Integrated Discharge Case Manager

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., 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., + 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.

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., 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., 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 .
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.

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.
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