CHC Case Manager & Assessor

This role will work with the senior

clinical team and Operational Manager to deliver the 'end to end' Continuing

Healthcare pathway. This includes eligibility assessment, review, case

management and duty. As a member of the team, you will be working with a group

of highly skilled people knowledgeable and passionate about the ICB achieving

its statutory duties as set out in the national Continuing Healthcare

framework.

As a Case Manager and Assessor, you will also

contribute to the ICB's essential operational objectives and duties, which

includes the achieving of key national performance indicators the delivery of

good quality service and care, engage in meaningful supervision, and help to

build and shape the development of new guidance for the delivery of CHC across

the combined footprint of the Humber and North Yorkshire ICB. You will work

with families, our local authority partners and the wider MDT

This post is a highly rewarding role,

supporting some of the most vulnerable adults in the locality to achieve

positive change and improved quality of life. Providing equal interest and

challenge, with plenty of opportunities for growth and development working

alongside others with a shared goal of providing the right care for those in

our community who are challenged by complex health needs.

postholder will provide comprehensive clinical advice, assessment and case

management to NHS Continuing Health Care and NHS Funded Nursing Care functions

with particular responsibilities for people who have complex health care needs,

this includes all categories of needs e.g. physical, end of life, Mental Health

and Learning Disability needs.

postholder will follow the process set out by the NHS National Framework for

CHC & FNC to provide comprehensive assessment, case management, review and

follow up on all CHC & FNC functions for the CHC Team. In addition, they

will provide support and advice to other workers, MDTs, carers and patients as

required in implementing the National Framework for CHC &FNC, contributing

to the ongoing training of other colleagues as necessary.

post holder will procure safe and appropriate care packages based on individual

needs and support the Local Authority with jointly funded packages of care.

postholder will be required to undertake complex assessments to identify

eligibility for Continuing Health Care and Funded Nursing Care by completing

the National Decision Support Tool. Gather evidence to support complex clinical

judgements, which takes into account the knowledge and advice of other

professionals and individuals / relatives views.

In

addition, the postholder will assist with complaints, IRPs and retrospective

cases from a clinical viewpoint.

postholder will ensure risks are observed and actioned and are aware of the

local governance arrangements and work within this when carrying out duties on

behalf of the CHC team.

postholder will be expected to keep accurate, high-quality documentation, ensuring

information flow to the business and admin team is up to date in order that

they can manage data and process payments.

postholder will provide and receive highly complex clinical and social

information relating to patients and explain this to MDT meetings, team

meetings, other agencies patients and carers where there may be barriers to

understanding and resistance to messages being accepted-i.e. if care cannot be

recommended or funded.

postholder will manage difficult relationships from other parties which arise

out of case management, reporting difficulties and seeking support to manage as

required. They will work flexibly within a team and communicate well with other

colleagues, ensuring all records are comprehensive and that colleagues are

briefed on potential issues, which may arise during any planned absence.

Ensure

any safeguarding or examples of poor-quality care are appropriately responded

to reported and followed through, working closely with the safeguarding team /

quality and contracting teams.

Humber and North Yorkshire Integrated Care Board (ICB) is responsible for

planning and arranging the provision of NHS services to meet the diverse health

needs of a population of 1.7 million people. Our area reaches over 1,500 square

miles and includes the cities of Hull and York and the large rural areas across

East Yorkshire, North Yorkshire and Northern Lincolnshire.

ICB is part of the Humber and North Yorkshire Health and Care Partnership, one

of 42 Integrated Care Systems (ICS) across England to meet health and care

needs, coordinate services and plan in a way that improves population health

and reduces inequality between groups. The Health and Care Partnership

comprises of NHS organisations, local councils, health and care providers and

voluntary, community and social enterprise (VCSE) organisations.

Qualifications

Skills and Attributes

Experience