This Care Coordinator post sits within the practice team at Horizon Healthcare, supporting patients with long-term, multiple or complex needs to find their way through health and care services. Core work is managing a defined caseload, agreeing personal care plans and following up referrals across primary, community and hospital services. Non-clinical, with close working alongside GPs and social prescribing link workers. Applicants need PCI Care Coordinator training or a commitment to complete it.
What the job involves
- Identify and support patients who may benefit from coordinated, personalised care
- Manage and regularly review an allocated caseload
- Act as the key point of contact for patients, families and carers
- Work with patients to develop personalised care and support plans based on what matters to them
- Help patients navigate primary, secondary, community, social care and voluntary-sector support
- Coordinate referrals, appointments and follow-up within the scope of the role
- Support transitions between hospital, community and primary care services
- Work with GPs, nurses, pharmacists, social prescribing link workers, health and wellbeing coaches and other professionals
- Coordinate and support multidisciplinary team meetings, including preparation, recording actions and follow-up
- Maintain accurate patient records, caseload information and activity data
- Identify delays, gaps in care, safeguarding concerns or other risks and escal
- Contribute to service improvement, audit and initiatives to improve access and reduce health inequalities
Qualifications
- GCSE grade 4/C or above (or equivalent) in English and Mathematics
- PCI Care Coordinator training, or willingness to undertake it
- Evidence of continuing professional development
- Good standard of education
Experience
- Working with patients, service users, families or carers
- Working in a customer service, healthcare, social care or support environment
- Working within a multidisciplinary team
- Maintaining accurate records and handling confidential information
Skills & knowledge
- Excellent verbal and written communication, with strong interpersonal skills
- Excellent organisation, time management and prioritisation, managing a caseload and meeting deadlines
- Strong IT skills, including Microsoft Office
- Accurately recording, maintaining and retrieving information
Other
- Working collaboratively with healthcare professionals and partner organisations
- Caring, compassionate, non-judgemental and patient-focused
- Professional, trustworthy and reliable, committed to confidentiality
- Positive, flexible and self-motivated, with emotional resilience
Nice to have
- Experience coordinating services, appointments or care pathways
- Experience supporting people with long-term conditions, frailty or complex needs
- Experience in a GP practice, primary care, NHS or social care setting
- Experience using clinical systems such as SystmOne or EMIS
- Experience in service improvement, audit or data collection
- NVQ Level 3 in Health & Social Care, Business Administration or equivalent
- Care Certificate, or willingness to complete within an agreed timeframe
- Training in safeguarding adults and children
What’s offered
- Learning and development, including mandatory training
- Subject to approval, external development opportunities