Communication and Working Relationships

·         On a daily basis communicate with colleagues from the Health and Social Care team and ensure that relevant information is shared between professionals to aid management of complex clients in the community.

·         Contact clients on the phone to gather or provide information; this may include people with varying degrees of communication difficulties for example dysphasia, sensory impairment or mental health issues. The co-ordinator must show empathy, remain calm and display negotiation skills when dealing with these situations and also ensure the ability to manage clients who may be low in mood, lacking in motivation, or angry/upset about their current circumstances. 

·         To form strong links and work closely with all members of the Multidisciplinary team as well as outside agencies on a regular basis. For example, communicate the need to regularly liaise and discuss patients with occupational therapists, physiotherapists, district nurses, GPs, staff in acute hospital settings, community mental health nurses, social care workers and private providers of care.

·         On a daily basis communicate medical and social information to the above professionals via various sources including telephone, email or face to face correspondence. This information is always confidential, frequently sensitive and can be contentious so as a result, needs to be provided in a professional, appropriate and polite manner, in line with data protection and information governance policy.

·         To contribute to multi-disciplinary team meetings in relation to current caseloads and implementation of actions required for example organising of home assessment visits, discharges, transport bookings and requesting packages of care.

Planning and Organisation

·         To be able to work in a demanding, pressured and stressful environment with constant interruptions by telephone, colleagues and professional office visitors, all relating to current cases or new enquiries. 

·         To be able to multi-task, show good time management skills be being able to re-prioritise your workload at short notice.

.          To be able to communicate well and effectively with the multi-disciplinary team to identify risks and urgent work that requires action. 

·         Demonstrate the ability to complete duties independently, whilst maintaining a high quality standard of work. 

 Coordination for Intermediate Care Team

·         Co-ordination of the daily multi-disciplinary meetings and other relevant meetings designed to aid management of complex clients living in the community.

·         With assistance from professional colleagues, screen and triage referrals to health and social care, obtaining further info where required, so a decision can be made about the best pathway for new referrals.

·         Awareness and involvement in primary care core group discussions designed to support those clients who are the most vulnerable people living in the community. This may include generating lists of clients to be discussed and gathering information updates from any relevant professionals.

·         Follow up outstanding activities with non-attending team members and feedback on cases where appropriate.

·         As a member of the multi-disciplinary team, continue developing and expanding on the good working relationships that exist between all services.

·         To coordinate short term intermediate care placements (following the local procedure) including the completion of relevant paperwork and entering of this information onto relevant systems and spreadsheets.

·         To participate in local service development activities and help implement change as and when required.

Customer Service (Social care)

·         To provide a client centered approach to ensure all clients and carer’s views and opinions are considered and all people that we as a team come in to contact with are given respect, dignity and understanding. Delivering a high quality, efficient and effective service at all times complying with equality and diversity policies and legislation.

·         The recording of information in a consistent manner by completing an ‘observation’ record on Care First 6.  This may involve face to face contact at the office or remote communication from other teams and agencies.

·         Identify urgent referrals and situations that need action, alert and liaise with local ACS practice managers / community nurse team manager or therapy manager to help ensure the necessary action is taken.

·         Providing patients, staff and other professionals with effective signposting to other agencies or sources of help as appropriate.

·         To provide feedback to referrers about the outcomes of referrals and assessments in accordance with the agreed quality standards.

·         To ensure confidentiality process is followed at all times.

Information Technology and Administrative Duties

·         The post holder must have excellent keyboard skills.

·         Use of multiple IT systems on a daily bases to obtain & record information, including SystmOne, Carefirst 6, Clinical Portal, Cyberlab, Nerve Centre, Unit4, DATIX & IHCS.

·         To have good understanding and knowledge of how to use Microsoft programs, ie Microsoft Excel and Microsoft Word. 

·         To have the ability to send and receive emails.

·         To ensure the information governance requirements for recording community health and social care activity are adhered to in collaboration with other team members.

·         Accurate inputting onto relevant IT systems to ensure any statistical data is up to date and accurate.