Complex Case Manager Brighton, England
Job description
The Complex Case Manager will work across care pathways for patients with complex specialised neuro rehabilitation and spinal cord injury (SCI) needs in Sussex. Provides oversight, assessing patients and supporting referrals to and from specialist services.
Additionally, the role will work with providers to resolve ‘bottlenecks’, provide advice and recommendations on alternate service providers as needed, monitor adherence to specified pathways of care, including discharge to alternate care, local hospitals, step down services or to home.
The postholder will be responsible for managing the patient pathway, ensuring review all of referrals and placements; attendance at case reviews and holding providers to account for the effective flow of patients throughout the commissioned pathway. Where necessary the postholder will work with providers commissioned by other specialised commissioning hubs reflecting the regional and national nature of the post.
The role supports the business in driving improvement, efficiency and transformation in planning, commissioning and delivering services. Post holders will also inform commissioners to help shape future contracting for this patient population. This work will include projected mapping of future service use, identification of users for future service provision, planning in terms of future service needs.
Improving quality and outcomes
- Provide assurance of the quality of the care
- Monitor and oversee service user pathways to ensure high quality services and care planning outcomes are achieved
- Work with providers to achieve national standards and deliver appropriate service/pathway improvements.
- Work with the Network’s and Transformation Lead(s) to understand the existing pathways and review current issues surrounding specialised rehab.
- Transformational projects and pathway improvement.
- Support and lead the development and delivery of plans for service delivery spanning across several organisations (UHS, NHSE, ICB, EHST etc) , identifying risks, issues and dependencies, considering best practice and current options, ultimately making decisions in the best interests of the service. The role supports the business in driving improvement efficiency and transformation in planning, commissioning and delivering service across Sussex. The role is designed to develop a strong service delivery. Postholders will also inform commissioners to help shape future contracting for this patient population. The work will include projected mapping of future service use, identification of users for future service provision and planning for future service needs.
- Forge close positive working relationships, in order to support an effective matrix approach to achieve NHS objectives.
At UHSussex we’re proud to be at the heart of the NHS. As one of theUK’s largest acute Trusts, we’re a leading example of the excellence, the ambition and the values that have embodied the NHS for over 70 years.
Improving lives: We are a vibrant and inclusive organisation, with hardworking, talented and dedicated individuals, who work together towards a common goal, to always put ourPatient First. Our mission is summed up by our ‘where better never stops’ motto and no matter the role at UHSussex, you will play a part in driving us forwards and in improving the lives of patients across Sussex. We treat our patients and staff with the same compassion and empathy we expect for ourselves. We’re here for them when they need us, and we go above and beyond to meet their needs. This can be seen in ourwellbeing programmefor staff which is extensive and designed to support you when you need it because we know that to look after others we must first look after ourselves.
Build a career with us: As a university trust and a leader in healthcare research, we value learning, teaching and training so that we can be the best that we can be. From the moment you start with us and throughout your career we will help you to grow and develop. We hope that in choosing UHSussex you are choosing a long and happy career where you will be able to see the difference you make and feel valued for all that you do.
Key Working Relationships
- Operate effectively in a flexible and demanding environment and proactively engage with NHS and independent sector staff, consultants, clinical teams and contractors working on a variety of topics.
- Work effectively with a variety of external consultancies working on other projects and programmes within other NHS directorates as required.
- Provide and receive highly complex, sensitive and contentious information, presenting information, to a wide range of stakeholders in a formal setting.
- Deal with potentially difficult/antagonistic situations as required.
- Work and engage constructively with internal and external stakeholders on a range of business sensitive issues.
- Nurture key relationships and maintain networks internally and externally, including national networks.
- Ensure close liaison with the Communications and Stakeholder team on public relations and marketing activities.
- Link with managers and members of other functions, to address inter- dependencies and ensure alignment.
- Apply a structured change management approach and methodology for the impact of any change.
- Provide cover for other Complex Case Managers, deputising to ensure decision making is progressed to support patient pathways including admission and discharge.
- Work in collaboration with services within Sussex and the South East Region to manage relationships with providers commissioned by other commissioning bodies that provide the referral and aftercare components of the specialised SCI and specialist rehabilitation pathways.
- Work in collaboration with providers and commissioners across a national footprint to ensure patients are provided with the most appropriate care for their needs when this cannot be accommodated in region.
- Work across multiple providers within the NHS and Independent Sector.
- Work in collaboration with local authorities, third sector and other statutory bodies in the management of effective usage of the specialised complex rehabilitation services.
