Integrated Care Community Care Coordinator

Main area Band 5 Nurse Grade NHS AfC: Band 5 Contract 12 months (A fixed term contract to backfill the Care Coordinator Role in Barrow ICC) Hours Full time - 37.5 hours per week (Monday - Friday: 08:00am - 16:00pm) Job ref -UHMB

Employer University Hospitals of Morecambe Bay NHS Foundation Trust Employer type NHS Site Barrow ICC, Fair Field Lane Town Barrow in Furness Salary £32,073 - £39,043 per annum pro rata Salary period Yearly Closing 15/10/ :59

Integrated Care Community Care Coordinator

NHS AfC: Band 5

''Creating a great place to be cared for and a great place to work''

University Hospitals of Morecambe Bay has a firm commitment to strengthening the diversity of our workforce, and therefore welcome and encourage applications from likeminded people who can support our ambition to become effortlessly inclusive. We are particularly keen to hear from protected groups – including BAME, LGBT+ and people with a disability.

Job overview

Working Hours: Monday to Friday, 08:00am–16:00pm

Base: Barrow ICC, Fairfield Lane

An exciting opportunity has arisen to join the established Barrow Integrated Care Community (ICC) Clinical Team as a Band 5 Care Coordinator.

This role is ideal for an experienced health care professional who is passionate about delivering person-centred care and supporting people to remain independent within their own communities.

Working as part of a multidisciplinary team alongside Case Management, GPs, Community Nurses, Allied Health Professionals, Social Care and VCFSE partners, you will coordinate care for patients with frailty, long-term conditions and complex needs. You will support assessments, develop personalised care plans, coordinate referrals, signpost to appropriate services and act as a key point of contact for patients and carers.

You will help improve patient outcomes through proactive care coordination, effective communication and collaborative working, contributing to the prevention of avoidable hospital admissions and supporting the delivery of high-quality integrated care.

This is an exciting opportunity to join a developing ICC, with excellent opportunities for learning, professional development and helping shape the future of community services across the Barrow community.

Main duties of the job

As a Band 5 Care Coordinator, you will play a key role in delivering proactive, person-centred care across the Barrow ICC footprint. Working within a multidisciplinary team, you will coordinate care for patients with frailty, long-term conditions and complex health and social care needs.

Working alongside Case Manager, Development Lead, ICC Clinical Team Leader, GPs and partner organisations, you will support the assessment of patient needs, coordinate personalised care and support plans, facilitate referrals, and signpost patients to appropriate health, social care and voluntary sector services.

You will act as a central point of contact for patients and carers, supporting them to navigate services, promoting independence and self-management, and helping to prevent avoidable hospital admissions through timely intervention and coordinated care.

The role includes managing referrals, coordinating appointments, supporting safe hospital discharges, maintaining accurate clinical records, participating in multidisciplinary team meetings, escalating concerns appropriately and maintaining your clinical competencies through ongoing training, supervision and continuous professional development.

You will build effective relationships across health, social care and community services, ensuring patients receive the right care at the right time. Excellent communication, organisational and IT skills are essential, together with the ability to work independently and travel across Barrow.

Working for our organisation

We operatefrom three main hospitals-Furness General Hospital (FGH) in Barrow, the Royal Lancaster Infirmary (RLI), and Westmorland General Hospital (WGH) in Kendal, as well as a number of community healthcare premises including Millom Hospital and GP Practice, Queen Victoria Hospital in Morecambe, andUlverstonCommunity Health Centre.

FGH and the RLI have a range of General Hospital services, with full Emergency Departments, Critical/Coronary Care units and various Consultant-led services.

WGH provides a range of General Hospital services, together with an Urgent Treatment Centre, that can help with a range of non-life threatening conditions such as broken bones and minor illnesses.

All three main hospitals provide a range of planned care including outpatients, diagnostics, therapies,daycase and inpatient surgery. In addition, a range of local outreach services and diagnostics are provided from community facilities across Morecambe Bay.

