PCN Care Coordinator - Care Home & Frailty Team

NHS; Brighton; Hybrid; GBP 28,000 - 35,000; Full time

Job summary

A healthcare provider in the UK is seeking a Care Coordinator to work within a multidisciplinary team. The role involves managing patient care, coordinating services, and ensuring support for patients and families. Candidates should have prior experience in healthcare or social care, strong interpersonal skills, and knowledge of Microsoft Office. Benefits include a company pension and up to 2 days work from home per week. This role aims to improve patient outcomes through effective communication and collaboration.

Benefits

Company pension

On-site parking

Work from home – up to 2 days per week

Qualifications

• Minimum of 1 year of experience working with healthcare professionals or in the NHS/social care.
• Excellent interpersonal and organizational skills.
• Experience handling confidential or sensitive information.

Responsibilities

• Provide a first point of contact for patients and clinicians.
• Coordinate care and ensure timely follow-ups.
• Support shared decision-making conversations with patients.

Skills

Excellent interpersonal skills

Organizational skills

Teamwork

Prioritization

Education

NVQ 3 or equivalent

Tools

Microsoft Office suite

Job description

Job Summary

The Care Coordinator will work as a key part of the Primary Care Network (PCN) multi-disciplinary (MDT) team. Works closely with the GPs and other primary care professionals within the PCN to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed. Plays an integral role in facilitating the care home MDT, to improve the continuity of care by acting as a point of contact for residents, families and professionals. Contributes to tackling inequalities in health and social care. An ethos of promotion of independence, shared decision making, personalisation and partnership working is integral to this post. As the role evolves the care coordinator will undertake direct work with patients and families to develop personalised care plans. This role can be a hybrid role with a maximum of 2 days WFH per week.

Key Responsibilities

• Provide a first point of contact for patients and clinicians in coordinating patients care.
• Deal with incoming queries from patients and/or their carers and other healthcare providers.
• Encourage people, their families and carers to provide feedback and engage fully in the care coordination process.
• Ensure timely follow up and action for patients from communications from community and secondary care.
• Monitor tasks to ensure they are completed and care delivered through regular audit of the clinical system.
• Provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers and other primary care professionals.
• Signpost and organise appointments, follow ups or other actions to help the PCN provide high quality, compassionate care to our patient population.
• Support the alignment of care homes to practices, including new patient registrations.
• Support the care home MDT with the weekly ward rounds through identification of people in need of review, collation of information on patients requiring MDT input; also provide coordination and administrative support to the MDT.
• Support the PCN in coordinating all key activities including access to services, advice and information, and ensuring health and care planning is timely, efficient and patient-centred.
• Support PCN staff and patients to be prepared to have shared-decision making conversations, including utilising decision aids and tools.
• Work collaboratively with other Care Coordinators across the PCN to share best practice.
• Work sensitively with patients, their families and carers to capture key information, enabling comprehensive and accurate records of support.
• Work with the PCN MDT to utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care.

About Us

Preston Park Community Primary Care Network is an NHS collaboration between 5 GP Practices – Beaconsfield Medical Practice, The Haven Practice, Preston Park Surgery, Stanford Medical Centre and Warmdene Surgery. We serve approximately 57,000 patients and aim to support and connect with our local community. Our Care Home and Frailty Team Support 10 Care Homes and Frailty patients who are classed as severely or moderately Frail.

Benefits

• Company pension
• On-site parking
• Work from home – up to 2 days per week

Person Specification

Essential

• Minimum of 1 year of experience of working with healthcare professionals and/or previous experience in the NHS or social care or relevant field.
• Able to prioritise and manage own workload.
• Able to work as part of a team.
• Excellent interpersonal skills.
• Excellent organisational and administration skills.
• Experience of coordinating and liaising with multiple stakeholders or individuals to meet specified outcomes.
• Experience handling confidential/sensitive information.
• Experience of providing advice/signposting to service users.
• Knowledge of Microsoft Office suite.

Desirable

• NVQ 3 or equivalent and/or relevant basic/first level professional qualification.
• Experience of co production with patients or service-users.
• Experience of using technology and digital tools to support health and well-being.
• Knowledge of Information Governance and data quality.
• Knowledge of medical patient systems.
• Understanding of health and social care processes.