Clinical Care Coordinator (Maternity Cover) in Lincoln

We are looking for a skilled, experienced and enthusiastic team member, experienced in phlebotomy, to work within our evolving team at Lincoln Healthcare Partnership Primary Care Network (PCN). A team with a goal to provide joined up, pro-active care for residents in care homes, those with complex health and social conditions and those requiring multiple services to support them in their place of residence. The post holder will carry out phlebotomy and basic observations in care homes. The role will also support the wider multidisciplinary team to ensure care is joined up, personalised, and responsive. The role focuses on proactive case management, coordination of services, and navigation of the health and social care system to improve patient outcomes and reduce health inequalities. The role will be an integral part of the PCN Team, working in the community across the PCN.

Main duties of the job

• Working closely with the patient and their clinician or other healthcare professionals, the Clinical Care Coordinator will establish and provide clinical observations.
• Patient care and case management.
• Communication and collaboration.
• Service development and quality.

About us

Lincoln Healthcare Partnership (LHP) PCN is made up of two practices (Brayford Medical Practice and Heart of Lincoln Medical Group) based in central Lincoln with a patient population of just under 40,000 people.

Job responsibilities

• Work as an integral member of the team caring for patients with complex health and care needs, including long term conditions and mental health issues.
• Undertake phlebotomy and basic observations.
• Develop and maintain personalised care and support plans in collaboration with clinical teams, patients and families.
• Monitor patients' progress, reviewing care plans regularly, and adapting support as needs change.
• Support patients to self-manage their conditions where possible, promoting independence and wellbeing.
• Liaise with GPs, practice nurses, mental health services, community teams, social care, and voluntary sector organisations to ensure integrated care delivery.
• Proactively identify patients at high risk of hospital admission or deterioration and coordinate appropriate interventions.
• Facilitate smooth transitions of care, such as hospital discharge planning and onward referrals.
• Actively signpost patients to the correct healthcare professional.
• Ensure that patients have timely access to mental health support, signposting and escalating as necessary.
• Assist patients to access self-management education courses, peer support or interventions that support them in their health and well-being.
• Where appropriate, assist patients to access personal health budgets.
• Provide coordination and navigation of patients, and where appropriate their carers, across health and social care services.
• Attend and participate in the delivery of multi-disciplinary teams (MDT) within PCNs.
• Build strong relationships with community and voluntary sector partners to enhance patient support networks.
• Advocate for patients, ensuring their voice is heard and their preferences are respected.
• Provide information, advice, and guidance to patients and carers in a clear and accessible way.
• Contribute to audits, data collection, and evaluation of the service, identifying areas for improvement.
• Keep accurate, timely, and up to date records in line with local policies and information governance standards.
• Share best practice across the PCN.
• Be responsible for the day-to-day planning of personal workloads.
• Follow departmental policies, procedures and guidelines.
• Develop yourself and the role through participation in training and service redesign activities.
• Contribute to a patient safety culture through reporting and investigation of incidents and undertaking proactive measures to improve patient safety.
• Maintain accurate clinical records of all patient consultations and related work.
• Review the latest guidance ensuring the practice conforms to regulations.
• Support in the delivery of enhanced services and other service requirements on behalf of the PCN.
• Participate in the management of patient complaints when requested to do so.
• Undertake all mandatory training and induction programmes.
• Contribute to and embrace the spectrum of clinical governance.
• Attend a formal appraisal with their manager at least every 12 months.
• Contribute to supporting public health campaigns e.g. flu.
• Support delivery of QOF, incentive schemes, QIPP and other quality or cost effectiveness initiatives.
• Perform other general tasks as assigned.
• Maintain professional knowledge, attending training and development as required.

Person Specification

• GCSE A* - C or equivalent in Maths and English.
• Experience in care coordination or clinical administration.
• Excellent communication skills (written and oral).
• Strong IT skills.
• Clear, polite telephone manner.
• Competent in the use of Office and Outlook.
• Systmone user skills.
• Effective time management (planning and organising).
• Ability to work as a team member and autonomously.
• Good interpersonal skills.
• Problem-solving and analytical skills.
• Ability to follow clinical policy and procedure.
• Polite and confident.
• Flexibility to work outside core office hours.
• Disclosure Barring Service (DBS) check.
• Driving licence and access to a vehicle.
• Motivated, forward thinker.
• Problem solver with the ability to process information accurately and effectively, interpreting data as required.
• High levels of integrity and loyalty.
• Sensitive and empathetic in distressing situations.
• Ability to work under pressure/in stressful situations.
• Able to communicate effectively and understand the needs of the patient.
• Commitment to ongoing professional development.
• Effectively utilises resources.
• Punctual and committed to supporting the team effort.
• Experience of working in primary care environment.

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 to check for any previous criminal convictions.