Care Co-ordinator

PLEASE NOTE INTERVIEWS WILL BE HELD ON 11 FEBRUARY 2026

Are you looking for a more fulfilling career or the next step in your career journey? One that gives you a sense of achievement knowing that each day you are helping people access the healthcare they need?

If this sounds like you, we have the perfect opportunity for you!

We are looking for an individual to join our Personalised Care Team who:

• Are enthusiastic and self-motivated
• Are able to use their initiative
• Are an excellent communicator, both written and verbal
• Are able to listen and empathise
• Are keen to learn and develop
• Can be flexible and adaptable
• Are competent with IT

In the role of Care Co-ordinator, you will work alongside the Personalised Care Team, GPs, ACPs and a range of health and community services to co-ordinate and personalise care to ensure patients, including those with complex needs or at risk, receive the right support and are actively involved in managing their care.

You will support patients and their families to navigate services, develop personalised care and support plans, and improve health outcomes through a person centred, co-ordinated approach.

Duties may be varied from time to time under the direction of the PCN Transformation Manager, dependent on current and evolving workload and staffing levels.

Haxby Group is a high-quality, community-based healthcare organisation with general practice at its core, delivering exceptional care to over 95,000 patients across 10 GP surgeries in York, Scarborough, and Hull. Rated outstanding by the CQC in York and Hull and Good in Scarborough, we are committed to improving the health of our local communities through compassionate, innovative care. Our digitally enabled, research-active approach helps reduce waiting times and continuously improve patient outcomes.

Supported by a large, multidisciplinary team and strong training and workforce development programmes, Haxby Group offers a dynamic, supportive environment with opportunities to develop, innovate, and make a real difference in primary care.

We have a clear mission To deliver high quality, compassionate care to our local communities with an innovative and ethical mindset and we achieve this by applying our organisational values: patient-centered, innovative and professional.

Patient Identification and Caseload Management

• Identify individuals who may benefit fromcare coordination, including those with Learning Disabilities, Serious Mental Illness, dementia, frailty, or other long-term conditions.
• Manage an allocated caseload of patients,prioritising need and complexity appropriately.
• Undertake non-clinical assessments of patient needs and contribute to the development and review of personalised care and support plans.
• Work alongside and support the Surgery Frailty Team (including Nurse Practitioners and Advanced Clinical Practitioners) in identifying the care needs of people living with frailty andtheir families.

Care Coordination and Support

• Work with patients, carers, families and professionals to ensure timely access to appropriate health and community services.
• Liaise with specialist and community service providers to support coordinated care delivery.
• Support care coordination for care home residents and contribute to digital health initiatives where appropriate.
• Act as a point of contact for patients,families and professionals, including participation in PCN Baby Clinics and networking with other GP practices within the PCN
• Support clinicians in delivering holistic,person-centred care by contributing to coordinated planning and follow-up.

Patient Navigation and Empowerment

• Guide patients and carers through health andcare systems, supporting them to understand available services.
• Support patients to access self-management resources, education programmes, employment support and benefits advice.
• Promote shared decision-making and use appropriate decision aids to support informed choices.
• Encourage patient engagement and independence in managing long-term conditions.

Communication and MDT Working

• Act as a central point of contact for patients, carers and members of the multidisciplinary team (MDT).
• Collaborate with health, social care and voluntary sector partners to support coordinated care.
• Support MDT activity, including preparation,communication and follow-up actions.
• Communicate effectively with all stakeholders and provide cover for colleagues as required.

Administrative and Data Management

• Maintain accurate and timely records in linewith organisational policies and information governance requirements.
• Use IT-based systems to record activity and support reporting requirements.
• Gather statistics, support service project sand promote service uptake.
• Coordinate MDT meetings, including organising logistics and documentation.
• Assist with general clerical duties and maintain agreed hygiene standards.

• IT skills, including accurate written/electronic records and documents
• Recording and collection of data and to support…