Continuing Healthcare (CHC) Case Manager

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Job summary

The CHC Case Manager will ensure that the health care needs for Continuing Heathcare (CHC) are identified and met in accordance with the National Framework.

The post holder will ensure that they adhere at all times to the relevant National Framework and guidance, NMC Code of Professional Conduct and work within established policies, procedures, protocols and systems ensuring quality standards and performance as directed by the Specialist Nurse

Required for the role:

• Registered Nurse RGN, RMN or RNLD or Allied Health Professional with qualification.
• Significant knowledge of the CHC framework and its application
• Good knowledge of NHS and social services guidance.
• Strong knowledge base around safeguarding children and adults
• Evidence of teaching/mentorship
• Clinical knowledge base in order to ensure comprehensive holistic assessment for continuing care
• A background that can demonstrate clinical experience in a healthcare setting including inter-agency and multi-agency working
• Evidence of continued professional development
• Competent in IT including good typing skills. Able to work with a database, Excel, Microsoft

Main duties of the job

Are you a registered nurse looking for a new challenge or next step in your career? We are seeking to recruit a highly motivated registered nurse with excellent assessment and communication skills.
As a Continuing Healthcare Case Manager you will be responsible for completing assessments and reviews of continuing healthcare, funded nursing care and joint funded commissioned packages ensuring people are receiving high quality safe and effective care and provide expert advice to other professionals commissioned to provide care.

This is an opportunity for both personal and professional development and you will be given suitable training to enable to complete assessments within the framework for CHC.

You will be required to travel across Lincolnshire to undertake your your role.

You will develop strong links with health and social care colleagues to ensure multi-disciplinary working across health and social care boundaries to obtain robust evidence to support NHS CHC eligibility.

The successful candidate for this post will need to be self-motivated and able to work under their own initiative, work autonomously as well as within a team and have excellent time management skills. People management skills and the ability to deal with difficult and challenging situations is also essential.

About us

NHS ICB is a strategic component of the Integrated Care System (ICS) across Lincolnshire delivering the commitments set out in the NHS Long Term Plan.

As a strategic commissioner we are responsible for meeting the needs of our population through commissioning high quality services. We seek to improve patient experience and are committed at looking at innovative ways we can improve care and offer more choice. Individuals are at the heart of everything we do and it's important that they are involved not just in decisions about their individual care, but also in the decisions that shape the health services delivered locally.

In conjunction, with individuals experience and the growing demands of our population; we are facing increasing financial challenge. We are required to reduce expenditure to sustainable levels (in alignment to the ICS 5 year strategic plan) which broadly fall into three types of scheme; system wide transformation, system wide efficiency, ICB only efficiency.

The ICB will promote good governance and proper stewardship of public resources in pursuance of its goals and in meeting its statutory duties. Good corporate governance arrangements are critical to achieving the ICB's objectives and financial sustainability.

Job description

Job responsibilities

• Supporting the Locality Lead in the development of a range of services required for individuals who qualify for packages of care
• Collating and undertaking comprehensive and coordinated multi-agency assessments. Decision making for continuing Healthcare must be in line with standard operating policy and procedures and the National Framework
• Promoting Personal Health Budgets, ensuring integration into Continuing Healthcare
• Case managing CHC individuals, ensuring timely reviews are conducted and ascertaining care packages continue to be effectively commissioned and are cost effective
• Assisting in maintaining a database for all patients assessed for Continuing healthcare and ensure high quality assurance systems are in place
• Communicate information, risks, issues and dependencies, including briefings and reports
• Developing strong working relationships with partner agencies including acute hospital trusts, local authorities, the independent sector, neighbourhood teams and others
• Providing professional nursing advice to acute hospital trusts, care providers and social services with regards to Continuing Healthcare and Personal Health Budgets
• Supporting to review and respond to complaints, freedom of information requests and subject access requests
• Support requests for retrospective reviews for CHC and disputes
• Knowledge of Mental Capacity Act (MCA)
• To use IT and databases on a daily basis

Supplementary Duties & Responsibilities

Mobility

• Employees may be required to work at any of the other sites within the organisation subject to consultation. The post holder may be expected to co-operate with changes subject to consultation, at any time throughout the duration of your contract

Health and Safety

• Employees have a legal responsibility not to endanger themselves, fellow employees and others by their individual acts or omissions. The post holder is required to comply with the requirements of anypolicy or procedure issued in respect of minimising the risk of injury or disease.

Data Protection and Confidentiality

• All employees are subject to the requirements of the Data ProtectionAct 1998 and must maintain strict confidentiality in respect of patient, client and staff records.

Smoking and Health

• The organisation has a no smoking policy throughout its premises, including buildings and grounds.

Equality and Diversity

• The organisation is committed to promoting equal opportunities to achieve equity of access, experience and outcomes and to recognising and valuing peoples differences. This applies to all activities as a service provider and as an employee

Information Management and Technology (IM&T)

• All staff are expected to utilise the relevant national and local IM&T systems necessary to undertake their role

Flexible Working

• The organisation is committed to offering flexible, modern employment practices, which recognise that all staff need to strike a sensible balance between home and work life. All requests to work flexibly will be considered.

Clinical Supervision

• It is mandatory for all professionally qualified staff and clinical support staff to actively participate in clinical supervision as an integral part of their professional development for a minimum of four sessions per year. Clinical Supervision will be monitored via an annual Performance and Development Review (PDR).

Reasonable Adjustments

• The organisation is seeking to promote the employment of disabled people and will make any adjustments considered reasonable to the above duties under the terms of the Equality Act 2010 to accommodate a suitable disabled candidate.