Detailed job description and main responsibilities

• Coordinating a defined caseload of patients with long-term conditions, frailty and complex health and social care needs under the guidance of the multidisciplinary team.
• Supporting the coordination of care across health, social care and voluntary sector services to ensure seamless, person-centred care delivery.
• Assisting patients to maintain their independence and wellbeing through proactive care coordination, personalised support and timely interventions.
• Supporting the development, implementation and review of personalised care and support plans in partnership with patients, carers and the wider multidisciplinary team.
• Providing information, advice and signposting to appropriate health, social care and community services to help patients access the support they need.
• Promoting person-centred care and supporting patients to make informed decisions about their health and wellbeing.
• Supporting proactive identification of patients who may benefit from coordinated care and early intervention, contributing to population health management initiatives and reducing avoidable hospital admissions.
• Participating in population health activities, health promotion initiatives and public health events across the Integrated Care Community (ICC), supporting the delivery of preventative care and improving health outcomes within local communities.
• Monitoring patient progress, maintaining accurate and timely clinical records, and escalating changes in patient needs or identified risks to the appropriate clinician.
• Developing effective working relationships with colleagues across primary care, community services, acute care, social care and the voluntary, community, faith and social enterprise (VCFSE) sector to support integrated, coordinated care.
• Providing day-to-day support and guidance to Band 4 Care Navigators, promoting effective team working, sharing knowledge and contributing to the smooth running of the service within the scope of the role.
• Supporting the Case Managers by undertaking delegated activities and, where appropriate, providing operational support and coordination during periods of planned or unplanned absence to ensure continuity of patient care and service delivery.
• Contributing to service improvement initiatives and the continued development of Barrow ICC, whilst actively participating in learning, reflective practice and ongoing professional development.

Person specification

Qualifications

• Registered Nurse (Adult) or Registered Mental Health Nurse (RMN), registered with the Nursing and Midwifery Council (NMC) or HCPC-registered Allied Health Professional
• Experience working in a community, primary care, integrated care or multidisciplinary team. Experience supporting patients with long-term conditions, frailty or complex health and social care needs. Experience of coordinating care and working collaboratively across services.
• Understanding of person-centred care, Safeguarding, Mental Capacity Act, confidentiality and information governance. Knowledge of community services and integrated working. Understanding of care planning and holistic assessment.
• Excellent communication and interpersonal skills. Ability to build effective relationships with patients, carers and professionals. Good organisational and time management skills. Ability to prioritise workload and manage a caseload. Competent IT skills, including electronic patient record systems and Microsoft Office. Ability to work independently and within a multidisciplinary team.
• Ability to travel independently across the ICC footprint. Full UK driving licence and access to a vehicle (where required). Willingness to undertake relevant training and continuing professional development.
• Experience using EMIS, SystmOne or other clinical systems. Audit and data collection skills. Presentation or teaching skills.
• Experience within an Integrated Care Community (ICC), Primary Care Network (PCN) or Community MDT. Experience of discharge planning, case management support or care coordination. Experience of population health or health promotion initiatives.

PLEASE NOTE THAT SHORTLISTED APPLICANTS WILL BE CONTACTED BY EMAIL.

The Trust promotes flexible working opportunities where ever possible to enable staff to balance their work and home life. We are committed to Equal Opportunities and aim to be EffortlesslyInclusive .

The trust operates a No Smoking Policy.
Only those applicants who demonstrate clearly how they meet our Person Specification will be shortlisted for Interview.
We reserve the right to close a job advert early where sufficient applications have been received.
The Trust does not offer interview expenses to shortlisted candidates unless indicated in the advert
If the post is subject to Disclosure & Barring Service checking, (formally CRB) a charge of £49.50 for Enhanced and £21.50 for Standard clearance and additional to this a £4.90 administration fee will be made to the successful candidate(s). This currently only applies to roles Band 6 and above and Medical & Dental posts.

Anyone newly appointed to the trust under the Agenda For Change contract, will be subject to the completion of a satisfactory 4 month probationary period. This will give the new staff member an opportunity to become familiar with the role and working environment.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Name Kate Whittle – Job title ICC Clinical Team Leader – Email address – Telephone number . Additional information: Maxine Baron (Development Lead) – .

If you have problems applying, contact

Address Level 1
Fusion House
Evolution Park
Blackburn
Lancashire
BB1 2FD
Telephone

#J-18808-Ljbffr

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