Senior Case Manager - Home First

NHS; Aylesbury; Hybrid; GBP 38,000 - 47,000; Full time

Job summary

A healthcare service provider in Aylesbury is looking for registered health and social care professionals such as Physiotherapists, Occupational Therapists, Nurses, and Social Workers to join the Home First Team. This role involves providing personalized case management for patients recently discharged from the hospital, as well as collaborating with multidisciplinary teams. Candidates should have excellent communication skills and knowledge of discharge processes. The position offers flexible working options and a salary ranging from £38,682 to £46,580 per year.

Benefits

Generous annual leave entitlement

NHS discount schemes

Learning and development opportunities

Qualifications

• At least 2 years' experience in a clinical/frontline environment.
• Experience of working as part of a multidisciplinary team.
• Ability to maintain records accurately.

Responsibilities

• Provide multidisciplinary case management for discharged patients.
• Coordinate safe and effective discharges.
• Set and review recovery goals with patients.

Skills

Excellent communication skills

Ability to interpret health needs

Problem solving skills

Time management

Knowledge of discharge processes

Education

Current registration with HCPC/NMC/SWE and Recognised qualification in relevant field

Post graduate qualification in a specialist field

Job description

An exciting opportunity has arisen to join the Home First Team in Buckinghamshire.

The team is still in its infancy of becoming a substantive service and this provides team members with the opportunity to influence and contribute to growing and shaping the service.

We are looking for skilled and motivated, registered health and social care professionals (Physiotherapists, Occupational Therapists, Nurses & Social Workers) to join the service, which supports patients that have recently been discharged from hospital, to regain their independence and remain in their own homes.

The ideal candidate will have excellent communication skills and will have the ability to accurately interpret and relay information relating to a patients health and social care needs, as part of a multi-disciplinary approach. They will have knowledge and experience of discharge processes and pathways. Experience of working in both an acute and community setting would be an advantage.

The successful candidate will be required to work both remotely, on site and visit patients at home as required.

Main duties of the job

1. To provide a proactive, personalised and multidisciplinary case management approach to people who are being discharged from hospital.

2. To co-ordinate a timely, safe and effective discharge home for people which supports their ongoing care and health needs being assessed at home.

3. To work with patients and therapy staff to identify appropriate goals are set for each person and that these are reviewed, revised and updated to best support a person's recovery using a strength-based approach.

4. To pro-actively draw on personal expertise and the skills and knowledge of all team members to improve outcomes for people and their carers.

5. To work in partnership with Home Care agencies to facilitate and support a reablement approach to care provision. Ensuring proactive right sizing of packages.

6. To proactively facilitate the person through their pathway in a way that facilitates timely discharge from home first whilst ensuring the appropriate intervention reablement/rehabilitation takes place to minimise the need for long term care.

7. To address gaps in the provision of care and changing needs through flexible and adaptable care planning, sign posting, onward referral and supported interventions.

8. To document the required information to support information sharing and monitoring of service key performance indicators.

9. To follow agreed case management pathway to ensure consistency of process.

About us

Why colleagues think we are "a great place to work!"

What does Buckinghamshire Healthcare NHS Trust offer you?

As part of our BHT family, you'll benefit from learning and development opportunities to support your career progression.

Alongside NHS benefits of generous annual leave entitlement and pension scheme, you'll have access to NHS discount schemes.

We provide a range of health and wellbeing services to promote a healthy, happy workforce.

What do we stand for?

Our vision is to provide outstanding care, support healthy communities and be a great place to work.

Our mission is to provide personal and compassionate care every time.

We are working hard to increase diversity at all levels within the trust. We believe a diverse workforce can have a positive effect on both staff wellbeing and patient outcomes.

We welcome applications from black, Asian and minority ethnic candidates, LGBTQ+ candidates, candidates with disabilities and care-experienced candidates.

We are proud to achieve the Gold award for the Armed Forces Covenant and support applications from the Armed Forces Community. Please contact [e-mail] (our Armed Forces Covenant Lead) if you would like guidance or assistance with your application.

We make employment decisions by matching our service needs with the skills and experience of candidates, regardless of age, disability, gender, gender identity, marriage and civil partnership, pregnancy and maternity, race, religion or belief, or sexual orientation.

Job responsibilities

For a comprehensive list of responsibilities and duties, please kindly refer to the Job Description and Person Specification by downloading the JD and PS attachment in the advert.

If you are an internal applicant there is the option for secondment, all applicants must have the endorsement/support of their line manager prior to application.

If you have a disability that makes submitting this online application difficult and would like assistance, please contact us on [e-mail] quoting the vacancy reference number.

Person Specification

Education, Qualifications & Training

• Current registration with HCPC/NMC/SWE and Recognised qualification in Physiotherapy/Occupational Therapy/Nursing/Social Work
• Able to evidence CPD, in line with regulatory body standards.
• Post graduate qualification in a specialist field.
• Training/Formal Courses in courses appropriate to post (e.g. Continuing Healthcare)

Experience

• At least 2 years' experience in a clinical/frontline environment
• Experience of working as part of a multidisciplinary team
• Experience of supervising junior staff.
• Experience of processing referrals/triaging.
• Experience in completing assessments, including assessment of risk.
• Experience of completing profession specific assessments (e.g. continuing healthcare/falls/continence)

Skills, Abilities & Knowledge

• Excellent communication skills (verbal & non-verbal) and interpersonal skills.
• Ability to accurately interpret and convey information relating to patients' health & social care needs.
• Able to maintain accurate and contemporaneous records and documentation.
• Effective partnership working with health and social care colleagues.
• Excellent problem solving and coordination skills.
• Proven ability to use a variety of IT programmes and databases.
• Ability to prioritise and manage time effectively
• Ability to effectively manage a caseload.
• Knowledge of discharge processes and pathways
• Knowledge and application of legislation relevant to post (Care Act, Mental Capacity Act, Health and Safety, Data Protection)
• Ability to reflect and critically evaluate own performance.
• Show awareness of own limitations and know when to escalate.

Special Circumstances

• Willingness to work flexibly across locations.
• Ability to work flexibly (weekends/bank holidays)

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.

£38,682 to £46,580 a yearPer Annum pro rata

Contract

Permanent

Working pattern

Full-time,Part-time,Job share,Flexible working