PCN Care Coordinator - Care Home & Frailty Team
| Posting date: | 15 December 2025 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | Negotiable |
| Hours: | Full time |
| Closing date: | 11 January 2026 |
| Location: | Brighton, BN1 5AZ |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | A5388-25-0003 |
Summary
Job Description: Job Description and Personal Specification Job Title:Care Coordinator Reports to:PCN Operational Manager & Care Home and Frailty Team Lead. Job Summary The Care Coordinator will work as a key part of the Primary Care Network (PCN) multi-disciplinary (MDT) team. Works closely with the GPs and other primary care professionals within the PCN to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed. Plays an integral role in facilitating the care home MDT, to improve the continuity of care by acting as a point of contact for residents, families and professionals. Contributes to tackling inequalities in health and social care. An ethos of promotion of independence, shared decision making, personalisation and partnership working is integral to this post. As the role evolves the care coordinator will undertake direct work with patients and families to develop personalised care plans. This role can be a hybrid role with a maximum of 2 days WFH per week ( For full time staff) Core Hours Full time, 37.5 hours per week. Key Responsibilities Provide a first point of contact for patients and clinicians in coordinating patients care. Deal with incoming queries from patients and/or their carers and other healthcare providers. Encourage people, their families and carers to provide feedback and engage fully in the care coordination process. Ensure timely follow up and action for patients from communications from community and secondary care. Monitor tasks to ensure they are completed and care delivered through regular audit of the clinical system. Provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers and other primary care professionals. Signpost and organise appointments, follow ups or other actions to help the PCN provide high quality, compassionate care to our patient population. Support the alignment of care homes to practices, including new patient registrations. Support the care home MDT with the weekly ward rounds through identification of people in need of review, collation of information on patients requiring MDT input. Also to provide coordination and administrative support to the MDT. Support the PCN in coordinating all key activities including access to services, advice and information, and ensuring health and care planning is timely, efficient and patient-centred. Support PCN staff and patients to be prepared to have shared-decision making conversations, including utilising decision aids and tools. Work collaboratively with other Care Coordinators across the PCN to share best practice. Work sensitively with patients, their families and carers to capture key information, enabling comprehensive and accurate records of support. Work with the PCN MDT to utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care. The list of duties in the job description should not be regarded as exclusive or exhaustive. There will be other duties and requirements associated with the job and the right to update the job description from time to time to reflect changes in or to the job. Job Types: Full-time, Part-time, Permanent Benefits: Company pension On-site parking Work from home - up to 2 days per week Work Location: Hybrid remote in Brighton BN1 5AZ