Health and Social Care Coordinator

We are looking for a skilled and compassionate Health and Social Care Coordinator to join our team based in Maidstone.

Working as part of our Adult Services team our Health and Social Care Coordinators support patients within each defined primary care network population with social prescribing. The patients will routinely be the top 3% Long term Condition patients with most complex needs.

We take referrals from GP's, Complex Care Nurses, Community Nursing, Social services, Dementia nurses, Mental health nurses, Specialist nurses/physios, Therapy Leads, Acute Trust and Local Ambulance providers

Main duties of the job

As a Band 4 Health and Social Care Coordinator you will:

o Support housebound patients living with a Long Term Condition, to effectively manage and improve their well-being.o Support a reduction in unnecessary hospital attendances, and subsequent admissions.o Support hospital discharges from Acute and specifically Frailty Units.o Respond to referrals within an appropriate time frame, and to refer to other services as appropriate. (pathway doc)o Support inter service referrals.o Provide advice and support to patients, carers and staff.o Provide support to patients being discharged from clinical staff, for step down where further support recognised, despite health needs met.o Manage a caseload of patients, plan expectations, and recognise outcomes.o Create Personalised Plan for each patient, and support MDT with advocacy role.o Become the responsible person for MDT journey, including outcome & actions review as per pathway.o Ensure good communication to lead.

Additional Working Pattern: 8-4 4 days/week

About us

Rated 'outstanding' by the CQC, we've got a passion for delivering high standards of patient care and excellent services to improve the health of our communities. To do this we need outstanding people who share our values compassionate Aspirational Responsive Excellent

We know a commitment to equity, diversity and inclusion leads to better patient care and a happier workforce. We pride ourselves in being diverse and welcome applications from people with varied backgrounds, perspectives and experiences

We ask for information about your protected characteristics on our application forms. This isn't visible to anyone involved with shortlisting or interviewing you, except when you choose to be considered under the guaranteed interview scheme due to disability. Short listers will see two ticks alongside your application to ensure they apply the principles of the scheme to your submission

The data we collect helps us to ensure we are attracting diversity in our applicants, that all our colleagues have equitable access to career opportunities and supports us on our journey to being a Great Place to Work

As a flexible working friendly organisation, we want you to be able to work in a way that is best for us, for our patients and for you. Talk to us about a flexible working arrangement that won't involve sacrificing time for personal interests or family commitments. We'll support you to work flexibly in a way that will suits us both