Case Manager - Canterbury Adult Community Team for Older People and Physical Disability (OPPD)
Within a Clinical Commissioning Group Area, manage a caseload of medium to high level complexity clients requiring assessment, review and ongoing support, ensuring the needs and outcomes for the individual are clearly evidenced against eligibility criteria. Develop support plans with clients designed to promote independence and determine the appropriate level of resource allocation required in order to meet their assessed eligible needs, taking into account any requirements under the Mental Capacity Act, Best Interests and Safeguarding of individuals.
Support people to identify and commission resources that enable them to choose the best support options that fit their assessed eligible need and preferred lifestyle choice providing on-going assistance, where required, in managing their support.
- Support clients in proportionate holistic assessments (including where appropriate self assessments and carers assessments), to ensure they are able to engage appropriately and identify needs and outcomes. This will include consideration/actions relating to the Mental Capacity Act and/ or Safeguarding.
- Conduct assessments with a promoting independence and health and social care integration mind set, taking into full consideration the clients abilities, circumstances and support mechanisms in order to fully consider the level of intervention required to optimise the client's independence. Enablement services, telecare, equipment and minor adaptations to be fully considered and evidenced in the assessment.
- Identify and document a person's eligible social care needs, the outcomes to be achieved through intervention and allocate financial resources in accordance with the Directorate's resource allocation system.
- Identify and where appropriate manage any safeguarding and quality of care issues in line with directorate policy and practice requirements, taking forward appropriate actions and communicate with supervisor / line manager/ other directorate officers, including undertaking the role of investigating officer.
- Communicate effectively with clients and families on a range of issues. Be able to manage difficult situations and problems, promote independence including information, benefit maximisation, support services and equipment in order to inform the range of choices available when a person comes to develop their package of support and manage risk. Take into account issues of mental capacity and duty of care as agreed with a supervisor. Attend and present cases at Area Risk Management panels supported by a senior practitioner.
- Ensure clients are fully engaged in the assessment process and are in control of decision making in order to optimise their opportunity to maintain independence through understanding the range of short term interventions they can access e.g. enablement. Arrange temporary and/or emergency support, where needed, so that a client or carer's immediate requirements are met and supported to avoid crisis. Agree promoting independence review timescales proportionate to the risks involved and to manage the case so that the client is able to focus on achievement of outcomes and maintaining independence and control.
- Work with clients in developing their support plan, outcomes to be achieved and associated personal budget through to commissioning of their service as a direct payment or provider managed service. Support the client in commissioning of their ongoing service through a range of interventions - direct management, signposting to the voluntary sector, information, advice & guidance dependent on the abilities of the client / carer support
- Develop and maintain an extensive knowledge of available resources and maintain links with partner agencies in order to offer the broadest range of options to clients in developing their support packages.
- Be accountable for own performance regarding adherence to the Directorate's policies relating to Assessment, Support planning, promoting independence reviews and record keeping. Maintain professional portfolio of practice evidence to support professional development and management of increasing complexity.
- Develop wider networks through a lead operational role for the team e.g. telecare champion, system super user, link person with Autistic Spectrum Conditions team or in the case of designated workers for Transition develop specialist skills to ensure that clients are supported appropriately. Support the Senior Practitioner in the cluster/Multi- Disciplinary Team meetings with health partners and apply risk stratification.
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