Job description
Job responsibilities

• Supporting the Locality Lead in the development of a range of services required for individuals who qualify for packages of care
• Collating and undertaking comprehensive and coordinated multi-agency assessments. Decision making for continuing Healthcare must be in line with standard operating policy and procedures and the National Framework
• Promoting Personal Health Budgets, ensuring integration into Continuing Healthcare
• Case managing CHC individuals, ensuring timely reviews are conducted and ascertaining care packages continue to be effectively commissioned and are cost effective
• Assisting in maintaining a database for all patients assessed for Continuing healthcare and ensure high quality assurance systems are in place
• Communicate information, risks, issues and dependencies, including briefings and reports
• Developing strong working relationships with partner agencies including acute hospital trusts, local authorities, the independent sector, neighbourhood teams and others
• Providing professional nursing advice to acute hospital trusts, care providers and social services with regards to Continuing Healthcare and Personal Health Budgets
• Supporting to review and respond to complaints, freedom of information requests and subject access requests
• Support requests for retrospective reviews for CHC and disputes
• Knowledge of Mental Capacity Act (MCA)
• To use IT and databases on a daily basis

Supplementary Duties & Responsibilities

Mobility

• Employees may be required to work at any of the other sites within the organisation subject to consultation. The post holder may be expected to co-operate with changes subject to consultation, at any time throughout the duration of your contract

Health and Safety

• Employees have a legal responsibility not to endanger themselves, fellow employees and others by their individual acts or omissions. The post holder is required to comply with the requirements of anypolicy or procedure issued in respect of minimising the risk of injury or disease.

Data Protection and Confidentiality

• All employees are subject to the requirements of the Data ProtectionAct 1998 and must maintain strict confidentiality in respect of patient, client and staff records.

Smoking and Health

• The organisation has a no smoking policy throughout its premises, including buildings and grounds.

Equality and Diversity

• The organisation is committed to promoting equal opportunities to achieve equity of access, experience and outcomes and to recognising and valuing peoples differences. This applies to all activities as a service provider and as an employee

Information Management and Technology (IM&T)

• All staff are expected to utilise the relevant national and local IM&T systems necessary to undertake their role

Flexible Working

• The organisation is committed to offering flexible, modern employment practices, which recognise that all staff need to strike a sensible balance between home and work life. All requests to work flexibly will be considered.

Clinical Supervision

• It is mandatory for all professionally qualified staff and clinical support staff to actively participate in clinical supervision as an integral part of their professional development for a minimum of four sessions per year. Clinical Supervision will be monitored via an annual Performance and Development Review (PDR).

Reasonable Adjustments

• The organisation is seeking to promote the employment of disabled people and will make any adjustments considered reasonable to the above duties under the terms of the Equality Act 2010 to accommodate a suitable disabled candidate.

Person Specification

Qualifications

Essential

• Registered Nurse RGN, RMN or RLDN or Allied Health Professional
• Degree in health related subject or equivalent experience that demonstrates critical and analytical thinking

Experience

Essential

• Experience in a clinical setting including inter-agency and mulita-agency working

Desirable

• Experience in working within continuing healthcare with a good understanding of the continuing healthcare framework
• Clinical knowledge base in order to ensure comprehensive holistic assessment for Continuing Healthcare
• Experience of managing risks and reporting
• Negotiation and conflict management skills and the ability to influence in formal settings

Knowledge, Skills and Aptitudes

Essential

• Knowledge and understanding of the national policies and frameworks relevant to the National Framework for Continuing Health Care and Funded Nursing Care
• Effective communication skills
• Evidence of continued professional development
• Aware of Caldicott principle and information governance
• Understanding of Confidentiality and Data Protection Act
• Demonstrate ability to travel and work in a variety of settings
• Demonstrated capabilities to manage own workload and make informed decisions in the absence of required information, working to tight and often changing timescales
• Awareness of equality and valuing diversity principles

Desirable

• Evidence of teaching/mentorship

Essential

Essential

• Competent in the use of IT equipment including good typing skills. Able to work with a database, Excel, Microsoft word and Outlook.

Person Specification
Qualifications

Essential

• Registered Nurse RGN, RMN or RLDN or Allied Health Professional
• Degree in health related subject or equivalent experience that demonstrates critical and analytical thinking

Experience

Essential

• Experience in a clinical setting including inter-agency and mulita-agency working

Desirable

• Experience in working within continuing healthcare with a good understanding of the continuing healthcare framework
• Clinical knowledge base in order to ensure comprehensive holistic assessment for Continuing Healthcare
• Experience of managing risks and reporting
• Negotiation and conflict management skills and the ability to influence in formal settings

Knowledge, Skills and Aptitudes

Essential

• Knowledge and understanding of the national policies and frameworks relevant to the National Framework for Continuing Health Care and Funded Nursing Care
• Effective communication skills
• Evidence of continued professional development
• Aware of Caldicott principle and information governance
• Understanding of Confidentiality and Data Protection Act
• Demonstrate ability to travel and work in a variety of settings
• Demonstrated capabilities to manage own workload and make informed decisions in the absence of required information, working to tight and often changing timescales
• Awareness of equality and valuing diversity principles

Desirable

• Evidence of teaching/mentorship

Essential

Essential

• Competent in the use of IT equipment including good typing skills. Able to work with a database, Excel, Microsoft word and Outlook.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration

Applicants must have current UK professional registration. For further information please see

Additional information
UK Registration

Applicants must have current UK professional registration. For further information please see

Employer details

Employer name

NHS Lincolnshire Integrated Care Board
Address

Bridge House

The Point, Lions Way

Sleaford

NG34 8GG

Employer's website