Integrated Discharge Case Manager

Thank you for your interest in this vacancy. We highly recommend reading our Tips on how to apply page to give you an insight on how applications are scored & shortlisted by our Recruiting Managers. These tips have been provided to give you a better chance of being shortlisted for our vacancies.

North Bristol NHS Trust (NBT) and University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) are working towards merging as one organisation from July 2026.

This will create an exciting future that brings together the best of both organisations. As a single, strong and sustainable organisation, we will not only be able to deliver better outcomes for our patients and fairer care for our population, but it will also provide greater opportunities for our people.

Should you join NBT as an employee prior to our organisations merging, your employment will be automatically transferred across to UHBW. Should your employment begin after our two Trusts merge, you will be employed directly by UHBW and therefore UHBW terms and conditions of service will apply

Our job adverts may close as soon as sufficient applications have been received. Considering this, if you are interested in this role, please do apply as soon as you can.

Generative artificial intelligence (AI) describes algorithms that can be used to produce new content, including audio, code, images, text, simulations, and videos. It is developing all the time and is now being used as a support mechanism for all kinds of content-based creations. Please note the use of AI is monitored and if applicants have used it then they are required to declare this.

Job Overview

Join the Integrated Discharge Service (IDS) at North Bristol NHS Trust and play a key clinical leadership role in supporting safe, timely and person‑centred discharges for patients with complex needs. As a Band 6 Case Manager, you will use your professional expertise to guide multidisciplinary teams, support complex decision-making and ensure patients leave hospital safely, in the right way and at the right time.

You will be a registered health or social care professional bringing strong assessment skills, sound clinical judgement and a passion for improving patient experience. You’ll work closely with ward teams, the Transfer of Care Hub and partners across BNSSG, offering expert advice on discharge processes and supporting colleagues through real‑time coaching, supervision and leadership.

If you thrive in a fast‑paced environment, enjoy solving complex challenges and want to make a meaningful impact for patients with multifaceted needs, this senior role offers both autonomy and development within a supportive team.

Main duties of the job

In This Role, You Will

Lead and influence high‑quality board rounds, providing expert clinical guidance, coaching ward teams and driving timely discharge decision‑making. Coordinate and manage complex discharges, including patients with homelessness, NRPF, mental health needs, CHC/Fast Track cases and out‑of‑area placements. Champion ‘Home First’ principles, promoting safe, appropriate and timely discharges and reducing avoidable delays. Support and supervise IDS Coordinators, providing clinical oversight, coaching and guidance within your cluster team. Use expert communication and problem‑solving skills to navigate complex situations, resolve barriers and support patients and families through challenging conversations. Build effective partnerships with community services, social care, voluntary sector organisations and the Transfer of Care Hub to ensure joined‑up discharge planning.

Applicants should bring strong clinical assessment skills, confidence managing complex and emotive situations, and the ability to lead others in a dynamic hospital environment.

Working for our organisation

NBT Cares. It’s a very simple statement; one which epitomises how everybody across our organisation goes the extra mile to ensure our patients get the best possible care.

NBT Cares is also an acronym, standing for caring, ambitious, respectful and supportive – our organisational values.

And our NBT Cares values are underpinned by our positive behaviours framework – a framework that provides clear guidance on how colleagues can work with one another in a constructive and supportive way.

Detailed Job Description And Main Responsibilities

As a senior clinician within IDS, you will:

Clinical Leadership & Board Round Excellence

Lead daily board rounds on allocated wards, coaching MDT colleagues and acting as the expert point of escalation for complex discharge queries. Support early discharge conversations with patients and families, ensuring clear, person‑centred planning. Lead post‑board huddles, allocating actions and providing real‑time supervision to Coordinators.

Complex Case Management

Hold a specialist caseload including homeless patients, self‑funders, CHC/Fast Track cases, mental health and learning disability cases, NRPF, and out‑of‑area discharges. Undertake comprehensive clinical assessments, including mental capacity assessments and contributions to Best Interest Decisions. Coordinate multi‑agency planning meetings and develop High Impact User plans for patients with recurring or prolonged stays.

