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Trinity Health Group is seeking a Care Coordinator to join the PCN team at Trinity Medical Centre and across the PCN district. You will deliver personalised, holistic care, support patients to access appropriate services, and coordinate appointments and plans to meet individual needs.
Responsibilities include using population health intelligence, signposting to services, and contributing to MDT activities. Applicants should have NVQ3 or equivalent and prior health/social care experience.
Underthe direction of the PCN team, a care coordinator will be required to undertakethe following and will receive the relevant training and supervision to:
identifya cohort of patients who meet specific criteria as determined by the Servicepriority areas using population health intelligence;
Deliverpersonalised holistic healthcare and support in order to manage their needsproactively, exploring options or a single personalised care and support plan.
Provideadvice, guidance and signpost to other services, co-ordinate patient careservices and work with the care team to evaluate interventions
Thecore competencies required of a Care Co-ordinator are as follows and thespecific duties and responsibilities are identified below.
The Care Coordinator will work as part of the PCN team to provide personalised, holistic support to patients, helping them to access appropriate care, services and support. Key duties will include:
Using population health intelligence to identify and proactively support cohorts of patients in line with service priorities and contractual requirements. Contacting patients to understand their individual needs, supporting shared decision-making and developing trusting, person-centred relationships. Supporting patients to manage their health and wellbeing by providing information, answering queries, coordinating appointments and helping them understand their care options.
Developing and supporting personalised care and support plans with patients and their families, ensuring records are accurate and kept up to date.
Navigating and signposting patients, carers and families to appropriate health, social care, community and voluntary sector services, working closely with social prescribing and other PCN roles.
Monitoring patient progress and recognising when additional or urgent support is required, escalating concerns appropriately to relevant professionals. Supporting access to self-management education, peer support, training, benefits and other interventions that promote health and wellbeing.
Supporting MDT meetings, including those relating to care homes, and assisting with vaccination programmes where required.
Trinity Health Group is a PCN made up of four practices on the west of the district (Trinity Medical Centre, Maybush Medical Centre, Crofton and Sharlston Medical Practice and Warrengate Medical Centre). Our vision is that all our patients should have the same chance at a happy, healthy life. We believe that a sustainable, resilient Primary Care Service working collaboratively with volunteer and community services and social enterprise organisations supports this vision. Our Mission is to add years to the lives of our patients and to add life to those years.
For the full Job Description and Person Specification for this role, please see the additional documents attached.
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.
Trinity Medical Centre (and across the PCN district)
£25,603 a yearWTE, reflecting expected duties and requirements of the role.
Permanent
Full-time,Part-time
A0430-26-0049
Trinity Medical Centre (and across the PCN district)