Buckinghamshire Healthcare NHS Trust
Community High Intensity Nurse Case Manager - Countywide
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An exciting opportunity for a Qualified District Nurse
This innovative role focuses on supporting individuals who frequently access urgent and emergency healthcare services and often have complex physical health, frailty, mental health or social care needs. Through proactive case management, comprehensive assessment and coordinated multidisciplinary working, you will help patients achieve better health outcomes while reducing avoidable Emergency Department attendances and hospital admissions.
Working across services
Working across community, primary care, acute, mental health, social care and voluntary sector services, you will develop personalised care plans that address the underlying causes of repeated healthcare use. You will build strong therapeutic relationships with patients, families and carers, supporting individuals to access the right care, at the right time, in the right place.
About the Role
The postholder will manage a designated caseload of high intensity users, undertaking comprehensive holistic assessments and developing personalised care plans to address complex health and social care needs. They will act as the lead coordinator for patients requiring multi-agency input, ensuring effective communication and collaboration between primary care, community services, acute trusts, mental health services, ambulance services, social care and voluntary sector organisations.
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The Community High Intensity User Nurse Case Manager will proactively monitor patients at risk of deterioration, provide timely interventions following emergency department attendances, hospital admissions or discharge, and lead multidisciplinary reviews to support coordinated care delivery. They will work closely with patients and carers to promote self-management, facilitate advance care planning and develop crisis and escalation plans that reduce avoidable admissions and emergency service use.
The postholder will also contribute to service development, quality improvement and outcome measurement, providing specialist advice, education and support to colleagues across the wider healthcare system. Through strong clinical leadership and partnership working, they will help deliver improved patient experience, enhanced health outcomes and more effective use of healthcare resources.
What does Buckinghamshire Healthcare NHS Trust offer you?
As part of our BHT family, you’ll benefit from learning and development opportunities to support your career progression. We offer flexible and agile working opportunities, alongside your NHS benefits of generous annual leave entitlement, pension and access to NHS discount schemes. We provide a range of health and wellbeing services to promote a healthy, happy workforce.
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Why work for us?
We’re committed to promoting inclusion and making sure all colleagues feel they belong. We encourage new colleagues from a diverse range of backgrounds to apply. As an employer, we aim to create a workplace where differences are valued and colleagues treat one another with dignity and respect. Greater diversity within our BHT family improves positive outcomes for the people and communities we serve. A keen supporter of the Armed Forces Community who know the value of employing a service leaver/veteran and their families.
Our Vision and Mission
Our vision is to provide outstanding care, support healthy communities and be a great place to work. Our mission is to provide personal and compassionate care every time. Our care values are collaborate, aspire, respect and enable.
Contact Information
For further details / informal visits contact:
Name: Claire Jones
Job title: Lead Nurse for Community Nursing & Transformation
Email address: claire.jones18@nhs.net
Telephone number: 07929370499
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