Care Coordinator (Administrator)

Integrated Care System; Oxford; On-site; GBP 30,000 - 40,000; Full time

Job summary

A healthcare provider in Oxford is seeking a Care Coordinator to join its Integrated Neighbourhood Team. This innovative role focuses on proactive, community-based care for vulnerable patients with complex needs. Responsibilities include coordinating care plans, managing patient pathways, and ensuring effective communication among healthcare professionals. Ideal candidates will have strong organizational, communication, and IT skills. Training will be provided as necessary. This position offers a competitive salary and a chance to make a real impact in the community.

Qualifications

• Highly literate and numerate with attention to detail.
• Evidence of strong team working skills.
• Full UK driving licence.

Responsibilities

• Develop and implement proactive care services.
• Coordinate care plans and monitor patient progress.
• Accurately input clinical data and manage records.

Skills

Compassion

Organizational skills

Communication skills

IT literacy

Tools

EMIS

Docman 10

Job description

We are looking to recruitsomeone to join our Integrated Neighbourhood Team (INT) at Hedena Health as aCare Coordinator, playing a key role in supporting patients with complex needs toimprove access to healthcare services. This is a fantastic opportunity to bepart of a pioneering NHS project focused on proactive, community-based care.This is your chance to be part of a forward-thinking service making a realdifference in the community, supporting some of Oxfordshires most vulnerablepatients and contributing to the NHS 10-Year Plan.

Main duties of the job

The key duties is to develop and implement proactive care services tohelp improve and maintain the health and wellbeing of our practicepopulation.Proactively identify and work with a cohort of patients tosupport their personalised care requirements.

About us

With 26,000patients, Hedena Health is one of Oxford's largest providers of PrimaryHealthcare services. From 2 sites in the Headington area, the group runsteam-based care, to ensure the best for our patients.

We areseeking an enthusiastic and motivated Care Coordinator to join our IntegratedNeighbourhood Team.

Job responsibilities

JobTitle: Care Coordinator withIntegrated Neighbourhood Team (INT)/Proactive Care

Responsible for:Working with our INT team to develop and implement proactive care services tohelp improve and maintain the health and wellbeing of our practice population.

Hoursof work: Part - Full time (over at least 4 days). Fixed Term Contract untilJune 2026.

Salary: A competitive salary will be offered to reflectthe successful candidates experience and qualifications.

Job Summary:

We are looking to recruit a compassionate andproactive Care Coordinator to join our innovative Integrated Neighbourhood Team(INT) based at Hedena Health GP surgery. The INT is a dynamic multidisciplinaryteam of GPs, nurses, Paramedics, care coordinators, and social prescribers whowork together to improve access to healthcare for those with complex needs orbarriers to accessing services. This person-centred service focuses onproactive, personalised support for patients and their families with the highesthealth and social care needs.

Established within Hedena Health in July 2024, theINT is an innovative and evolving service at the forefront of community-basedhealthcare. Working closely with colleagues at our INT partner practice ManorSurgery, across primary, secondary, community and social care, the INT projectaims to provide intensive support to patients requiring help with a range ofcomplex physical, psychological or social problems. This holistic model helpsto improve health outcomes, enhance patient wellbeing and prevent hospitaladmission/re-admission. INT is central to Hedena Healths commitment toinnovation and aligns with the NHS 10-Year Plan of improved, proactivecommunity care.

In this varied and patient-facing role, you willcoordinate clinics, manage patient care pathways, and ensure accurate input ofclinical data. Direct contact with patients will be a key part of your work,supporting individuals to access the services they need and helping to removebarriers to care. You will work with a wide range of patients, including thefrail and elderly, people with long-term conditions, and those not currentlyengaging with healthcare services.

You will work closely with GPs, Paramedics, nurses,social prescribers, clinical pharmacists, and other members of the Primary CareNetwork (PCN) to provide joined-up care and navigation support across healthand social care services. A key aspect of the role will be supporting ourweekly multidisciplinary meetings, which bring together health and careprofessionals from across Oxfordshire to plan and coordinate patient care.

We are looking for candidates who arecompassionate, highly organised, and committed to providing excellent patientsupport. Strong communication, excellent interpersonal skills and high levelsof IT literacy are essential. Experience with systems such as EMIS and Docman10 would be desirable but not essential, as training can be provided.

This role offers a rewarding opportunity to workwithin an innovative and supportive team, making a real difference to the livesof patients in our community.

This role represents a unique opportunity to workat the forefront of integrated, community-based healthcare, supporting some ofour most vulnerable patients and contributing to the ongoing development of apioneering service.

Key Duties & Responsibilities:

Develop and implement proactive care services tohelp improve and maintain the health and wellbeing of our practicepopulation.Proactively identify and work with a cohort of patients tosupport their personalised care requirements.

Theduties and responsibilities may include any or all the items in the followinglist. Duties may be varied from time to time under the direction of the GPlead.

• Toput systems in place to identify patients who are elderly, frail or who havelong term health needs and support
• Tomanage a virtual ward of the highest need patients, ensuring their progress andwelfare is regularly checked and update patient records with details
• Toco-ordinate care plans, making sure actions are completed by health careprofessionals
• Toutilise population health intelligence to proactively identify other cohorts ofpatients, working with the clinical team to plan, implement and trackinterventions and report on the success of these
• Tosignpost to the relevant members of the practice team and outside organisationsas appropriate
• Tocontact patients following hospital discharge to offer help or support andreduce the risk of loss of independence
• Toensure systems are in place to monitor those at risk of increased hospitaladmissions and A&E attendances
• Tofollow up on communications from out of hospital and in-patient servicesregarding changes in condition of patients to support the practice to respondproactively to potentially unmet needs
• Tocoordinate, attend and provide administrative support for MDT meetings. Todisseminate information from these meetings to other practice staff asnecessary
• Tocoordinate visits or arrange appointments at the practice for patients on thecaseload
• Tomanage monthly recall searches and ensure patients are attending their Long-Termcondition appointments. Following up on those not attending
• Tomaintain accurate and up to date records of patient contacts, entering notesonto EMIS
• Co-ordinateand liaise with patient services manager on promoting National and local Healthcampaigns.
• Uselanguage line to communicate with patients who may otherwise not engage withour services.
• Completionof 2-day accredited training course as defined by Hedena.

Person Specification

Person Specification

• - Highly literate and numerate with an excellent eye for detail.
• - Possess excellent communication skills both verbal and written, and Demonstrate the ability to communicate complex information transparently and effectively.
• - Ability to communicate complex and sensitive information effectively with people at all levels by telephone, email, video conference and face to face.
• - Able to demonstrate a high level of IT skills (Microsoft word, excel, data).
• - To be able to demonstrate being adaptive and comfortable with change.
• - Evidence of strong team working skills.
• - Excellent organisation and planning skills, able to meet changing priorities and time frames.
• - Able to cope with unexpected situations and provide solutions to problems.
• - Evidence of ability to complete tasks to a high standard with minimal supervision.
• - Flexible and adaptable and able to demonstrate the ability to make good decisions.
• - Required to work collaboratively and build good relationships with others, possessing excellent negotiation skills.
• - Experience of working in the NHS with knowledge and understanding of the roles of the NHS organisation and of the primary care sector.
• - Good practical and conceptual knowledge of healthcare improvement methods and practices.
• - Experience of successfully developing and implementing projects.
• - Full UK driving licence.

Experience

• N/A
• N/A

Qualifications

• N/A
• N/A

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.