Machu Group
Fractional & Associate Case Managers / Clinical Leads

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Fractional & Associate Case Managers / Clinical Leads
🚀Clinicians-as-a-Service · Shropshire & Cheshire · Self-employed associate basis · Flexible hours👀
Machu Group gives complex care providers on-demand access to senior clinical expertise on a pay-as-you-go basis, without the cost and overhead of permanent recruitment.
We are building our associate network across Shropshire and Cheshire, and would like to hear from experienced case managers, clinical leads and senior nurses who want high-quality clinical work on their own terms. Work is matched locally, so you are covering Shrewsbury, Telford, Chester, Crewe and the surrounding areas rather than travelling the length of the country.
The work falls into two strands.
👩🏾 ⚕️Clinical Services 🏥
Assignments priced and instructed individually.
- Face-to-face visits with clients in their own home, placement or care setting
- Evidence-based clinical needs assessments
- Person-centred care plans and clinically informed risk assessments
- Writing the training need for each package
- Delivering shadowing, practical training and competency sign-off
- Clinical interviews and vetting of nurses and care staff
Reasons to use Rodeo
I’m in my final year doing Economics and I don’t know whether to apply for grad schemes now or do a masters first. What do you think?
Honest answer — it depends on where you want to end up. A lot of top grad schemes (Big 4, civil service, banking) don’t need a masters. Let’s look at the ones you’d be competitive for now, and we can decide if a masters actually adds anything.
Also worth knowing: most autumn 2026 applications are open now. Timing matters more than you think.
Start with a chat, not a search bar
Grad scheme, placement, apprenticeship? Not sure what you want yet — that's fine. Your agent talks it through with you and turns "I have no idea" into a shortlist.
Graduate Consultant — 2026 Scheme
Why you're a good match
StrongYour economics background and your summer at a regional bank line up with what PwC looks for on the consulting scheme. Applications close in four weeks.
See breakdownIt searches the market for you
Every day your agent scans the market matching roles against what actually matters to you, not just keywords on a CV.
Why you're a good match
You’ve got the grades and the economics background, and your bank internship is exactly the experience this scheme looks for. Apply soon — deadlines close within the month.
Experience fit
Your summer at the bank plus your econometrics coursework map directly to the day-one responsibilities on this scheme — client modelling, market briefings, and deal support.
Only hits
No noise. No "maybe this fits." Just roles with a clear explanation of why they're right — and where to focus when applying.
⏰ Fractional Clinical Lead
Ongoing clinical accountability for a live package, around your other commitments.
- An agreed number of oversight and contact hours per week
- Named point of clinical accountability for the life of the package
- Keeping care plans, risk assessments and competency records current
- Guiding the care team and liaising with the individual, their family, the provider and the wider MDT
Paid on agreed weekly contact hours, plus a standing monthly charge for inbox monitoring, so the time you spend being available is properly recognised.
Both, one, or the other
We are equally happy to speak with clinicians who want to pick up both strands and with those who only want one. Some associates prefer assessment and documentation work they can plan around a full-time role. Others want the ongoing relationship of a fractional lead post. Both are valuable to us.


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👀 What we are looking for 🔭
- Registered Nurse (NMC) or registered AHP (HCPC), Band 6 as a minimum, Band 7 or 8 preferred for fractional work
- Demonstrable complex care experience, for example tracheostomy and ventilation, spinal injury, acquired brain injury, enteral feeding, seizure management or positive behaviour support
- Confident writing to the standard regulators and commissioners expect
- Able to work self-employed, with professional indemnity insurance, a full UK driving licence and a current enhanced DBS
✉️ Get in touch ☎️
Send your CV and a short note telling us which strand interests you, your specialties and how much capacity you have each month.
jordan.mitchell@machugroup.com · +44 203 667 9543 · www.machugroup.com
Please only apply if you have a relevant professional qualification, are currently living and working in the UK and have capacity to travel to clients and pick up additional hours.
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