Care Coordinator

Job Summary

Required Qualifications

• •Ability to work closely with patients, carers, and clinicians
• •Understanding of roles of people working in the practice and across the PCN
• •Ability to coordinate patients' healthcare and direct them to appropriate services
• •Ability to address changing or present patient needs
• •Knowledge of local priorities
• •Knowledge of health inequalities
• •Knowledge of population health management risk stratification
• •Ability to respect all individuals
• •Ability to show courtesy
• •Ability to seek to understand
• •Ability to treat all fairly
• •Ability to value each person as a unique individual
• •Ability to be especially supportive to the vulnerable
• •Ability to work as a team
• •Ability to relate well within the team
• •Ability to value the contribution of each team member
• •Ability to build a mutually supportive environment
• •Ability to co-operate with other teams
• •Ability to encourage responsible involvement by patients
• •Integrity
• •Ability to speak and act truthfully
• •Ability to be accountable for actions
• •Ability to learn and improve
• •Ability to adapt to change
• •Ability to build on achievements
• •Ability to develop services
• •Positive action towards Equality, Diversity & Inclusion (EDI)
• •Ability to treat patients and families fairly
• •Ability to involve patients in decisions about treatment and care
• •Ability to treat patients with dignity and respect
• •Ability to comply with Health and Safety at Work Act 1974
• •Ability to comply with Environmental Protection Act 1990
• •Ability to comply with Environment Act 1995
• •Ability to comply with Fire Precautions (workplace) Regulations 1999
• •Ability to maintain confidentiality
• •Ability to protect patient information
• •Ability to think about how processes are achieved
• •Ability to continually re-examine processes
• •Ability to look for opportunities to improve quality
• •Ability to share good practice
• •Ability to make suggestions to improve service delivery
• •Ability to complete a practice induction programme
• •Ability to participate in and complete mandatory training
• •Ability to communicate in a manner which enables the sharing of information
• •Ability to adhere to practice policies and regional directives
• •Ability to act as the first port of call for patients
• •Ability to support and manage clinical call and recall
• •Ability to bring together care and support needs into a single personalised care and support plan (PCSP)
• •Ability to manage the needs of patients in Care Homes, supported accommodation, or trying to remain living at home
• •Ability to assess and respond to patients and colleagues using expert knowledge
• •Ability to arrange assessment of new patients
• •Ability to produce and complete individual care plans by appropriate clinicians
• •Ability to provide personalised support to individuals, families, and carers
• •Ability to empower patients to take control of managing their own health and well-being
• •Ability to work in line with PCN directed priorities
• •Ability to proactively identify and work with a cohort of people to support their personalised care requirements
• •Ability to use available decision support aids
• •Ability to ensure regular and consistent communication with referrers
• •Ability to support national screening and immunisation programmes
• •Ability to support health checks/screening
• •Ability to monitor referrals to ensure tasks are completed and care delivered
• •Ability to keep in regular telephone contact
• •Ability to direct liaison with multiple agencies
• •Ability to refer to social prescribing link workers or health coaches
• •Ability to support patient/carer contact roles
• •Ability to collate patient and carer feedback
• •Ability to raise awareness of shared decision-making
• •Ability to assist people to be more prepared for shared decision-making conversations
• •Ability to ensure people have good quality information to help them make choices about care
• •Ability to support people to understand their level of knowledge, skills, and confidence (Activation level)
• •Ability to use the Patient Activation Measure
• •Ability to assist people to access self-management education courses, peer support, or interventions
• •Ability to explore and assist people to access personal health budgets
• •Ability to provide coordination and navigation for people and carers across health and care services
• •Ability to support the coordination and delivery of MDTs
• •Ability to process registering new patients
• •Ability to make up notes and enter details on the computer system
• •Ability to process new arrivals and deductions
• •Ability to support with GP Links
• •Ability to manage the generic inbox
• •Ability to scan and code all clinical documents
• •Ability to use the electronic filing system to complete filing
• •Ability to deal with internal and external post
• •Ability to complete admin tasks and support with AccuRx Total Triage
• •Ability to undertake photo-copying and other basic office duties
• •Ability to deal with queries for further information from hospitals or other local providers
• •Ability to assist in preparing and sending out practice correspondence
• •Ability to ensure the system is operational at the beginning of each day
• •Ability to ensure the answer phone has the correct tape at lunchtime and end of each day
• •Ability to handle prescriptions accurately and efficiently following protocol
• •Ability to monitor incoming electronic test results
• •Ability to perform data entry of new and temporary registrations and relevant patient information
• •Ability to scan all patient information in computerised records
• •Ability to deal with referrals to primary and secondary care
• •Ability to handle action tasks set by clinicians via clinical systems and email
• •Ability to handle documents via clinical systems and practice protocols