CHC Case Manager & Assessor

An opportunity has arisen within the ICB for colleagues who are qualified RGN/RMN/RNLD that are currently fulfilling a non-clinical / clinical role to consider a change in direction and join the new Continuing Healthcare team. We are looking to recruit a dynamic and innovative Band 6 Case Manager and Assessor to work as part of the team, delivering effective case management, assessment and reviews across the geography for persons who may be eligible for NHS funding. The successful candidate will be joining a newly formed integrated team of clinicians, social workers and administrative staff. All flexible working requests will be considered. Part time and full time posts will be considered. A comprehensive induction period is offered to enable those who apply who have not worked in this area before to acquire the necessary skills to fulfil the role; this induction will include undertaking digital training through NHS England, alongside shadowing and support from existing Complex Care, including CHC, colleagues.

Main duties of the job

This role will work with the senior clinical team and Operational Manager to deliver the 'end to end' Continuing Healthcare pathway. This includes eligibility assessment, review, case management and duty. As a member of the team, you will be working with a group of highly skilled people knowledgeable and passionate about the ICB achieving its statutory duties as set out in the national Continuing Healthcare framework. As a Case Manager and Assessor, you will also contribute to the ICB's essential operational objectives and duties, which includes the achieving of key national performance indicators, the delivery of good quality service and care, engage in meaningful supervision, and help to build and shape the development of new guidance for the delivery of CHC across the combined footprint of the Humber and North Yorkshire ICB. You will work with families, our local authority partners and the wider MDT. This post is a highly rewarding role, supporting some of the most vulnerable adults in the locality to achieve positive change and improved quality of life. Providing equal interest and challenge, with plenty of opportunities for growth and development working alongside others with a shared goal of providing the right care for those in our community who are challenged by complex health needs.

About us

NHS Humber and North Yorkshire Integrated Care Board (ICB) is responsible for planning and arranging the provision of NHS services to meet the diverse health needs of a population of 1.7 million people. Our area reaches over 1,500 square miles and includes the cities of Hull and York and the large rural areas across East Yorkshire, North Yorkshire and Northern Lincolnshire. The ICB is part of the Humber and North Yorkshire Health and Care Partnership, one of 42 Integrated Care Systems (ICS) across England to meet health and care needs, coordinate services and plan in a way that improves population health and reduces inequality between groups. The Health and Care Partnership comprises of NHS organisations, local councils, health and care providers and voluntary, community and social enterprise (VCSE) organisations.

Job responsibilities

The postholder will provide comprehensive clinical advice, assessment and case management to NHS Continuing Health Care and NHS Funded Nursing Care functions with particular responsibilities for people who have complex health care needs, this includes all categories of needs e.g. physical, end of life, Mental Health and Learning Disability needs. The postholder will follow the process set out by the NHS National Framework for CHC & FNC to provide comprehensive assessment, case management, review and follow up on all CHC & FNC functions for the CHC Team. In addition, they will provide support and advice to other workers, MDTs, carers and patients as required in implementing the National Framework for CHC & FNC, contributing to the ongoing training of other colleagues as necessary. The post holder will procure safe and appropriate care packages based on individual needs and support the Local Authority with jointly funded packages of care. The postholder will be required to undertake complex assessments to identify eligibility for Continuing Health Care and Funded Nursing Care by completing the National Decision Support Tool. Gather evidence to support complex clinical judgements, which takes into account the knowledge and advice of other professionals and individuals/relatives views. In addition, the postholder will assist with complaints, IRPs and retrospective cases from a clinical viewpoint. The postholder will ensure risks are observed and actioned and are aware of the local governance arrangements and work within this when carrying out duties on behalf of the CHC team. The postholder will be expected to keep accurate, high-quality documentation, ensuring information flow to the business and admin team is up to date in order that they can manage data and process payments. The postholder will provide and receive highly complex clinical and social information relating to patients and explain this to MDT meetings, team meetings, other agencies, patients and carers where there may be barriers to understanding and resistance to messages being accepted - i.e. if care cannot be recommended or funded. The postholder will manage difficult relationships from other parties which arise out of case management, reporting difficulties and seeking support to manage as required. They will work flexibly within a team and communicate well with other colleagues, ensuring all records are comprehensive and that colleagues are briefed on potential issues, which may arise during any planned absence. Ensure any safeguarding or examples of poor-quality care are appropriately responded to, reported and followed through, working closely with the safeguarding team/quality and contracting teams.

Person Specification

Qualifications

• Registered Nurse - RGN/RMN/RNLD
• Evidence of post qualification ongoing professional development.
• Diploma Level Specialist Knowledge required through training/experience.
• Knowledge of continuous developments in the NHS and social care.
• Ability to understand the Continuing Care and Funded Nursing Care criteria and the ability to apply this to everyday practice.
• Ability to update knowledge of various acts and statutory guidance such as the Mental Health Act, Mental Capacity Act, Valuing People, Safeguarding etc.
• Knowledge of risk management and clinical governance.
• Relevant post qualification study which represents ongoing professional development.
• Good-working knowledge of local policies that apply to nursing, health, and social care.
• Knowledge of safeguarding and other policies that affect vulnerable people.

Skills and Attributes

• Excellent interpersonal and communication skills/negotiation skills and ability to convey sensitive issues.
• Ability to deal with distressed and often upset individuals in a professional manner at all times.
• Able to assist in managing oneself and work schedule in the most effective way.
• Demonstrate skill in working with users and carers from a variety of backgrounds.
• The duties of this post require travelling throughout the county on a daily basis, therefore the post holder must be independently mobile/car driver.
• Flexible approach.
• To be calm, professional and reassuring at all times when dealing with other agencies and the public.
• Ability to engage and work effectively with relevant agencies and multi-disciplinary professionals at all levels.
• Have a clinical knowledge of a wide range of chronic conditions, illness and disability or the ability to learn this.
• Ability to produce any written documentation to a high standard.
• Able to write coherent and comprehensive assessments and be able to present them in public arenas.
• Skills in quality/audit systems.
• Ability to network and have a knowledge of services.
• Ability to sign post and provide advice on access to generic health and social services.
• Able to demonstrate an ability to work with families and other agencies to procure care packages and has ongoing responsibility for this.

Experience

• Experienced in team working and working autonomously.
• Demonstrate evidence of multi-disciplinary/multi agency working.
• Previous experience in undertaking comprehensive, evidence-based assessments.
• Working with the care home sector.
• Working with a wide range of agencies or care groups.
• Working with the Independent Sector health and social care providers.

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.