Case Manager - Individual Commissioning | NHS Shropshire, Telford and Wrekin Integrated Care Board
Case manager Band 6 post in Continuing Healthcare(CHC)
The case management team is responsible for the case management coordination for patients with Learning disabilities, mental health, physical and complex needs. Patient’s needs are met and regularly reviewed in line with national requirements for patients eligible for CHC, working within the Shropshire, Telford and Wrekin ICB.
As a case manager, you will need to have a qualification as a registered nurse or social worker. We are looking for a person with a background in patient assessment, experience in liaison with the multidisciplinary team and a knowledge of/or experience of care provision.You will observe and evaluate care needs and signpost and direct to inform the most appropriate care provision to meet those identified needs.
As a case manager you will be able to make a positive difference to the lives of those you work with, monitoring quality and assurance and financial agreements to enable value for money for the NHS and the patient. You will have learning and development opportunities to develop clinical knowledge of complex care and conditions, key skills in communication and liaison with multiple professional services and provider services.You will have opportunity to attend National and local forum to positively contribute towards NHS change and development. You will develop key leadership, organisational skills and develop IT and digital skills utilising the care recording systems in place.
You must possess a current NMC (Adult, Mental Health or LD), and have the ability to travel within the locality.
You will be expected to have an understanding of the National Framework for NHS Continuing Healthcare and Funded Nursing Care, in particular the elements in relation to patient reviews.
In the future you will be expected to develop clinical skills in relation to the operation of the Liberty Protection Safeguards ( once enacted)
Ideally, you will be an experienced CHC assessor however, if you have experience of case management and do not have CHC experience we would still like to hear from you.
Job Summary- The postholder will manage the co-ordination and monitoring of complex packages of care and NHS funded placement It will be necessary to work closely with patients and their relatives ensuring that they understand the process, the eligibility criteria to be applied, and to provide empathy to patients.
- The postholder will have a flexible approach to care and will work across inter-agency boundaries, maintaining good communication and liaison skills with all professionals and members of the public
- The postholder will undertake care reviews for people whose care is fully or partially funded by the NHS ensuring patient focused support and facilitating the most appropriate and cost-effective pathway for individual
We also have a duty to monitor these services to ensure they provide a high level of care and are value for money. We are clinically led and work closely with the 51 GP practices across the county. This means we can have closer links to our patients so we can develop more personalised local health services.
In return, we provide a supportive environment in which to learn and develop, with the opportunity to further your skills and career within an exciting and evolving environment. Joining our inclusive and innovative team comes with a range of benefits including flexible & agile working arrangements, pension scheme and generous annual leave allowance.With our training schemes and support networks, you will be empowered to play a leading role in the future of healthcare, whatever your specialism or interest. And as a member of NHS staff you will receive plenty of discounts too.
To support your application you may like to familiarise yourself with the 2022 National Framework for CHC available athttps://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-careand if you would like to undertake some online training for this post you can register with E-Learning for Healthcare and complete the E learning for NHS continuing Healthcare available athttps://www.e-lfh.org.uk/programmes/continuing-healthcare/. The training is free!! This would provide a competent practitioner all the theoretical knowledge required for working in our team.
Main responsibilities:
Communication & Relationships Skills- To provide relevant and timely specialist advice and guidance on functional and information matters.
- To support the development of internal and external communications where required by regular contact with the teams, stakeholders and Communications team
- To be responsible for preparation of correspondence and complex report, assessments and papers
- To undertake complex clinical assessment and clinical report writing.
- To represent the team on panels and decision making forums as required, participating in the decision-making process and clarification of funding responsibilities for clients who are registered with a NHS Shropshire, Telford and Wrekin GP.
- To represent NHS Shropshire, Telford and Wrekin on NHSE appeal panels.
- To work with team members and other health and social c a r e professionals to promote joint working to achieve positive benefits and added value for individual service users and carers.
- To liaise and communicate with external agencies including; NHS England, care providers, solicitors
- To maintain constructive relationships with a broad range of internal and external stakeholders.
- To participate in relevant internal and external working groups/projects, services, and initiatives which may be highly complex, sensitive, political, and contain contentious information with the aim of providing information and analytical advice to the teams.
- To communicate complex, clinical, personal and emotive information about patients and circumstances including risks, issues and dependencies, diagnosis, prognosis and eligibility to NHS funded services.
- To lead on the management of contentious cases which are highly complex and sensitive, acting as representative in legal proceedings.
- To deal with regular telephone calls throughout the day, addressing highly sensitive and complex enquiries, issues of concern regarding patient wellbeing, complaints and referrals that may require an immediate response
- To participate in the monitoring, review and complaints procedures of individuals with complex needs whose care is managed in their own homes or in residential care settings.
- To undertake complex and detailed analysis of specific projects and patients requiring high levels of concentration.
- To update, maintain, organise, gather and analyse information to predict/meet future individual patient, organisational and team needs by identifying best professional practice.
- To contribute to the information management of performance, taking a lead for specific projects
- To provide co-ordination of and participate in relevant meetings, reporting attendance and providing information advice and support where requested
- To plan own workload and diary to ensure local, national and statutory targets and deadlines are met.
- To undertake complex clinical assessment and care planning to ensure patient need is met and that where appropriate, step-down/discharge is planned and co-ordinated to ensure patient need is met in the least restrictive way.
- To work with members of the team and key stakeholders to investigate the causes of any variance from plan/delivery targets and contribute to the implementation of solutions.
- To manage a defined caseload undertaking responsibilities as delegated by the Team Leader/Manager
- this will include the routine management of complex cases and the planning, organising and commissioning of specialised care packages ensuring the maintenance of accurate records.
- To participate in the assessment, monitoring, review and complaints procedures of individuals with varying levels of complex needs whose care is managed in their own homes or in care settings.
- To assist or lead (depending on who is the responsible commissioner) in the co-ordination of complex care packages involving members of the multi-disciplinary / multi-professional team as required.
- To assist in the collaboration and the co-ordination of the review and assessment process and to undertake reviews and assessments, including formal eligibility assessments as indicated.
- To undertake needs portrayal and retrospective assessments for PUPOC and appeals.
- To practice at all times in a manner that is within the NMC Code of Conduct and Guidelines or equivalent for specialist health profession.
- To practice at all times within a clinical governance framework that promotes quality.
- To co-ordinate and commission complex care packages involving members of the multi-disciplinary / multi-professional team
This advert closes on Wednesday 16 Oct 2024