NursingNetUK

Job overview

We have an exciting opportunity for an experienced RGN to work as a case manager. To case manage patients in receipt of Continuing Healthcare (CHC), Joint funding and FNC. The successful candidate will;

• ensure continued roll out of personal health budgets(PHB) in order to ensure NHS targets are met
• ensure all packages of care are cost effective and deliver the outcomes intended for patients  
• provide clinical advice to the commissioning CHC team and provide support including fast tracks approval
• Work as a member of the ICB’s clinical team providing support as required.

Main duties of the job

• To work closely with the Lead Nurse, Continuing Health Care and Personal health budgets with regards to packages of care funded by CHC
• To clinically review highly complex CHC packages ensuring the care is specified and delivered to deliver the best outcomes for patients.
• To highlight any concerns regarding safeguarding or quality and safety of packages of care within the ICB .
• To ensure that there is a clarity of responsibility around packages and providers
• To receive referrals regarding any specific follow up to package or risks that may need monitoring out with the CHC review framework
• Make referrals to various services and coordinate the different referrals ensuring that referrals have been picked up and acted upon
• To liaise with all providers, providing clinical challenge into packages of care
•  governance and 6 C’s are embedded throughout al processes.
• To monitor and review high-cost placements to ensure quality and value for the ICB and patient
• Support the Finance Team with regard to costs and the changing costs of care packages
• To receive referrals and manage the PHB process within the ICB, ensuring all PHB’s are set up in a timely manner and all clinical needs are met for those patients on the case managers caseload as well as those requiring a therapy PHB
• Advise the ICB on future/ potential development areas, gaps in service or risks.
• To act as Duty Clinician as required.

Working for our organisation

NHS Nottingham and Nottinghamshire Integrated Care Board (ICB) is a strategic component of the Integrated Care System (ICS) across Nottingham and Nottinghamshire. We were formed with the intention to improve population health and collaborate with local partners (NHS, Local Authority and Third Sector) to deliver high quality health and social care provision to our local population. 

We have accountability for the system delivery of the ICS’ priorities such as improving outcomes in population health and healthcare, tackling inequalities in outcomes, experience, and access, enhancing productivity and value for money, and helping the NHS support broader social and economic development.

We seek to improve the patient experience and are committed at looking at innovative ways we can improve care and offer access and choice to our patients. Patients 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 patient experience and the growing demands of our population; we are facing significant financial challenge. We are required to reduce expenditure to sustainable levels (ICS 5-year strategic plan). 

The ambitions are great, but so are the opportunities to be part of our new and evolving organisation, to make positive impactful change to the health and social care agenda across Nottingham and Nottinghamshire.