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A health services provider in Nottingham is seeking a passionate Care Navigator to manage the care of vulnerable patients. The role involves working collaboratively across health and social services to enhance patient outcomes. Candidates should have a working knowledge of Microsoft Office, experience in customer care, and a dedication to patient integrity. The position also requires building communication within multidisciplinary teams, assisting patients through various healthcare services, and managing administrative tasks effectively.
Are you passionate about patient care and want to make a difference to patients by navigating them through health & social systems
We are seeking to recruit 1 WTE Care Navigator for Bassetlaw. The role of Care Navigator is new to Bassetlaw; its a great opportunity for someone who is enthusiastic & passionate about patient care.
You will work collaboratively with primary care, community services, secondary care, social care and the voluntary sector (as appropriate and based on patient need). This will improve outcomes for patients and reduce healthcare costs.
The focus of the role is to identify and manage vulnerable patients (initially those with moderate and severe frailty and subsequently those living with long term conditions). This is fundamental to the delivery of the Integrated Care System (ICS) Frailty program. It is also fully aligned with the delivery of the ICS Integrated Care Strategy and NHS Joint Forward Plan addressing the specific參 needs of an ageing population and recognizing the economic and quality of life impacts of prioritising frailty management.
Undertake daily identification of frailty and long-term condition workflows on E-Healthscope and decide the best course of action based on agreed Standard Operating Procedures (SOPs) and advice from clinicians/other key leads.
Proactively contact patients to complete the CFS and provide advice and refer to teams/services/local assets (where appropriate)
Undertake a holistic assessment/goal setting to ensure an advanced care plan is in place and agreed e.g. All About Me
Provide information to members of the PCN to aid communication
Complete relevant referral-entering documentation and chase referrals as required and navigate and coordinate services to meet individuals needs across the PCN.
Access systems utilised across the ICS to support case analysis this includes but not limited to, Social Care, Mental Health and General Practice
Work closely with the integrated neighbourhood team for access to community-based activities
We are a provider of NHS Community Health Services, CityCare exists to support the health and wellbeing of all local people, working alongside other health and care partners to achieve this. We are a value driven, people business with a passion for excellence. Our vision and social purpose is to make a difference everyday to the health & wellbeing of our communities and our values of kindness, respect, trust and honesty lie at the heart of צו everything we do,guiding how we work together with partners and each other to consistently deliver high quality compassionate care. As a social enterprise we aim to add social value by investing in the future of our local communities and helping to make a difference in peoples lives.
CityCare values the benefits of a diverse and inclusive workforce. We encourage applications from candidates who identify as disabled, LGBT+ or from a Black, Asian or Minority Ethnic (BAME) background, as they are currently under-represented within our organisation.
We are proud to be a forces-friendly organisation and are dedicated to supporting Veterans, Service Leavers, Reservists, and military spouses/partners. We value the unique skills and contributions you bring.CityCare is an equal opportunities employer. We are positive about employing people with disabilities. If you require your application in a different format please contact People Services on 0115 8839418. CityCare is committed to the protection of vulnerable adults and children.
To focus on the identification and management of vulnerable patients (initially those with moderate and severe frailty and subsequently those living with long term conditions). This refocus is fundamental to the delivery of the Integrated Care System (ICS) Frailty Programme.
To work in alignment with the delivery of the ICS Integrated Care Strategy and NHS Joint Forward Plan addressing the specific needs of an ageing population and recognizing the economic and quality of life impacts of prioritising frailty management.
codes? ...The post holder will work closely with Primary Networks (PCNs) acting as the named point of contact for information and a guide to processes for health and social care professionals within the PCN.
The post holder will be accessible to patients members of the PCN via a dedicated telephone line between the hours of 8am and 6pm.
Undertake daily identification of frailty and long-term condition workflows on E-Healthscope and decide the best course of action based on agreed Standard Operating Procedures (SOPs) and advice from clinicians/other key leads.
Proactively contact patients to complete the CFS and provide advice and refer to teams/services/local assets (where appropriate)
Undertake a holistic assessment/goal setting to ensure an advanced care plan is in place and agreed e.g. All About Me
Provide information to members of the PCN to aid communication
Complete relevant referral documentation and chase referrals as required and navigate and coordinate services to meet individuals needs across the PCN.
Access systems utilised across the ICS to support case analysis this includes but not limited to, Social Care, Mental Health and General Practice
Work closely with the integrated neighbourhood team for access to community-based activities
Be responsible for facilitating regular (monthly as a minimum) multidisciplinary team meetings for each practice within the nominated PCN.
Be responsible for arranging, attending and minuting the neighbourhood (MDT) meeting and compiling agendas and undertaking associated administrative work and initiating referrals within agreed format / process where appropriate following the discussions. All cases on the list will be reviewed and decisions logged on the risk of admissions register.
Be responsible for co‑ordinating INT meetings across the PCNs.
Compile a list of patients to discuss in line with the standard operating procedure document, initiate any onward referrals.
To contribute to the integration of health and social care by maintaining up to date recording systems for all agencies within the (MDنعة) team and providing information to any member of the neighbourhood team to ease processes and communication in agreement with data protection protocol.
To be responsible for recording, reporting and producing evaluation reports which will include evaluation detailing effectiveness outcomes of new roles. To receive, breakdown and co‑ordinate data and produce spreadsheets for analysis (which shall include identification of referral trends and geographical spread of referrals and interventions to support the delivery of care within the PCN).
Support and undertake service monitoring, evaluation and documenting outcomes to ensure consistent delivery of high quality, effective and cost‑effective services.
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.
Nottingham CityCare Partnership CIC