LEAD COMPLEX CASE MANAGER BAND 7

Job Description:

Lead Complex Case Manager BAND 7

• To 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.
• The post holder will be responsible for complex clinical caseload comprising of; Assessments, undertaking of review (3/12 CHC review unscheduled review and Fast Tracks and implementation on Personal Health Budgets and ongoing Case Management of Patients funded by Continuing Healthcare (CHC), Mental Health & Learning Disabilities.
• 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 patients 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.
• To undertake NHS-funded Nursing Care (FNC) determinations for service users who require ongoing nursing care in a care home with nursing, ensuring that patients are assessed within current guidelines and then reviewed after three months/ annually in line with DoH framework throughout the locality area.
• Managing a defined caseload (Assessment, Reviews (FNC/ CHC Fast Track, reviewing cases), Transition, DOLS, LPS, and SEND, and Ongoing complex case management, Implementation of PHB, Care Act Assessment).