Complex Clinical Case Manager (Learning Disability)

Job summary Black Country ICB is seeking a dedicated and experienced Continuing Healthcare (CHC) Nurse Assessor for our All-Age Continuing Care service.
If you hold a RNLD/RGN registration and are passionate about patient care and assessment, we want you to join our team to enhance our services with your expertise and dedication.
The role will be predominantly working at Wolverhampton Place but will also work across the Black Country System.Why Join Us?
Impactful Work: Play a crucial role in improving the lives of individuals through high-quality care assessments and management.
Collaborative Environment: Work within a supportive team that values collaboration and excellence in care.
Professional Development: Opportunities for continuous learning and professional growth within the healthcare field.
Main duties of the job Assessment Facilitation: Conduct thorough assessments for NHS Continuing Healthcare for Adults to guide care decisions.
Care Management: Coordinate and monitor complex care packages and NHS-funded placements, ensuring patient safety at all times.
Inter-agency Collaboration: Strengthen links between primary care, social services, and other stakeholders, working closely with colleagues across trust, community, and private sectors.
Case Management: Provide ongoing case management to ensure high-quality care and optimal patient outcomes.
Documentation and Reporting: Maintain accurate and up-to-date records, participate in the CHC panels as needed, and ensure compliance with regulatory standards.
Required Skills and Qualifications: Professional Registration: Current RNLD/RGN registration.
Experience: Experience in case management and patient assessment, with an understanding of the CHC framework.
Communication Skills: Exceptional communication and liaison skills, capable of working across inter-agency boundaries.
Time Management: Excellent time management and organisational skills to manage multiple responsibilities efficiently.
Empathy and Sensitivity: A commitment to patient well-being, able to empathise and communicate with tact and sensitivity.
Cultural Awareness: Appreciation for working within the culturally diverse area of the Black Country.
About us The Black Country Integrated Care Board (ICB) is a statutory NHSorganisation responsible for developing a plan for meeting the health needs of million people in the Black Country.
We manage the NHS budget forthe area (Dudley, Sandwell, Walsall and Wolverhampton) and we areresponsible for planning and buying Primary Medical Services (GPs), dental,optometry and pharmacy services.
Working for the ICB means you are makinga difference to the lives and health of people in the Black Country.We are part of the Black Country Integrated Care System (ICS),known as Healthier Futures, which is a partnership of organisations workingtogether to bring health and social care services closer together for the goodof our communities.
We support the ICS vision for a healthier place withhealthier people and healthier futures.The ICB has five core values that underpin theway we work and help to guide our actions and the decisions we make for localpeople and communities.
These are compassion, inclusivity, integrity,fairness and trust.We are an equal opportunities employer who actively supports andencourages increasing the diversity of our employees, and welcome applicationsfrom people with transferable skills gained through experience across the fullrange of health and social care settings.We are also a bronze award holder under the Defence EmployerRecognition Scheme (ERS).
The ERS recognises commitment and support from UKemployers for defence personnel.
Job description Job responsibilities Thepost holder will be required to provide a high-quality resource of professionaladvice, guidance and expertise to members of the Individual Care Team, ICB andwider health and social care economyAutonomouslymanage a case load of individuals with highly complex health needs providingsignificant clinical guidance to providers.Ensurethat all assessments are holistic in nature and utilise The National Frameworkfor NHS Continuing Health Care.Tohave an expert level of knowledge regards The National Framework and itsapplication in practice.
To be able to impart this knowledge to a variety ofaudiences.Toprovide complex and sensitive information to patients, relatives/representatives and often work in potentially hostile environments; relayingdifficult decisions regarding care provision and managing patient and familyexpectations.Providecontinuity of care throughout the period of care and support.
This willencompass close working with health and social care professionals and careproviders.Attendall meetings related the patient which may impact on the care provision andcosts to meet identified needsLiaisewith multiple professionals involved in the patients care to ensure that acomprehensive understanding of all identified needs is available.
Ensuring thateach patient has a care plan that addresses all their identified needs and canbe used to assist assessors when completing CHC assessments/reviews.Presentcomprehensive written reports to ICB Eligibility Panel following any reviewscompleted once patients are in receipt of agreed care provision that identify achange in the level of care required.
