Care Coordinator
Job overview
The Rotherham Assertive Outreach Team (AOT) provides intensive, recovery-focusedcommunity support to adults across Rotherham with severe and enduring mental illnesses, primarily psychosis. The service works with patients who often present with co-existing
substance misuse, complex risks, and significant social challenges, many of whom have
struggled to engage with traditional mental health services. AOT aims to reduce barriers to
care, prevent hospital admissions, and promote rehabilitation through a highly integrated, multidisciplinary, and multi-agency ‘team’ approach in line with the AOT model. The service
also includes a community rehabilitation pathway for patients with both psychotic and nonpsychotic disorders (SMI), and a 10-bedded supported living facility offering structured, step-down rehabilitative support in partnership with South Yorkshire Housing.
The post-holder will deliver assertive and therapeutic interventions aimed at reducing
relapse and hospital admissions. Using DIALOG/DIALOG+ and other patients reported
outcome measures, the Care Coordinator collaboratively assesses, develops and reviews
personalised care and recovery plans, ensuring that support is holistic, person-centred, and
delivered in partnership with the wider multidisciplinary team and external agencies.
Main duties of the job
Deliver community-based assertive outreach and rehabilitation supportive engagement, promoting recovery, independence, and social inclusion.- Manage a defined caseload of patients in the community and supported living, including patients subject to Community Treatment Orders and act as Social Supervisor for patients subject to Ministry of Justice sections.
- Act as shift coordinator, planning daily visits and care delivery, responding to service demand and crisis situations.
- Work collaboratively with the multidisciplinary team to manage complex risks. Work collaboratively with the team, patients, carers, and external agencies, including South Yorkshire Housing to deliver holistic care.
- Apply professional judgment in clinical decision-making, risk assessment, and care planning within Trust and statutory guidance.
- Deliver care and treatment for patients based on individualised care plans and risk
assessments.
Working for our organisation
Rotherham Doncaster and South Humber NHS Foundation Trust (RDaSH) employ around 4000 talented colleagues who are very much appreciated, valued, and respected.
We have a wide portfolio which includes mental health, physical health, learning disability and drug and alcohol services.
We are dedicated to the development of our our people and hold a learning half day every month for our colleagues.
We are passionate about enhancing the quality of our service and we work hard to attract and select the right colleagues for our organisation. Our goal is to employ those who share our passion for providing first class care while remaining committed to our vision and values. Please view our Strategy using the link below:
https://www.rdash.nhs.uk/documents/clinical-and-organisational-strategy-2023-to-2028/
To find out more about working for RDaSH and the fantastic benefits we offer visit our website:
https://workwithrdash.co.uk/
We are committed to inclusive cultures and really value people in our organisation, view our Allyship video on YouTube to find out more:
https://youtu.be/WMJSkLoTk4Q
The main terms and conditions of service can be found here:
https://www.nhsemployers.org/publications/tchandbook
Detailed job description and main responsibilities
Please view the attached job description and person specification to view the full details about the role
We reserve the right to close the vacancy early if there are a high amount of applications
Person specification
Qualifications
Essential criteria- NMC or relevant allied health professional registration; Qualified mentor/practice assessor
- DESIRABLE Post-qualifications, courses in relevant subjects (e.g., Voice Hearing Maastricht Training, DBT skills, Phlebotomy, ECG)
Experience
Essential criteria- Experience working with adults with SMI, psychosis, Bipolar
- Experience of completing complex risk assessments
- Experience of working in a multidisciplinary team
- Experience of shift coordination and managing daily care delivery.
- Experience of working in an Assertive Outreach Team.
- Experience of working in a community rehabilitation setting.
- Experience of working with families and carers.
- Experience of working as a Social Supervisor.
Knowledge
Essential criteria- Knowledge of the Mental Health Act, Mental Capacity Act, Safeguarding, CTOs and Ministry of Justice sections, recovery-focused interventions, risk management, team-based approach, crisis response
- Knowledge of AOT ethos and principles, relapse prevention
Skills
Essential criteria- Leadership skills with the ability to support and supervise junior staff
- Excellent interpersonal and communication skills; IT competency (Word, Outlook, Excel, PowerPoint); prioritisation; working under pressure; using PROMs; personable, adaptive engagement skills; ability to complete tribunal reports and shift coordinate.
**Eligibility for sponsorship - please read before submitting your application**
We welcome applications from individuals who may require sponsorship [if eligible] under the skilled worker or health & care visa route. Please note, not all vacancies or applications are eligible for sponsorship.
*****Before applying, you can make a self-assessment of potential eligibility for sponsorship here: https://www.gov.uk/skilled-worker-visa
**Please note, there have been some changes made to Home Office guidance including changes to salary thresholds for sponsorship applications and eligibility for dependent visas from 9 April 2025 and from 22 July 2025**