INT Care Coordinator

NHS; Milford on Sea; On-site; GBP 25,000 - 30,000; Full time

Job summary

A healthcare provider in Milford on Sea is seeking a Care Coordinator to provide support for the Integrated Neighbourhood Team. The role involves triaging referrals, collaborating with various stakeholders, and maintaining accurate patient records. Ideal candidates will have an NHS background and strong IT skills. This position is crucial for enhancing the health and wellbeing of the community's frail and care home patients.

Qualifications

• Strong IT skills and efficiency on Microsoft programmes.
• Ability to manage own time and workload.
• Experience with NHS systems.
• Strong knowledge of community services and referral pathways.

Responsibilities

• Act as first point of contact for new referrals into the Integrated Neighbourhood Team.
• Triage and assess patient needs.
• Collaborate with clinicians and social care teams.
• Maintain patient records using relevant systems.
• Contribute to multidisciplinary team meetings.

Skills

Good Computer Literacy

Time management

Clinical or health/social care background

Understanding of Primary Care Networks (PCNs)

Knowledge of community services

Experience in multi-agency working

Organisational skills

Communication skills

Job description

Job Summary
The post holder is a member of the Primary Car Network (PCN) providing Care Coordination support to the Southend East Integrated Neighbourhood Team. By completing a number of tasks, the role will be the main point of contact for the Southend East INT. The postholder will support in monitoring patients identified as needing complex care, updating action logs and following up patients who need multi-agency management - requiring strong attention to detail and time management skills. The successful applicant will be required to have strong IT skills and efficient on Microsoft programmes.

Main duties of the job

• Act as the first point of contact for new referrals into the Integrated Neighbourhood Team.
• Triage and assess patient needs, ensuring timely allocation to the most appropriate service.
• Work collaboratively with clinicians, social care teams, and voluntary sector partners.
• Maintain accurate and up-to-date patient records using relevant systems.
• Contribute to multidisciplinary team (MDT) meetings and case discussions.
• Support proactive, holistic care planning for patients with complex health or social needs.
• Liaise with Primary Care Networks (PCNs) to support population health priorities and integrated working.

About Us
Southend East PCN is located at Norton Place in Shoebury, along Ness Road. We have our own PCN building which is extremely active and is in use by our 5 member practices in the local area. We cover approx 37,000 patients and offer a range of appointments from our wide range of staff, fully utilising the ARRS budget. Our team consists of pharmacists, pharmacy technicians, social prescribers, health trainers, paramedics, physiotherapists and assistant practitioners. We have 2 clinical directors who are partners in two local surgeries, and an operations manager to provide support wherever needed. We have a strong digital presence and have employed a Digital Transformational Lead, to help our PCN network with other businesses and mature over time.

Job responsibilities
Main Duties And Responsibilities: To obtain data and information for the PCN to increase the health and wellbeing of the frail and care home patients, assess the Extended PACT model made by the PCN, and contribute as a team member to supporting other staff employed in the PCN to carry out the delivery of the objectives using data.

• Increase the health and wellbeing of the frail and care home patients
• Assess the Extended PACT model made by the PCN, and be able fully utilize the model to reduce hospital admissions.
• Contribute as a team member to supporting other staff employed in the PCN to carry out the delivery of the objectives using data.
• The Care coordinator will work with the Primary Care Network Operations Manager/Clinical Director, Public Health Teams and CCG to obtain the PCN baseline measures for the identified specialties.
• Attend monthly MDT meetings on behalf of the surgeries to discuss and coordinate care for vulnerable patients.
• Act as the first point of contact for new referrals into the Integrated Neighbourhood Team.
• Triage and assess patient needs, ensuring timely allocation to the most appropriate service.
• Work collaboratively with clinicians, social care teams, and voluntary sector partners.
• Maintain accurate and up-to-date patient records using relevant systems.
• Contribute to multidisciplinary team (MDT) meetings and case discussions.
• Support proactive, holistic care planning for patients with complex health or social needs.
• Liaise with Primary Care Networks (PCNs) to support population health priorities and integrated working.

Person Specification
Essential: Good Computer Literacy, Able to manage own time/workload, Clinical or health/social care background with NHS experience, Good understanding of Primary Care Networks (PCNs) and how they operate, Strong knowledge of community services and referral pathways across the Southend MSE area, Experience of multi-agency or integrated working, Excellent organisational, IT, and communication skills.

• Good Computer Literacy
• Able to manage own time/workload
• Clinical or health/social care background with NHS experience
• Good understanding of Primary Care Networks (PCNs) and how they operate
• Strong knowledge of community services and referral pathways across the Southend MSE area
• Experience of multi-agency or integrated working
• Excellent organisational, IT, and communication skills

This JD is not intended to be an exhaustive list of activities but rather an outline of the main areas of responsibility. The role is likely to evolve to meet the changing needs of the service.