Care Coordinator

As a Care Coordinator you willplay an important role within the practice to proactively identify and manage peopleidentified as living with, or at risk of developing diseases. There will be aparticular focus on cardiovascularconditions such as high blood pressure, high cholesterol, diabetes, coronaryheart disease and strokes. A key part of the role includes undertaking healthassessments and identifying and coordinating appropriate referral routes to improvepatient outcomes through coordinated access to support and advice across health,care and local voluntary and community services. You will work closely to support patients and carers to understand and manage theirconditions and ensuring their changing needs are addressed in a holistic manner. The successful candidate will be caring,dedicated, reliable and enjoy working with a wide range of people. They willhave excellent written and verbal communication skills and strongorganisational and time management skills. They will be highly motivated andproactive with a flexible attitude and be keen to work and learn as part of ateam committed to providing people, their families, and carers with highquality support. As well as providing carecoordination the role will involve hands on patient care such as bloodpressure checking, phlebotomy, ECG taking and INR measurement. Main duties of the job Undertake NHS health checks andrecord findings in clinical systems, working to necessary protocols andpolicies, assessment of risk, communication of results and onward referral toservices such as: Healthy Lifestyles, Weight Management, NL Active ExerciseProgramme, Smoking Cessation, Drugs and Alcohol Services and Locality Hubs etc. Work with people, their families,and carers to improve their understanding of the patients condition andsupport them to develop and review personalised care and support plans tomanage their needs and achieve better healthcare outcomes. Coordination of ambulatory andhome BP monitoring services. This will include identifying patients, loaning ofthe equipment with delivery of appropriate patient training, adding results topatient records, organising follow up onward referrals as appropriate accordingto protocols. Provide coordination and navigation for peopleand their carers across health and care services, working closely with socialprescribing link workers, health and wellbeing coaches, and other primary careprofessionals; helping to ensure patients receive a joined-up service and themost appropriate support. About us Winterton Medical Practice is a forward thinking GMS Dispensing Practice based in a small market town in North Lincolnshire over two sites. We are a Teaching practice and a Training practice with the Hull York Medical School. We reside in purpose built premises which includes a Minor Surgery Suite:10,000 stable patient population,SystmOne Clinical System, High QOF Achiever Rated Outstanding for the care given to our older population and Good in all other areas by CQC. Nursing team, including Nurse Practitioners, Practice Nurses, Trainee Nursing Associates & Healthcare Assistants. We are a friendly supportive practice team with a real commitment to high quality patient care Good local Schools and Colleges Job responsibilities You will work closely with the practice to support patients and carers to understand and manage theirconditions and ensuring their changing needs are addressed in a holistic manner. The successful candidate will bebased within the North Care Network. They will be caring,dedicated, reliable and enjoy working with a wide range of people. They willhave excellent written and verbal communication skills and strongorganisational and time management skills. They will be highly motivated andproactive with a flexible attitude and be keen to work and learn as part of ateam committed to providing people, their families, and carers with highquality support. As well as providing carecoordination the role will involve hands on patient care such as bloodpressure checking, phlebotomy, ECG taking and INR measurement. Undertake NHS health checks andrecord findings in clinical systems, working to necessary protocols andpolicies, assessment of risk, communication of results and onward referral toservices such as: Healthy Lifestyles, Weight Management, NL Active ExerciseProgramme, Smoking Cessation, Drugs and Alcohol Services and Locality Hubs etc. Support the Senior Administratorand Business Support Administrator with implementation of the requirements asset out in the network IIF indicators. Work with people, their families,and carers to improve their understanding of the patients condition andsupport them to develop and review personalised care and support plans tomanage their needs and achieve better healthcare outcomes. Coordination of ambulatory andhome BP monitoring services. This will include identifying patients, loaning ofthe equipment with delivery of appropriate patient training, adding results topatient records, organising follow up onward referrals as appropriate accordingto protocols. Help people to manage their needsthrough answering queries, making, and managing appointments, and ensuring thatpeople have good quality written or verbal information to help them makechoices about their care. Support people to understandtheir level of knowledge, skills, and confidence when engaging with their health and wellbeing, including through the use of thePatient Activation Measure. Assist people to access self-managementeducation courses, peer support or interventions that support them in theirhealth and wellbeing and increase their Activation level. Provide coordination and navigation for peopleand their carers across health and care services, working closely with socialprescribing link workers, health and wellbeing coaches, and other primary careprofessionals; helping to ensure patients receive a joined-up service and themost appropriate support. Work collaboratively with GPs and otherprimary care professionals within the PCN to proactively identify and manage acaseload, which may include patients with long-term health conditions, andwhere appropriate, refer to other health professionals within the PCN. Work with people, their families,carers, and healthcare team members to encourage effective self-management ofhealth conditions. Maintain records of referrals andinterventions to enable monitoring and evaluation of the service ThisJob Description will be subject to development and review Person Specification Experience Experience as a healthcare assistant, care coordinator, phlebotomist, or nurse Phlebotomy trained Experience of working in primary care Capability Ability to work independently, autonomously under the direction of a registered nurse and excellent communication skills, Intermediate IT Skills, Working knowledge of S1 clinical systems. Qualifications Grades C or above in Maths and English at GCSE level Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. #J-18808-Ljbffr