Oxleas Care Navigator Full Time x 4

Job Purpose: The role includes supporting people with complex needs identified through the Proactive Care and Frailty pathways by providing emotional support, motivating them to self-manage and signposting them to the most relevant services (clinical and non-clinical/medical, social care third sector support) to enable those individuals to achieve improved health and care outcomes.

The post holder will work with the Case Managers to capture the support needs and then navigating the patient to the right support; development and co-ordination of plans for individuals in association with the other professionals, monitoring those services and their impact on people’s care. They will work with colleagues from across a number of services in developing a multi-disciplinary approach to patient care, ensuring a holistic approach is taken.

Key Responsibilities

• To provide person-centred support to people who have been assessed as benefiting from coordinated care and who require access to health and social care services and self-management/third sector services in Greenwich and help them to navigate the system.
• To improve people’s experience and quality of care by providing a point of contact for queries, and for signposting to medical services (with support from the Case Manager)
• To support the Case Manager in carrying out guided conversations with people about their needs, leading to a holistic care plan of support.
• To be part of the MDT meetings for people referred to the Frailty Team.
• 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.
• To liaise with Age UK Bromley & Greenwich’s volunteers who will support and encourage people to enable them to pursue their interests.
• To input data on database systems including RIO, Framework I and Co-ordinate my Care 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 Frailty Team Manager.
• To establish good relationships with the health and care professionals within the local area, including Community staff, Primary Care (i.e. GPs and practice staff within the named ICN) and Case Managers 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.
• 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 peer supervision sessions with Care Navigation Manager and Care Navigator team taking responsibility to comply with agreed personal development.
• To attend regular Frailty team meetings with the Frailty Team. Plus any other appropriate meetings to ensure good team working with the MDT and wider community teams.
• To take part in Age UK Bromley & Greenwich events and activities as appropriate to the role.
• 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”)
• To  support  the  collation  of  information  and  data  for  any  relevant  audit requirements.
• To contribute to the identification and development of service improvements initiatives sharing the suggestions with other MDT members.
• To comply with Age UK Bromley & Greenwich’s policies with particular regard to Diversity, Health and Safety and Confidentiality and policies adopted by the Greenwich ICNs that apply to the Frailty pathways.
• Safeguarding, keeping adults safe from abuse, ensuring that all alleged abuse is reported as per Age UK Bromley & Greenwich and Oxleas Standard Operating Procedures and aligned to Borough wide regulations and reporting procedures. Ensure that safeguarding is embedded in all decisions.
• To familiarise and fully comply with Age UK Bromley & Greenwich policies and procedures.
• At all times respect patient confidentiality and in particular the confidentiality of electronically stored personal data in line with the requirements of GDPR
• To be aware of individual responsibilities under the Health & Safety at Work Act and identify and report as necessary any untoward accident, incident or potentially hazardous environment.
• To initiate and undertake routine risk assessments, both of environmental and individual case management, and advise others in determining appropriate management specifically relating to moving and handling, safe use of medical devices.
• To be aware of and adhere to health and safety legislation in all aspects of their own and their teams work.
• To monitor work areas, and practices, and ensure that they are safe and free from hazards, conform to health safety and security legislation, policies, procedures and guidelines.
• To take the necessary action in relation to risk with support from the Line Manager.

For the full person spec and job description please download the job pack.