Clinical Care Coordinator

North West Newham Proactive Care Team are seeking an experienced and motivated Clinical Care Coordinator to support the delivery of an innovative, place-based approach to improving outcomes for residents with complex health and wellbeing needs. This role has been designed to ensure residents receive coordinated, preventative support that promotes independence, improves health outcomes, and reduces the risk of avoidable service use and crisis escalation. Working as part of a multidisciplinary team, the Clinical Care Coordinator will identify residents who may benefit from proactive intervention, undertake holistic assessments, coordinate care planning, and ensure timely access to appropriate health, social care, and community services. Registered Nurses are particularly encouraged to apply, although applications from other registered healthcare professionals with relevant experience will also be considered. The post is offered as a six-month fixed-term appointment, with the potential for extension subject to funding and service requirements. Applications for secondment opportunities will also be considered, subject to the agreement of the applicant's substantive employer. Flexible working and job-share arrangements will be considered. The closing date for applications is 18.11.2026, however, we reserve the right to close the advert earlier due to volume of applications Main duties of the job The Clinical Care Coordinator acts as the primary relationship manager for residents enrolled in the proactive care programme, ensuring individuals receive coordinated, person-centred support that improves outcomes, promotes independence, and reduces avoidable escalation in health and social care needs. The role is responsible for coordinating interventions across the multidisciplinary team (MDT), maintaining oversight of care plans, and ensuring residents remain engaged in achieving their agreed goals. Please refer to the JD/PS for full details of the role., Resident Assessment & Care Planning

• Primary point of contact for residents and support onboarding onto the programme.
• Undertake comprehensive assessments that is holistic and considers wider determinants of need and develop personalised goals and outcomes.
• Ensure care plan remains current, outcome-focused and aligned to changing resident circumstances.
Care Coordination & Case Management
• Coordinate timely access to relevant MDT professionals and community services.
• Develop knowledge and information on local services (including VCFSE) available to patients whilst considering a range of options during ongoing patient assessments, analysing service users needs.
• Facilitate referrals and follow up actions are completed.
• Maintain oversight of all interventions for the resident, ensuring that care remains joined up across providers.
Monitoring & Review
• Track progress against identified goals and outcomes.
• Conduct regular reviews & adjust care plans and referral pathways where necessary.
Risk Management & Safety
• Identify and respond appropriately to clinical, safeguarding, welfare, or social concerns.
• Escalate complex issues to relevant professionals and agencies in a timely manner.
• Participate in MDT discussions relating to high-risk or complex residents.
  
  Hold a current registration as a healthcare professional with the relevant UK regulatory body with no restrictions on practice.
• Demonstrable commitmentto professional and personal development., Ability to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders.
• Ability to coordinate activities across multiple organisations, services and stakeholders to ensure support is delivered effectively.
• Able to build rapport quickly, communicate clearly and adapt communication style to meet the needs of residents, carers and professionals.
• Able to recognise concerns relating to wellbeing, vulnerability, safeguarding or escalating need and take appropriate action in order to reduce the risk of avoidable hospital attendance or admission.
• Able to represent resident needs and ensure their voice remains central to care planning and decision making.
• Able to monitor progress, measure impact and maintain focus on achieving agreed outcomes for residents.
Experience Essential
• Experience of working with the VCFSE sector (in a paid or unpaid capacity), including with volunteers and small community groups.
• Comfortable using electronic records, digital communication tools and care planning systems (e.g. EMIS, Universal Care Plan)
Person Specification Qualifications Essential
• Hold a current registration as a healthcare professional with the relevant UK regulatory body with no restrictions on practice.
• Demonstrable commitmentto professional and personal development., Ability to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders.
• Ability to coordinate activities across multiple organisations, services and stakeholders to ensure support is delivered effectively.
• Able to build rapport quickly, communicate clearly and adapt communication style to meet the needs of residents, carers and professionals.
• Able to recognise concerns relating to wellbeing, vulnerability, safeguarding or escalating need and take appropriate action in order to reduce the risk of avoidable hospital attendance or admission.
• Able to represent resident needs and ensure their voice remains central to care planning and decision making.
• Able to monitor progress, measure impact and maintain focus on achieving agreed outcomes for residents., Experience of working with the VCFSE sector (in a paid or unpaid capacity), including with volunteers and small community groups.
• Comfortable using electronic records, digital communication tools and care planning systems (e.g. EMIS, Universal Care Plan)
  
  Newham Health Collaborative (NHC) CIC is a GP federation representing all the GP practices within the Newham borough boundaries. This covers a population of approximately 400,000 patients. We are established as a Community Interest Company, wholly owned by our 43 GP practice members. We invest any surplus we secure into services for primary care and our patients.