Care Coordinator

Job overview

The Rotherham Assertive Outreach Team (AOT) provides intensive, recovery-focused  community support to adults across Rotherham with severe and enduring mental illnesses,  primarily psychosis. The service works with patients who often present with co-existing  substance misuse, complex risks, and significant social challenges, many of whom have  struggled to engage with traditional mental health services. AOT aims to reduce barriers to  care, prevent hospital admissions, and promote rehabilitation through a highly integrated,  multidisciplinary, and multi-agency ‘team’ approach in line with the AOT model. The service    also includes a community rehabilitation pathway for patients with both psychotic and non psychotic disorders (SMI), and a 10-bedded supported living facility offering structured,  step-down rehabilitative support in partnership with South Yorkshire Housing.  The post-holder will deliver assertive and therapeutic interventions aimed at reducing  relapse and hospital admissions. Using DIALOG/DIALOG+ and other patients reported  outcome measures, the Care Coordinator collaboratively assesses, develops and reviews  personalised care and recovery plans, ensuring that support is holistic, person-centred, and  delivered in partnership with the wider multidisciplinary team and external agencies.

Main duties of the job

Deliver community-based assertive outreach and rehabilitation supportive engagement,  promoting recovery, independence, and social inclusion.  • Manage a defined caseload of patients in the community and supported living, including patients subject to Community Treatment Orders and act as Social Supervisor for patients subject to Ministry of Justice sections.  • Act as shift coordinator, planning daily visits and care delivery, responding to service demand and crisis situations.  • Work collaboratively with the multidisciplinary team to manage complex risks. Work collaboratively with the team, patients, carers, and external agencies, including South Yorkshire Housing to deliver holistic care.   • Apply professional judgment in clinical decision-making, risk assessment, and care planning within Trust and statutory guidance.  • Deliver care and treatment for patients based on individualised care plans and risk  assessments.

Detailed job description and main responsibilities

Please view the attached job description and person specification to view the full details about the role

We reserve the right to close the vacancy early if there are a high amount of applications