Senior Appeals & Retrospective Care Manager

South West London Integrated Care Board; Greater London; On-site; GBP 56,000 - 63,000; Full time

Job summary

NHS South West London Integrated Care Board in London is seeking an experienced, registered health professional to join the All Age Continuing Care (AACC) service as Appeals and Retros Clinical Manager. You will case manage appeals and retrospective assessments across SW London, ensuring correct application of the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care.

You will liaise with clients and families, deputise for the Clinical Lead when needed, and support staff

Qualifications

• Registered health professional with current registration (e.g. NMC/HCPC).
• Degree or equivalent level in health or social care.
• Advanced clinical assessment skills are essential.

Responsibilities

• Triage appeal and retrospective referrals and ensure adequate information.
• Manage delegated caseloads, review records and MDT evidence against the National Framework.
• Write evidence-based rationales and recommendations for IRPs and governance panels.
• Represent SWL ICB at Independent Review Panels and share learning across teams.
• Communicate complex information to clients, families and partner organisations.

Skills

CHC assessment

Analytical thinking

Communication skills

Team leadership

Education

Registered health professional

Degree or equivalent in health or social care

Advanced clinical assessment skills training

Job description

NHS South West London Integrated Care Board in London is seeking an experienced, registered health professional to join the All Age Continuing Care (AACC) service as Appeals and Retros Clinical Manager. You will case manage appeals and retrospective assessments across SW London, ensuring correct application of the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care.

You will liaise with clients and families, deputise for the Clinical Lead when needed, and support staff