Cluster Team Supervision & Professional Support

Provide clinical supervision, coaching and oversight to IDS Senior Coordinators and Coordinators. Review Transfer of Care documents and ensure quality standards are met. Support performance or capability concerns sensitively and appropriately.

Discharge Flow, Governance & System Standards

Promote accurate Criteria to Reside coding and ensure delays are recorded in line with BNSSG operational standards. Actively challenge inappropriate discharge cancellations and support timely decision-making. Maintain accurate documentation in CareFlow in line with IDS Documentation Standards.

Partnership Working

Work closely with the Community Transfer of Care Hub, social care, Sirona, care providers, housing teams, mental health services and third‑sector organisations. Support the restart or redesign of packages of care and provide expert advice on discharge pathways P0–P3 and Home First approaches.

Training, Development & Service Improvement

Deliver training to new IDS staff and support students through induction and ongoing learning. Participate in audits, quality improvement work, complaint investigations and service development.

Seven‑Day Service

Contribute to the seven‑day working rota, ensuring continuity of complex case management across weekends and bank holidays.

Person specification

Education/Training/Qualifications

Essential criteria

Qualified Health or Social Care Practitioner Current professional registration with relevant professional body (e.g. NMC/HCPC) Evidence of Continuing Professional Development undertaken since qualification

Work Experience

Essential criteria

Substantial post graduate experience Relevant post registration experience in care of complex patients. Ability to build relationships which support person centred planning, involving the person in all decision making and building on Strengths and capabilities Demonstrate how to prioritise work and manage deadlines for self and others Evidence of partnership working and competence in identifying and maintaining purposeful networks and collaborative arrangements Be a competent practitioner and supervise the actions of others effectively

Desirable criteria

Experience of managing complex discharges in a hospital environment

Knowledge/Skills/Abilities

Essential criteria

Evidence of managing complex and difficult situations. Experience of timely, effective and safe discharge from an acute trust Inter-disciplinary collaboration within the team and by working across boundaries with other disciplines. Able to assess and analyse a to achieve change in a robust and timely manner IT literate with experience of using wide range of tools

Desirable criteria

Knowledge of integrated discharge team specialist knowledge to advise on the management of the discharge process and policy

Personal Qualities/Special Circumstances

Essential criteria

Prioritisation of workload with changing priorities Frequently change task and be adaptable to the changing environment/situation in order to deliver workload expectations. Ability to work under pressure and cope with the unexpected, responding calmly to emotive situations and seeking appropriate support and solutions

Please note that if you apply for a position with North Bristol NHS Trust, you may be contacted via TRAC or via email. This includes invites for job interviews. We therefore recommend that you regularly check your TRAC Account and email accounts including junk and spam folders.

If you apply for this vacancy and have not received a communication from North Bristol NHS Trust within three weeks of the closing date, please assume that on this occasion your application has been unsuccessful.

Please note that North Bristol NHS Trust does not reimburse travel expenses relating to interview attendance.

If you feel you meet the requirements of the Disability Act / Two Ticks scheme and require further support/advice, please contact us on tel 0117 414 1151.

North Bristol NHS Trust are committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment.

The successful applicant(s) will normally commence at the minimum of the scale unless they have previous NHS service at the same band. Progression through the scale is by annual increments.

At North Bristol Trust (NBT), we know diverse and inclusive environments lead to happier and healthier teams and improved patient care and outcomes. We are committed to equality of opportunity, to being fair and inclusive, and to being a place where we all belong. We therefore particularly encourage applications from candidates who are currently underrepresented in NBT’s workforce at Band 8a and above. These include people from Black, Asian and minority ethnic backgrounds, disabled people and LGBTQIA+ people.

Please note that stringent pre-employment checks are undertaken on all successful applicants prior to commencement in post.