Head of CHC Appeals & Retrospective Reviews

South West London Integrated Care Board; Wimbledon; On-site; GBP 64,000 - 71,000; Full time

Job summary

South West London Integrated Care Board is seeking an experienced clinical lead to head the All Age Continuing Care appeals and retrospective reviews team. You will oversee CHC eligibility appeals, ensure NICE/NHS England frameworks are followed, and represent the ICB at Independent Review Panels.

You will line manage the Appeals and Retros Clinical Manager, work with AACC and partner organisations, and drive service development while managing risks and budgets.

Qualifications

• Experience of clinical assessment and review of CHC patients.
• Experience of managing appeal and retrospective cases and IRP presentations.
• Experience coordinating projects in complex healthcare environments.

Responsibilities

• Lead the appeals and retrospective caseload and ensure standards are met.
• Represent SWL ICB AACC at Independent Review Panels and share learnings.
• Collaborate with partners to develop and improve services and line manage staff.

Education

Degree-level qualification in a relevant subject

Postgraduate qualification (relevant subject)

Registered healthcare professional (RN adult / OT / PT) with NMC/HCPC registration

Job description

South West London Integrated Care Board is seeking an experienced clinical lead to head the All Age Continuing Care appeals and retrospective reviews team. You will oversee CHC eligibility appeals, ensure NICE/NHS England frameworks are followed, and represent the ICB at Independent Review Panels.

You will line manage the Appeals and Retros Clinical Manager, work with AACC and partner organisations, and drive service development while managing risks and budgets.