a. People: You would be responsible for direct and indirect management for relevant staff including
Care Coordinators and admin personnel. This includes, amongst others, develop and manage KPI’s and recruitment.
b. Process: Contribute to the creation and or commissioning, implementation and management of required Standard Operating Procedures & Policies.
c. Training: Provide training to care coordinators, healthcare providers and staff on The Value Care Team Programme.
d. Quality Assurance: Conduct quarterly practice reviews at local GP practices. Develop and implement GP practice specific quality improvement initiatives to address identified gaps.
a. Establish and manage the local Multi-disciplinary team (MDT) including local GP practices, care coordinators, Allied professionals, and palliative care specialists.
b. Set up and manage referral networks with specialists and hospitals based on local General practitioner (GP) preferences and scheme data provided by PPO Serve
c. Lead and manage Multi-disciplinary team meetings to achieve TVCT programme objectives.
a. Regularly prepare and present reports on local GP practice performance, achievements, and challenges to the Regional Manager.
b. Manage Care coordinator performance through monitoring of worklists and present the productivity report to the Regional Manager.
c. Ensure clear and effective communication channels both internally and externally, keeping stakeholders informed and engaged.
a. Perform health assessments on patients to identify individual patient risk factors
b. Propose interventions as pre-defined to influence individual patient risk
c. Actively participate in the management of complex patients by building good relationships with the patient and their family
d. Monitor patient progress through ongoing patient and clinician interactions
e. Promote behavior change to ensure greater treatment compliance and condition management
f. Coordinate the integration of care including social services
g. Assist in navigating additional benefits
h. Arbitrate and resolve conflict and interface with problems that arise in patient care.
a. Regular liaising and communication with the care team (including clinicians, hospital, family members, counselors, and admin staff).
b. Assistance in the documentation of clinical information
c. Maintain relationships between external treating providers, the consortium’s multidisciplinary team and the management team
d. Build teams in the healthcare industry – being able to inspire teamwork at all levels to ensure optimal outcomes for the patient and the team
e. Understand the team’s operational processes to improvement.
a. Understanding clinical process and engage with clinical data to understand the issues
b. Provide clinical input into broad range of clinical developmental work including development of templates and processes to improve the working of the team and the patient outcomes they produce
c. Actively contribute to improvements to ensure success of the bigger team.