Lead Complex Case Manager
Job Purpose:
The post holder will undertake comprehensive professional Continuing Healthcare and Funded Nurse Care assessments for adults over 18 years of age with complex health needs including the assessment, review and monitoring of care for those whose health needs are funded via NHS Continuing Healthcare within the dedicated time scales. This will include retrospective and appeal cases. The post holder will act as a Case Manager for individual clients within Birmingham Solihull ICB who are receiving continuing health care funding to assess the needs of the client and their family to facilitate, plan and evaluate service provision to ensure the client achieves an optimum level of function and receives appropriate levels of care in the most suitable environment.
The post holder will work jointly with health, social care and independent sector colleagues to ensure care management processes are appropriate and at time may be asked to present assessments to the BSOL continuing care panels for ratification.
To follow the process laid out in the National Framework for NHS Continuing Healthcare; to include organisation, co-ordination and participation in MDT eligibility recommendations to be verified by ICB decision makers
Ensure assessments conducted are robust, transparent and multi-agency (where required) for NHS Continuing Healthcare/NHS-funded Nursing Care
Analysis of supporting documentation to establish critical history of the patient's relevant needs to produce a specialist nursing assessment
Complete new referrals for NHS Continuing Healthcare within 28 days as per the National Framework for NHS Continuing Healthcare
Key Relationships:
Head of Contracting & Procurement and Clinical Operational Leads
Continuing Healthcare Nurse Assessors
Brokerage Administration Team
Local Authority Partners
District Nursing Services
Palliative Care Teams
Hospital Discharge Co-Coordinators
Contracts Manager
Nursing Home Providers
Patients, relatives and carers
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