Mid Norfolk Primary Care Network (PCN) are seeking an experienced care coordinator to join our team, working across all our sites and linked care homes, on a full-time permanent basis.
As part of the PCN team, the successful candidate will play an important role in proactively identifying and working with patients with long-term conditions, to provide coordination and navigation of care and support across health and care services.
Responsibilities will include:
- Work collaboratively with other teams and services to maintain an effective and efficient service.
- Plan and organise work using own initiative, whilst being able to work as a valuable team member.
- Make referrals to relevant service providers.
- Coordinate and where required chair MDT meetings, having proactively prepared any actions prior to the meeting and ensure all relevant clinical and non-clinical staff are present.
- Promote and facilitate integration within the GP and community teams.
- Provide and receive sensitive information about difficult or complex matters always respecting confidentiality.
- Create detailed and clear minutes from the meetings and forward to all relevant parties with actions highlighted to individuals.
- Offer appropriate support and guidance to patients and families/carers.
- Receive, record, and collate information and maintain accurate electronic records of patient care and planned service provision, including hospital admission and discharge information.
- Signpost service users and carers to relevant services.
- Contribute to quality audits.
- Contribute to the development of the role and systems, to effectively enhance the service provided and improve outcomes.
- Assist patients to be better prepared to have conversations on shared decision making, improve awareness of related support tools.
- Provide patients with high quality, easy to understand information to assist them in making choices about their care.
- Support in the delivery of enhanced services and other service requirements on behalf of the PCN.
- Support delivery of QOF or cost effectiveness initiatives.