CHC Appeals & Retrospective Case Manager

South West London Integrated Care Board; City of Westminster; On-site; GBP 65,000 - 90,000; Full time

Job summary

South West London Integrated Care Board is seeking an experienced, registered health professional to join the All Age Continuing Care service as Appeals and Retrospective Clinical Manager. You will case manage CHC appeals and retrospective reviews, liaising with clients and families to ensure the National Framework is correctly applied at the outset and throughout the process.

You will represent the ICB at Independent Review Panels, deputise for the Clinical Lead when required, and contribute to

Qualifications

• Experience with the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care.
• Ability to case manage CHC appeals and retrospective reviews.
• Strong liaison with clients, families and NHS colleagues.

Responsibilities

• Triage appeal referrals and ensure information sufficiency for full appeal/retrospective review.
• Manage delegated CHC appeal and retrospective review caseload with appropriate governance.
• Draft clear rationales, summaries and recommendations for panels and meetings.
• Represent SWL ICB AACC at Independent Review Panels and share learnings with teams.
• Support staff development and deputising for the Clinical Lead as needed.

Skills

CHC clinical assessment

Case management

Independent Review Panels liaison

Evidence synthesis

Education

Registered health professional (NHS)

Job description

South West London Integrated Care Board is seeking an experienced, registered health professional to join the All Age Continuing Care service as Appeals and Retrospective Clinical Manager. You will case manage CHC appeals and retrospective reviews, liaising with clients and families to ensure the National Framework is correctly applied at the outset and throughout the process.

You will represent the ICB at Independent Review Panels, deputise for the Clinical Lead when required, and contribute to