This includes being able to demonstrateimprovements that may result in a reduction of care provided or a change thepatients eligibility for NHS CHC.Tobe responsible for negotiating care package costs and the monitoringof packages of fully funded care which are in excess of £1000 perweek.
To be responsible for ensuring these care packages are reviewed to anagreed time scale, identified by the Head of Service and that these arerecorded on the ICB database.Identifyand process any safeguarding and quality of care issues and takeappropriate action to ensure that peoples welfare is protected and thatthe quality and standard of services provided are at a level that is inline with ICB required standards.
Close liaison with the ICB Quality Team isnecessary to ensure ICB funded individuals are in receipt of high quality, safecare.EnsureMental Capacity Act is considered and ensure relevant processes are followedeg.
Best Interests, DOLsDevelopand maintain effective working relationships with clinicians, generalpractitioners and providers in order to ensure continuity of care and addresspatient needs.Providea high-quality resource of professional advice, guidance and expertise to the ICBand partner agencies in addressing the needs of individuals with complex healthneeds.Liaisingwith a variety of providers and arranging assessment of patients in order thatthe most appropriate placement/provider is identified.Provideinformation and support to the senior managers when considering the mostappropriate provider to address a patients identified needs and to actautonomously when required to agree care packages in excess of the usual ICBcost.Tomaintain a formal record of all cases and ensure that all relevant clinicalinformation is available and updated regularly, both electronically and inpatient files.Supportthe Head of CHC in working with partner agencies and other stakeholders indeveloping the local market for services to ensure that it reflects therequirements of individuals and is able to meet current and future needsTocall and chair multi-disciplinary meetings, including case conferences anddischarge meetings to ensure continuity of care across agencies; thus improvingpatient and family experience.Deputisefor the Lead Nurse as requiredProvidedata in order that the ICB can continuously monitor care delivery and identifyhow performance of providers can be improved.
Working closely withcolleagues in the ICB Quality Team to assure the quality of care received byNHS funded individuals.Tohave budgetary monitoring responsibilities and to ensure that the Head ofService is informed of any identified budget pressures or financial risks thatmay impact on the overall service budget.
The post holder will need todemonstrate both quality of care and value for money in all placements.Todevelop policies and procedures, as requested, which will support the overalldelivery of NHS Funded Care within the ICB.Tocontribute to and deliver training on CHC and FNC to a variety of audiencesparticularly in health and social care.Toprovide professional support and mentoring to the nurse assessors within theteam and provide additional support and training as required by the Lead Nurse.Towork within the NMC Code/Professional Code** and to meet requirements forrevalidation.Toundertake and comply with all mandatory training.
Person Specification Skills and Knowledge Essential High level of working knowledge of the relevant legislation and theories underpinning the provision of services to the relevant client group Demonstrable experience and knowledge of current key policies and priorities within the NHS, especially within Clinical commissioning Groups A clear knowledge and understanding of service provision available locally, regionally and nationally for the client group Understanding of relevant current NHS and social care market mechanisms Good working knowledge of adult safeguarding Awareness of Data Protection and confidentiality issues Working knowledge of Microsoft Office with standard keyboard skills Effective interpersonal and negotiation skills enabling effective communication with clients, other professionals, colleagues, partner agencies, providers and carers.
Excellent written and verbal communication including providing and receiving complex, sensitive or contentious information Excellent time management skills Ability to prioritise and to work effectively on own initiative Ability to work in hostile environments and deal with conflict on a regular basis Understanding of the commissioning/ procurement process for adults continuing health care packages Qualifications Essential Relevant degree/professional qualification in Nursing*** (local areas may differ/could be Social Work)) Evidence of continuous professional development Educated to degree level or equivalent level of experience of working at a senior level in a specialist area.
Experience Essential Significant experience gained over a number of years in a complex, multi-disciplinary environment Extensive experience of case management with service users who have complex health needs A clear knowledge and understanding of The National Framework for NHS Continuing Health Care and its application in practice An understanding of the Mental Capacity Act 2005 and its application An understanding of commissioning for complex health needs in the context of NHS Continuing Healthcare Experience of monitoring a budget and understanding of financial systems and processes