care co-ordinator

Job description • Proactively identify and support patients who would benefit from care coordination, including vulnerable or high-risk groups. • Act as a central point of contact for patients, carers, and professionals to help navigate services and access appropriate support. • Develop, implement, and review personalised care and support plans based on what matters most to the individual. • Coordinate care across a range of services, including primary care, community services, and voluntary organisations. • Work closely with GPs and the wider multidisciplinary team (MDT), including attending and supporting MDT meetings. • Support patients to improve self-management, access support services, and make informed decisions about their care. • Maintain accurate and up-to-date patient records, ensuring compliance with information governance requirements. • Provide signposting to internal and external services, including social prescribing and community resources. • Undertake follow-up activity to ensure continuity of care following hospital discharges or clinical interventions Job description Job responsibilities Job description • Proactively identify and support patients who would benefit from care coordination, including vulnerable or high-risk groups. • Act as a central point of contact for patients, carers, and professionals to help navigate services and access appropriate support. • Develop, implement, and review personalised care and support plans based on what matters most to the individual. • Coordinate care across a range of services, including primary care, community services, and voluntary organisations. • Work closely with GPs and the wider multidisciplinary team (MDT), including attending and supporting MDT meetings. • Support patients to improve self-management, access support services, and make informed decisions about their care. • Maintain accurate and up-to-date patient records, ensuring compliance with information governance requirements. • Provide signposting to internal and external services, including social prescribing and community resources. • Undertake follow-up activity to ensure continuity of care following hospital discharges or clinical interventions