Care Coordinator
Battersea Primary Care NetworkLtd Care Coordinator Main Responsibilities: These may vary according to the current needs and priorities of the GP practices/PCN teams but may include any or all of the following: 1.Plan and carry out patient call and recall systems for public health programmes (eg Covid vaccine programme, child immunisations, cervical screening), focusing particularly on vulnerable and hard to reach groups and patients with complex care needs 2.Setting up and running clinical searches in order to monitor and focus care of target groups 3.Manage a caseload of identified patients with complex care needs, supporting them and their clinical teams by: coordinating their medical care when required responding to queries and requests for assistance sign-posting patients and carers to appropriate support services working with clinicians to ensure all the contractual requirements for patients with complex care needs are met assisting in the administration of MDT meetings and coordinating actions identified during these meetings Care and Support Planning Provide organisational and operational support for the setup of COVID vaccination clinics and other public health initiatives Proactively identify and work with a cohort of people to support their personalised care requirements Help people to manage their needs, answering their queries and supporting them to make and get to appointments.
Raise awareness of shared decision making and decision support tools and assist people to have shared decision-making conversations with their healthcare teams. Ensure that people have good quality information to help them make choices about their care Bring together a persons identified care and support needs and explore their options to meet these into a single personalised care and support plan, in line with person centred service plan (PCSP) best practice Provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches and other primary care roles.
Support the coordination and delivery of MDTs within PCNs. Clinical System / Medical Records Ensure total familiarity with the clinical system; Book appointments and recalls ensuring sufficient information is recorded; Code and extract data from clinical correspondence and input into EMIS Electronic Patient Record Run searches and produce reports as required with the support of practice IT teams Ensure correspondence, reports, results etc.are dealt with in a timely manner as per practice protocol Shared responsibility for target group disease register with clinical teams Telephone System Receive and make calls as required answering any queries that arise Divert calls and take messages as appropriate ensuring accuracy Other responsibilities To work at all times within the requirements of GDPR, maintaining patient confidentiality Maintain accurate clinical records at all times To participate in educational events as advised by the Practice To attend various Practice meetings as requested Any other tasks that may be required by the practice from time to time