Individualised Commissioning Nurse
Listed on 2026-10-16
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Healthcare
Healthcare Management, Healthcare Administration, Healthcare Consultant
The post holder will be responsible for assessing and determining eligibility for people with complex health needs who are eligible for NHS funding for long term care and treatments under The National Framework for NHS Continuing Healthcare and NHS Funded Nursing Care, The Mental Health Act. The service also commissions packages of care for clients requiring Transforming Care and Neurological Rehabilitation pathways.
The post holder will be responsible to clinically plan and commission the care required, ensuring that the care is safe, effective and good quality. Communication and relationships with individuals and independent providers is a key part of this role as well as abilities to manage risks, problem solve influence and negotiate to ensure appropriate clinical commissioning case management of complex individuals.
The post holder will chair multi-disciplinary meetings in order to make eligibility recommendations for NHS Continuing Healthcare and NHS Funded Nursing Care. Complete reviews of commissioned packages ensuring that people are receiving high quality safe and effective care as well as ensuring they still have eligibility for the relevant funding stream. You will also provide expert advice to other professionals commissioned to provide care in relation to NHS continuing Healthcare and NHS Funded Nursing Care packages.
Mainduties of the job
- The post holder will act as CHC commissioning nurse for patients whose care is either jointly or solely funded by NHS GM and the care is provided by the independent sector
- Identify and case manage clients who may be eligible for NHS funding, chair and coordinate eligibility assessments and reviews
- Provide expert advice to other professionals commissioned to provide care in relation to NHS Individualised Commissioning
- Complete the restitution process for all claims which includes presentation of findings to the NHS GM multi-agency funding panel and the NHS England Independent review panel
- Contribute to the quality monitoring of care home providers
- Support with the duty function of the service
NHS Greater Manchester Integrated Care
Integrated Care Systems (ICSs) are partnerships of health and care organisations that come together to plan and deliver joined up services and to improve the health and wellbeing of people who live and work in their area. Their purpose is to improve outcomes in population health and healthcare; tackle inequalities in outcomes, experience, and access; enhance productivity and value for money and support broader social and economic development in their area efficiency.
This will be delivered in neighbourhood, place, combinations of places and GM system. This role is in the Trafford locality within the Healthcare commissioning and is attributed to the Personalised Care Service.
Our NHS People Promise - the promise we must all make to each other, to work together to improve the experience of working in the NHS for everyone. Like many other employers, NHS GM currently has evidence of unwarranted inequalities in the workforce, most notably in relation to minoritised ethnic, female and/or disabled staff and their intersectionality. As a result, we will use positive action measures to bring benefits to our organisation, including a wider pool of talented, skilled, and experienced people from which to recruit and a better understanding of the needs of a more diverse range of customers.
Jobresponsibilities
- Promote ICs vision and mission and to uphold ICs values in all day to day activities and delivery of services.
- Participate in the objective setting process as part of the annual Performance Development Review/appraisal process, to understand how own role and objectives are linked to team, directorate and corporate objectives, to review what aspects of your role are being done well, and to identify any areas for development.
- Undertake relevant activities and mandatory training to meet objectives identified in Personal Development Plan.
- Adhere to all IC policies and guidelines, including HR, Information Governance, Risk Management and Health & Safety policies.
- Comply with relevant IC and own professional codes of conduct and accountability.
- Maintain professional registration if this is a requirement of the job.
- Carry out your duties in a way that supports equality and values diversity and the values and behaviours of Trafford IC. This responsibility includes your actions in relation to service users, carers, work colleagues, people in other…
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