Care Coordinator; Trinity Health Group PCN

Care Coordinator (Trinity Health Group PCN)

Are you a compassionate, organised individual with a passion for making a real difference in peoples lives?

If so this is an exciting opportunity for the right candidate to join our dynamic team of existing Care Co-ordinators, working with the GP Surgeries that form Trinity Health Group (PCN)

Under the direction of the PCN team, the coordinator will identify a cohort of patients who meet specific criteria as determined by the Service priority areas using population health intelligence.

You will deliverpersonalised holistic healthcare and support in order to manage their needs proactively,exploring options or a single personalised care and support plan. Provide advice, guidance and signpost to other services, co-ordinate patient care services and work with the care team to evaluate interventions.

The Care Co-ordinator will proactively (not an exhaustive list):

• Under direction, use population health intelligence to identify a cohort of patients in line with Service priority areas and contractual requirements and undertake intervention as appropriate, reporting back on progress regularly
• Help patients to manage their needs through answering queries, making and managing appointments and ensuring that they have good quality written and verbal information to help them make choices about their care, using tools to understand peoples level of knowledge and confidence in managing their own health
• Identify when urgent action or a step up in care is required and promptly alert the relevant professionals involved, highlighting any safety concerns
• Support the patients to access self-management education courses, peer support and other interventions that support them in their health and wellbeing
• Develop and maintain effective and positive relationships with multidisciplinary professionals, practice staff and other teams, facilitating a co-ordinated approach, referring and liaising with them in the best interest of the patients care
• Work within the parameters of own skills and knowledge, recognising when it is necessary to bring in other expertise or ask for further guidance from peers or supervisors
• Any other duties and responsibilities in keeping with the level and nature of the role.

This role will be based primarily at Trinity Health Centre, although this could change

Trinity Health Group is a PCN made up of four practices on the west of the district (Trinity Medical Centre, Maybush Medical Centre, Crofton and Sharlston Medical Practice and Warrengate Medical Centre). Our vision is that all our patients should have the same chance at a happy, healthy life. We believe that a sustainable, resilient Primary Care Service working collaboratively with volunteer and community services and social enterprise organisations supports this vision.

Our Mission is to add years to the lives of our patients and to add life to those years.

For the full Job Description and Person Specification for this role please see the additional documents attached.

• Experience of working directly with the general public
• Experience of using computer and IT systems with a basic level of IT literacy
• Experience of using Systm One and/or similar
• Experience in Primary Care, voluntary sector and/or healthcare
• Competent use of Microsoft 365 applications
• Ability to communicate complex and sensitive information with people at all levels by telephone, email and face-to-face
• Ability to form a natural bond and put people at ease from all background and communities, respecting lifestyles and diversity
• Ability to handle pressurised and challenging situations
• Ability to have difficult conversations with confidence and compassion
• Ability to influence and persuade
• Compassionate, respectful and empathic with patients
• Aware of own abilities and know when to seek support if needed
• Ability to manage own time effectively, prioritise workload and work to deadlines
• Problem solving and interpersonal skills
• Ability to travel across the locality on a regular basis, including visiting people in their own homes and care homes with a full driving license and access to a car
• Good clinical systems IT knowledge of EMIS/Systm One/Vision
• Understanding of and prepared to adhere to relevant Policies and Procedures
• Basic understanding of Primary Care environment
• Knowledge of the local area and patient demographics
• Good clinical systems IT knowledge of EMIS/Systm One/Vision

• Basic literacy and numeracy skills
• Willingness to undertake relevant training by the Personalised Care Institute
• Willingness to undertake up to date statutory and mandatory training as defined by Conexus Healthcare
• Care certificate
• Relevant qualification from the Personalised Care Institute or similar
• Trained in Care Navigation or similar
• Ability to speak a language relevant to the patient demographic

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