Care Coordinator

The Methodist Church in Britain; England; On-site; GBP 18,000 - 24,000; Full time

Job summary

Bridge Surgery is seeking a Care Coordinator to manage a caseload of patients with complex needs, coordinating with the practice, social care and community services.

You will organise MDT meetings, track referrals, and help patients access appropriate services, aiming to deliver personalised care plans and timely reviews.

Qualifications

• GCSE maths and English at grade C or 4 or above.
• Enrolment in or completion of Personalised Care Institute core curriculum training.

Responsibilities

• Proactively identify and manage a caseload of patients with frailty, elderly or long‑term conditions.
• Act as the central point of contact between patients, families, carers and clinical and non‑clinical teams.
• Organise MDT meetings in the practice, care homes and with external providers.
• Co-ordinate actions from MDT meetings in a timely, coherent way.
• Create a single personalised care and support plan for patients.
• Help patients navigate local health and social care and manage appointments.
• Invite for annual health reviews and manage QOF targets.
• Maintain long-term condition registers and cervical cytology recall letters.
• Link the practice with external care homes via weekly calls.
• Identify housebound patients and tailor their care packages.
• Track referrals, update patient records and monitor the surgery email account.
• Check GP pathology results each morning and allocate unmatched results.

Skills

Communication skills

Empathy and active listening

Planning and prioritising

Teamwork and collaboration

Confidentiality and governance

Education

GCSE maths and English

Personalised Care Institute training

Tools

EMIS

SystmOne

Microsoft Office

Job description

Bridge Surgery, a GMS training practice with around 10,000 patients, is adding a Care Coordinator to its team. The post holder manages a caseload of patients, many with complex needs, and links them with practice, social care and community services. Work covers running multidisciplinary team meetings across the practice, care homes and external providers, plus recalls and QOF targets. Candidates need GCSE maths and English at grade 4 or above and at least a year in a health or social care setting.

What the job involves

• Proactively identify and manage a caseload of patients, including frail, elderly and those with long-term conditions
• Act as the central point of contact between patients, families, carers and clinical and non-clinical teams
• Organise MDT meetings in the practice, care homes and with external providers, including agendas, minutes and action plans
• Co-ordinate the actions arising from MDT meetings in a timely and coherent way
• Bring a patient's identified care and support needs together in a single personalised care and support plan
• Help patients navigate local health, social care and voluntary services, and make and manage appointments
• Send invitations for annual health reviews and manage QOF targets
• Maintain long-term condition registers and cervical cytology recall, sending the associated letters
• Act as the link between the practice clinical team and external care homes, including weekly calls to each home
• Identify housebound patients and work with the primary care team and social prescriber to suit their care package
• Track referrals, update patient care records and monitor the generic surgery email account
• Check GP pathology results each morning, matching and allocating unmatched and unallocated results

Qualifications

• GCSE maths and English at grade C or 4 or above
• Enrolment in or completion of Personalised Care Institute core curriculum training

Experience

• At least 1 year working with healthcare professionals or in a health or social care setting
• Coordinating and liaising with multiple stakeholders or managing patient pathways
• Giving guidance, advice or signposting to service users

Skills & knowledge

• Familiarity with GP patient administration systems such as EMIS or SystmOne, and Microsoft Office
• Strong verbal and written communication with empathy and active listening
• Planning, prioritising and managing a busy workload independently under pressure
• Working flexibly and collaboratively within a multidisciplinary team
• Knowledge of confidentiality, safeguarding, information governance and health and safety policies

Nice to have

• Experience working in primary care