Job Description

Overview

Care Coordinators play an important role within practices to proactively identify and work with people, including the frail/elderly and those with long-term conditions, to provide coordination and navigation of care and support across practice, PCN and health and care services.

They will work closely with the Advanced Clinical Practitioners, GPs and other primary care professionals within the practice and PCN to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed. This is achieved by bringing together all the information about a person's identified care and support needs and exploring options to meet these within a single personalised care and support plan, based on what matters to the person.

Responsibilities

Patient Care Coordination

Act as a central point of contact for patients, carers, and professionals within the PCN. Proactively identify and support patients who would benefit from care coordination, particularly those with multiple long-term conditions or complex social needs. Work collaboratively with clinical teams to ensure care plans are up to date, shared, and implemented effectively. Support personalised care planning and ensure patients' preferences and goals are reflected in their care. Facilitate smooth transitions between services (e.g. hospital discharge, community services, social care). Help patients access appropriate local services, voluntary sector support, and digital tools for self-management.
Communication & Liaison

Build strong relationships across the PCN, local health, and social care providers. Support multidisciplinary team (MDT) meetings by preparing case summaries and following up on agreed actions. Ensure timely communication of relevant information between professionals and services. Encourage patient engagement in their own care and promote shared decision-making.
Administration & Information Management

Maintain accurate and timely records on clinical systems (e.g. EMIS, SystmOne). Support data collection, reporting, and evaluation of care coordination outcomes. Ensure confidentiality and compliance with data protection regulations (GDPR). Contribute to audits, service development, and quality improvement initiatives. Participate in PCN initiatives that improve patient experience and population health. Share learning and best practice with colleagues across the network. Undertake ongoing training and professional development as required.

Experience

Previous office experience is essential, preferably within a healthcare or social services setting Strong organisational skills with the ability to manage multiple tasks simultaneously Excellent verbal and written communication skills Proficient in using office software applications (e.g., Microsoft Office Suite) Experience using SystmOne A compassionate approach with a genuine desire to help others is highly valued
Job Types: Part-time, Permanent

Pay: From 13.00 per hour

Expected hours: 37.5 per week

Benefits:

Company pension On-site parking
Ability to commute/relocate:

Rushden NN10 9TR: reliably commute or plan to relocate before starting work (required)
Experience:

Primary Care: 1 year (preferred)
Work authorisation:

United Kingdom (required)
Work Location: In person