator to support clinical teams in delivering high-quality patient care. The successful candidate will manage appointments, liaise with various healthcare professionals, and ensure compliance with care standards, all while using state-of-the-art patient record systems like SystmOne. This role is vital in enhancing patient experience and operational efficiency in a collaborative environment.
The Care Coordinator role will support the clinical and administrative practice teams by providing effective and timely care coordination in line with practice processes.
The role will also be pivotal in supporting the practice and primary care network to deliver aspects of the Network Enhanced Service DES, which includes our delivery of anticipatory and personalised care.
This role support the clinical and administrative practice teams by providing effective and timely care coordination in line with practice processes. You will deal with GP tasks, liaising with patients, members of the practice and wider primary care team, including community pharmacists, to arrange appropriate appointments for patients, as directed by our GPs. You will work closely with the reception teams and will carry out other duties to support our achievement of additional network services, some of which are aimed at specific patient groups.
James Fisher Medical Centre has a mixed population with lots of families and a small number of care homes.
We use Systmone for our patient records and all GP appointment requests are triaged by the duty doctor team, to ensure that patients are seen by the most appropriate team member. Our Care coordinator will work alongside another Care Coordinator and the duty doctors, to facilitate patients being seen by the most appropriate practitioner. We have large, purpose built premises in a beautiful area of the south coast with close by riverside walks that can be accessed a short walk from the surgery during lunch times.
KEY WORKING RELATIONSHIPS
Practice teams GPs, Practice Managers, Nurses and Support Staff
Network Staff Frailty Team, Pharmacists, Self-Management, Mental Health
Patients and Carers
Dorset ICB
Voluntary Sector Organisations
Public Health Dorset
KEY RESPONSIBILITIES
Work with the duty doctors to coordinate patient care ensuring they are allocated to the appropriate member of the primary care team, as directed by the duty GP team.
The role will require a good working knowledge of SystmOne in order to be able to set up and run SystmOne searches to identify the patient cohorts, as directed by the clinicians. You will also need to understand how to use the Dorset Intelligence & Insight Service (DiiS). Training will be provided if required.
Monitoring C The Signs Dashboard to ensure patients have returned cancer diagnostic testing requirements. Liaising with patients to overcome any barriers to undertaking diagnostic testing.
Supporting the hypertension practice pathways by monitoring the BP@Home dashboard, internal triage of incoming blood pressure results, onboarding patients to the Viso/Luscii platform and linking with Digital Transformation Lead to ensure all requirements and targets of the CCLIP are met.
Checking Shared Care requirements for patients under Secondary Care and confirming necessary administrative tasks are completed as well as booking in essential follow-ups and/or phlebotomy.
Making Pharmrefer referrals to community pharmacy using the online template.
Monitoring and maintaining Spirometry waiting lists and making appointments in Spiro clinics ensuring all clinical exclusion criteria are adhered to.
Inviting patients for their NHS Health Checks and booking these appointments.
Developing an understanding of the Quality Outcome Framework (QOF) and Investment and Impact Fund (IIF) to ensure clinical coding is completed.
Keeping records of the NHS Digital Flag and Reasonable Communication Adjustments required by patients with Learning Disabilities, Autism or other Disabilities. This may include person-centred conversations with the individual to understand their needs.
Act as Carers Lead for the Practice.
Monitoring Diabetes 8 Care Processes for the Practice eg checking secondary care blood tests and importing data. Flagging patients requiring additional support along agreed care pathways.
Booking vaccination clinics including Shingrix, RSV and Pneumovax.
Using clinical letters from secondary care and other health professionals to create coding on patient records.
The role will also work in a person-centred way with patients and colleagues to encourage patient engagement in the quality improvement programmes as outlined in the DES and also contribute to a positive and seamless service-user experience, appropriately supporting those who may experience additional barriers to accessing the services.
To support the Network and Practice teams with clinical audit and evaluation relating the Network DES clinical outcomes and quality improvement initiatives.
1. Organisational responsibilities:
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.