Care Coordinator

East MK PCN is seeking a permanent care coordinator to join the team on a full-time basis. The post-holder may be required to work across multiple sites within the PCN.

The care coordinator will support the delivery of proactive, personalised care to patients with frailty by working closely with the integrated community support team (ICST) and wider multidisciplinary team (MDT).

The role will involve assisting with care planning appointments, undertaking defined elements of patient interaction, and completing associated administrative tasks to ensure accurate, high-quality care plans are developed, recorded, and reviewed. Training and supervision will be provided.

The main duties of the role include:

• Assist in the coordination and delivery of care planning appointments for frail and complex patients
• Prepare patients for care planning discussions
• Undertake agreed parts of care planning appointments (e.g. gathering patient information and goals)
• Document care plans accurately within the clinical system
• Act as a first point of contact for patients and carers
• Work with ICST and MDT members to deliver coordinated and patient-centred care
• Book appointments and maintain patient records
• Using clinical systems on a daily basis, with confidence to run searches and keep care records up-to-date.
• Create reports when needed