Neighbourhood Case Management Nurse or AHP | Central London Community Healthcare NHS Trust

Central London Community Healthcare NHS Trust; Hemel Hempstead; On-site; GBP 35,000 - 45,000; Full time

Job summary

A leading community healthcare organization in Hemel Hempstead is looking for a Neighbourhood Case Manager to provide proactive, person-centred care to residents with moderate to severe frailty. The role requires working within a multidisciplinary team, conducting holistic assessments, and using risk stratification to improve patient outcomes. Ideal candidates should have relevant clinical qualifications and a passion for community health. This position promotes flexible working options and professional development.

Benefits

Comprehensive induction

Car lease scheme

Flexible working options

Annual travel card loan

Training, support, and development

Qualifications

• Experience in delivering community-based person-centred care.
• Skills in addressing health inequalities and care coordination.
• Ability to work in a multidisciplinary team.

Responsibilities

• Support residents with moderate to severe frailty.
• Conduct holistic assessments and care coordination.
• Utilize risk stratification to identify suitable patients.
• Collaborate with acute and community services.

Skills

Holistic assessments

Care coordination

Addressing health inequalities

Primary Care risk stratification

Multidisciplinary teamwork

Education

Nursing, physiotherapy, or occupational therapy qualification

Job description

Overview

We are recruiting passionate and proactive Neighbourhood Case Managers to join the Dacorum Neighbourhood Proactive Care Service. This is an exciting opportunity to play a key role in a new team delivering community-based, person-centred care for residents. The focus will be on holistic assessments, care coordination, addressing health inequalities and delivering on the strategic ambition of a ‘neighbourhood health service’.

You'll work as part of a multidisciplinary team supporting a cohort of residents with moderate to severe frailty who have had 2 or more unplanned admissions within the last year, linking them to health, social care, and voluntary sector services.

This service will see the shift from reactive care to pro-active identification by using risk stratification searches within Primary Care records. The searches will identify a cohort of patients who would benefit from targeted intervention to improve outcomes, their overall experience and reduce the likelihood of further unplanned admissions. The service will operate alongside a number of other acute and community services, with the ability to step patients up into appropriate services – including the highly successful virtual ward models in South and West Hertfordshire.

This role presents as an excellent opportunity to work in a topical area of service delivery within the NHS right now and will provide the opportunity to gain service development skills.

Just as we care about our patients’ wellbeing, we care about yours!

Responsibilities

This section reflects the responsibilities described in the role text.

• Work as part of a multidisciplinary team supporting a cohort of residents with moderate to severe frailty who have had 2 or more unplanned admissions within the last year, linking them to health, social care, and voluntary sector services.

• Contribute to holistic assessments, care coordination, addressing health inequalities and delivering on the strategic ambition of a neighbourhood health service.

• Utilise risk stratification searches within Primary Care records to identify patients who would benefit from targeted intervention to improve outcomes and reduce unplanned admissions.

• Collaborate with acute and community services, with the ability to step patients up into appropriate services, including virtual ward models where available.

Benefits

• A comprehensive induction into the community service followed by a local induction to introduce you to the role
• Car lease scheme *T&C’s apply
• Flexible working options
• Annual travel card loan
• Training, support and development in your career

To have a full look at our benefits and what it’s like working for us please go here: (removed external link)

Please see attached Job Description and Person Specification for full roles and responsibilities.

This is a clinical role suitable for nurse, physiotherapist, or occupational therapists with appropriate skills and experiences.

This advert closes on Wednesday 24 Sep 2025