Care Coordinator

1.Working as part of the Care Coordinator team to provide a single point of contact for all the Kettering Care homes for all non-urgent requests: dedicated phone line, nhs.net email address, Microsoft Teams.

2.Proactively contact all the care homes at least weekly to discuss patient related concerns.

3.Navigate the non-urgent requests and the patient related concerns to the most appropriate service or clinician.

4.Contribute towards the creation and maintenance of the advanced care plans.

5.Ensure all information about the patient is updated using appropriate ARDENs templates and associated read codes.

6.Support alignment of care home to practices, including registration, updating care plans and liaising with clinical pharmacist to ensure medications are updated.

7.Maintain and update records of all patients in care homes who have been admitted to secondary care

8.Coordinate MDTs with the practice GP and community teams.

Title: Care Coordinator

Responsible

to: Practice Manager

Location: Weavers

Medical

Hours: 25-30hpw

provide coordinated care for all patients resident in care homes.

electronic records for clerical reasons, the Quality and Outcomes

Framework and for medical care. The

records must be accurate and contemporaneous.

of the Care Coordinator team to provide a single point of contact for all the

Kettering Care homes for all non-urgent requests: dedicated phone line, nhs.net

email address, Microsoft Teams.

least weekly to discuss patient related concerns.

patient related concerns to the most appropriate service or clinician

maintenance of the advanced care plans (including when appropriate frailty

score, GSF level, date of last SMR, etc).

information about the patient is updated using appropriate ARDENs templates

and associated read codes.

practices, including registration, updating care plans and liaising with

clinical pharmacist to ensure medications are updated.

in care homes who have been admitted to secondary care (date admission

discharge, reason for admission, post discharge contact.

community teams.

prioritise workload on a daily basis and dealing with the competing demands of

the care coordinator role.

Other

Admin tasks

time to time.

manager and report any backlogs of work.

Weavers Medical is a large GP practice looking after 19,300 patients. We have a team of 18 GPs and a nursing/HC team of 14.

The care coordinator team will help to coordinate the care of housebound and frail patients across 4 practices within the Red Kite Primary Care Network (PCN).

Working from home may sometimes be required.

Experience

Essential: - Task orientated; - Accuracy in all work

Desirable: - Experience of inputting data onto a computer system; - Customer service/patient facing background

Innate Abilities

Essential: - Logical; - Attention to detail; - Ability to learn new skills quickly

Desirable: - Ability to "up the pace" when necessary; - To recognise workload priorities and communicate any problems to the supervisor; - Ability to question correctly

Motivation

Essential: - Desire to learn new skills; - To work with minimal supervision; - To work to deadlines; - Ability to work in a team

Desirable: - Experience of organising own work to achieve best outcome

Adjustments/attitude

Essential: - Understands the need for confidentiality; - Caring

Desirable: - Flexible and adaptable

Physical make up

Essential: - Smart and professional; - Ability to use VDU and telephone with headset throughout she shift

Other

Essential: - Able to travel to/from work for the hours required.; - No questionable sickness record

Desirable: - Flexible over hours on an occasional basis.

Qualifications

Desirable: - Microsoft office including e mail