Practice Care Coordinator

Integrated Care System; Darlington; On-site; GBP 25,000 - 35,000; Full time

Job summary

An exciting opportunity has arisen for a Care Coordinator at Moorlands Surgery in Darlington. The role focuses on enhancing health outcomes through personalized care, collaboration with health teams, and support for vulnerable community members. A perfect chance for a motivated individual aiming to grow within primary care.

Qualifications

• Experience in primary care, ideally at a senior/mid administration level.
• Able to work under pressure and meet deadlines.
• Flexibility and adaptability to role development.

Responsibilities

• Coordinate personalized care and support and liaise with diverse health professionals.
• Assist individuals in developing care plans and accessing education courses.
• Maintain records for monitoring and evaluation of the service.

Skills

Excellent communication skills

Organizational skills

Attention to detail

Self-motivated

Understanding of medical terminology

Education

GCSE grade A to C or equivalent in English and Maths

Tools

Systm One

Job description

An exciting opportunity has arisen to join Moorlands Surgery as a Care Coordinator, working alongside our practice teams. If you are a dynamic Care Coordinator, interested in developing a career in primary care then we would love to hear from you!

The successful candidate will be part of a primary health care team providing a high quality and forward thinking service to meet the needs of the practice population.

This role will provide the right candidate with a brilliant opportunity to develop their knowledge and skills.

Main duties of the job

The Care Coordinator will play an important role within the practice to reduce health inequalities and support meeting PCN and practice targets. They will work closely with GP and practice teams to engage and proactively coordinate personalised care, acting as a central point of contact to ensure appropriate support is made available to the most vulnerable with in our community, including those with long-term health conditions.

About us

Are you looking to join a dynamic group of individuals to support meaningful progression and health outcomes? If so, the Moorlands Surgery is the next step for you.

Moorlands Surgery provides support and care to over 13500 patients within Darlington. Our list is open all year round and we welcome new patients living in the area.

Our last CQC Inspection achieved a 'Good' rating with an 'Outstanding' for leadership.

The Partners at Moorlands Surgery remain committed to the ethos of continuous improvement across all areas, reflected by the development of services to improve patient care achieved by investment in our staff and systems.

Job responsibilities

The role is intended to support the practice and PCN in achieving the DES requirements which includes working with multidisciplinary teams, alongside social prescribing link workers and health and wellbeing coaches to provide an all-encompassing approach to personalised care and promoting and embedding the personalised care approach.

Our Care Coordinator will:

Work with people, their families and carers, to improve their understanding of their condition.

Support people to develop and review personalised care and support plans to manage their needs and achieve better healthcare outcomes.

Help people to manage their needs by providing a contact to answer queries, make and manage appointments, and ensure that people have good quality written or verbal information to help them make choices about their care.

Assist people to access self-management education courses, peer support, health coaching and other interventions that support them in their health and wellbeing, and increase their levels of knowledge, skills and confidence in managing their health.

Provide co-ordination and navigation for people and their carers across health and care services. Helping to ensure patients receive a joined-up service and the appropriate support from the right person at the right time.

Work collaboratively with GPs and other primary care professionals to proactively identify and manage a caseload, which may include patients with long-term health conditions, and where appropriate, refer back to other health professionals.

Support the co-ordination and delivery of multidisciplinary teams.

Raise awareness of how to identify patients who may benefit from shared decision making and support staff and people to be more prepared to have shared decision-making conversations.

Explore and assist people to access a personal health budget where appropriate.

Work with people, their families, carers and healthcare team members to encourage effective help-seeking behaviours.

Support the developing communication channels between GPs, people and their families and carers and other agencies.

Identify carers and help them access services to support them.

Conduct follow-ups on communications from out of hospital and in-patient 2services.

Maintain records of referrals and interventions to enable monitoring and evaluation of the service.

Support practices to keep care records up-to-date by identifying and updating missing or out-of-date information about the persons circumstances.

Contribute to risk and impact assessments, monitoring and evaluations of the service.

Work with commissioners, integrated locality teams and other agencies to support and further develop the role.

Person Specification

Knowledge and skills

• Excellent communication skills, verbal and written with the ability to adjust communication style and content to suit the audience.
• Can demonstrate a planned and organised approach with the ability to prioritise their own workload and meet strict deadlines.
• Administrative duties including preparation for meetings and writing minutes.
• Has attention to detail, able to work accurately, identifying errors quickly and easily.
• Self motivated and is able to work proactively and autonomously .
• Able to demonstrate a good understanding of medical terminology and long term conditions.
• Ability to run reports

Qualifications

• GCSE grade A to C or equivalent in English and Maths

Experience

• Experience of working in primary care, ideally general practice at a senior/mid administration level.
• Willing to undertake appropriate training as required.
• Experience of working with clinical systems, ideally Systm One
• Experience of working with people who may face health inequalities
• Experience of working in a health care or other support roles which are in direct contact with people, families or carers.
• Highly motivated and enthusiastic.
• Flexible and adaptable to role development.
• Ability to work under pressure and to meet deadlines.
• Ability to work in a fast paced environment of change to meet the needs of primary care.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.