Clinical Lead, Appeals & Retrospective Reviews

South West London Integrated Care Board; Greater London; On-site; GBP 70,000 - 90,000; Full time

Job summary

NHS South West London ICB is seeking an experienced Clinical Lead for Appeals and Retros to head the All Age Continuing Care appeals team. You will oversee the central unit responsible for CHC and NHS-funded Nursing Care eligibility appeals and retrospective reviews, ensuring clear communication with clients and representatives and adherence to the National Framework.

In addition to leading the team, you will represent SWL ICB at NHS England Independent Review Panels, share learning across AACC

Qualifications

• Registered nurse (adult), occupational therapist or physiotherapist with a postgraduate qualification.

Responsibilities

• Manage the appeals and retrospective caseload to meet local, regional and national standards.
• Represent SWL ICB AACC at Independent Review Panels hosted by NHS England.
• Collate NHS England feedback from Independent Review Panels and share learning with the wider AACC team.
• Represent the service at multi-agency meetings with NHS, local authorities and partner organisations.
• Lead on communication within the appeals process, ensuring decision letters and documentation meet quality standards.
• Investigate complaints and provide outcomes, updating SOPs with lessons learned.

Skills

Team leadership

Risk management

Budget management

Independent Review Panels

Education

Postgraduate qualification

Job description

NHS South West London ICB is seeking an experienced Clinical Lead for Appeals and Retros to head the All Age Continuing Care appeals team. You will oversee the central unit responsible for CHC and NHS-funded Nursing Care eligibility appeals and retrospective reviews, ensuring clear communication with clients and representatives and adherence to the National Framework.

In addition to leading the team, you will represent SWL ICB at NHS England Independent Review Panels, share learning across AACC