Do you have experience in health and social care or third sector information and advice? Have you helped to deliver a service to people with complex needs? Are you comfortable working with minimal supervision?

The Care Navigator will work collaboratively with clinical, medical, therapy and social care professionals to provide patients with integrated care interventions. The role includes supporting people with complex needs identified through the Proactive Care and Frailty pathways enabling those individuals to achieve improved health and care outcomes. You will work with colleagues from a number of services in developing a multi-disciplinary approach to patient care, ensuring a holistic approach is taken.

Key Responsibilities:

Enabling access to third sector and local health and social care services:

To provide person-centred support to people who have been assessed as benefiting from coordinated/integrated care interventions and who require access to self-management/third sector services in Bromley and help them to navigate the system.

Navigator will liaise with a range of multi-disciplinary professionals who are involved in a patients’ care, ensuring a smooth and coordinated approach, especially where multiple agencies are involved

To improve people’s experience and quality of care by providing a point of contact for non-medical queries, and for signposting to medical services (with support from the MDT Liaison Coordinator).

To support the Community Matron in carrying out guided conversations with people about their needs, leading to a holistic care plan of support.

To be part of the Integrated Care Network MDT meetings for people on the Proactive and Frailty Care Pathways.

To inform health and social care colleagues of the potential third sector services which can support people to self-manage.

To assist in documenting patient history in sufficient detail to enable health and care professionals to plan and deliver effective and timely interventions.

To assist people who may be eligible to access community care and carers assessments.

To escalate any issues which cannot be resolved at local level to the relevant Line Manager.

To respond appropriately in emergency situations.

Supporting and supervising volunteers:

To liaise with Age UK Bromley & Greenwich’s volunteers who will support and encourage people to enable them to pursue their interests.

Record keeping and reports:

To input data on EMIS database system and keep all online records up-to-date (training will be provided).

To collate, input and produce relevant data for analysis using IT packages.

To ensure all recorded information is accurate, up to date and factual.

To carry out written reports e.g. case studies requested by the Care Navigation Manager and MDT Liaison Coordinator.

Communication:

To establish good relationships with the health and care professionals within the ICN, including Community staff, Primary Care (i.e. GPs and practice staff within the named ICN) and MDT Liaison Coordinators to support and coordinate care.

To establish good communication with people receiving coordinated care and their carers / families.

To deal effectively and diplomatically with telephone and face to face enquiries, taking messages or appropriate action as required.

To ensure any complaints and serious incidents are managed and dealt with in line with the latest governance and policy guidance.

Learning and Development:

To attend and participate in an induction programme and all relevant training.

To learn from good practice on how to successfully support MDTs.

To attend regular monthly supervision sessions and annual appraisals with the Care Navigation Manager taking responsibility to comply with agreed personal development.

To attend regular weekly Care Navigation team meetings with the Care Navigation Manager. Plus any other appropriate meetings to ensure good team working with the MDT Liaison Coordinator and wider community teams.

To take part in Age UK Bromley & Greenwich events and activities as appropriate to the role.

Quality and General responsibilities:

To establish strong links with other Age UK Bromley & Greenwich staff and contribute to the wider aims and objectives of the organisation.

To show flexibility to cover for other staff members in the Care Navigation team, in other networks locally, and undertake any other duties commensurate with the purpose and remit of the post.

At all times to maintain the professional integrity and reputation of the Charity and represent their main interests in any dealings with other bodies, groups and individuals.

To use and maintain resources efficiently and effectively and encourage others to do so.

To evaluate the quality of own work and raise quality issues and related risks with the relevant people through the relevant channels.

To support the introduction/ maintenance of quality systems/processes in own work area.

To ensure documentation is accurate and up to date, and monitor and promote high standards of documentation within the team.

To follow quality standards relevant to the role, including the Standard Operating Procedures (“SOP”) agreed by the Proactive Care Subgroup.

To  support  the  collation  of  information  and  data  for  any  relevant  audit requirements.

Service Improvement:

To contribute to the identification and development of service improvements initiatives sharing the suggestions with other MDT members.

Equality and Diversity:

To comply with Age UK Bromley & Greenwich’s policies with particular regard to Diversity, Health and Safety and Confidentiality and policies adopted by the Bromley ICNs that apply to the Proactive Care and Frailty pathways.