Community Matron/Clinical Case Manager

NHS; Cheltenham; On-site; GBP 47,000 - 55,000; Full time

Job summary

A leading healthcare provider in Cheltenham is seeking a Community Matron/Clinical Case Manager for a 6-month fixed term role. You will oversee complex care for patients, conducting triage, holistic assessments, and managing case plans. The role requires strong collaboration with primary and secondary care services and is offered at a salary of £47,810 to £54,710 per annum.

Qualifications

• Qualification, training & experience as outlined in the Job Description.
• Must be a registered clinician with experience in managing complex care.

Responsibilities

• Ensure patients meet the service criteria.
• Conduct comprehensive assessments in patients' homes.
• Evaluate incoming patient needs for safety and care.
• Review medication for therapeutic effectiveness.
• Collaborate with prescribers to ensure safe prescribing.
• Identify and implement case management plans.

Skills

Triage

Holistic Assessment

Risk Assessment

Medication Assessment

Case Management

Communication

Education

Registered Nurse qualification

Job description

Job summary

This role is offered on a fixed term/secondment basis for 6 months. The hours are 37.5 hours per week.

Internal applicants who wish to be considered for a secondment opportunity should discuss with their line manager the suitability of a possible secondment.

The Complex Care at Home Matron/Clinical Case Manager assumes the role of an autonomous Clinical Practitioner, responsible for overseeing the care of their assigned patients. This entails triaging, planning, managing, and coordinating intricate care and treatment requirements within the confines of patients\' homes.

As a member of the Complex Care at Home Multidisciplinary Team, they proactively manage patients with long-term conditions and at risk of deterioration, including those with frailty. The Community Matron/Clinical Case Manager provides comprehensive and specialised support to patients, carers, and families, enabling them to lead fulfilling lives alongside their conditions. They employ motivational interviewing and health coaching to establish therapeutic relationships, thereby mitigating unplanned hospital admissions. This proactive strategy fosters improved health outcomes.

The Community Matron/Clinical Case Manager works closely with primary and secondary care services, including Physical and Mental Health, as well as statutory and non-statutory agencies. This collaborative approach enables the development of personalised care plans, consistently advocating for the \"What matters to you?\" principle.

Main duties

• Triage: Ensure patients meet the criteria for the service.
• Holistic Assessment: Within a patient\'s home environment, conduct a comprehensive assessment.
• Risk Assessment: Evaluate patients\' safety needs to determine the most appropriate care setting. This involves providing specialist advice and, if necessary, signposting or referring to other healthcare providers.
• Medication Assessment and Review: Assess and review medication for therapeutic effectiveness, prescribing, and/or de-prescribing in accordance with evidence-based practice, national and local protocols, and within the scope of practice and legislative framework.
• Collaborate with other prescribers (GPs, pharmacists, consultants, and specialists) to ensure continuity and safe prescribing practices.
• Case Management: Identify, prioritise, and implement case management plans to achieve health gains and maximise patient independence.
• Maintain effective and timely communication with patients, carers, and all relevant services and agencies (statutory and non-statutory).
• MDT Meetings: Attend, participate, and lead where appropriate weekly internal MDT meetings and external meetings as required.
• Provide clinical supervision to Health 7 Wellbeing Coordinator and, as a line manager, have the responsibility of signing off expenses and annual leave according to Trust policy.

Qualifications and experience

The qualification, training & experience requirements for the role are underlined in the Job Description/Person Specification.

Details

Date posted: 30 September 2025

Pay scheme: Agenda for Change

Band: Band 7

Salary: £47,810 to £54,710 a year per annum

Contract: Fixed term

Duration: 6 months

Working pattern: Full-time

Reference number: 327-25-812

Job locations: Independent Living Centre, Kimbrose Way, Cheltenham, GL51 0BY

This post is not eligible for sponsorship as per the Governments UK VISA and Immigration Rules and Regulations. For more information please ensure you review the official guidance.

Employer details

Employer name: Gloucestershire Health and Care NHS Foundation Trust

Address: Independent Living Centre, Kimbrose Way, Cheltenham, GL51 0BY

Employer's website: Gloucestershire Health and Care NHS Foundation Trust