Jane Mitchell-Reilly

Clinical Case Manager

Professional Summary

Specialising as an expert witness, conducting healthcare assessments and Dols assessments, Jane is a Qualified Independent Best Interest Assessor and DoLS Signatory. Jane has 30 years experience as a Registered General Nurse and in senior leadership roles.

She is dependable, responsible, confident, proactive, and dedicated to client centred approaches in rehabilitation care. Jane fully embraces the patient-centred principles and believes that when clients have a better chance to participate in their rehabilitation, the chances of recovery significantly increase. Jane is an accomplished case management professional with extensive experience achieving positive client outcomes.

Jane has extensive experience in client-facing roles and demonstrated legal and regulatory expertise to provide expert client support and case management. She is a resourceful individual with talent for problem-solving and fostering relationships. Jane possesses strong communication and organisational skills, with keen understanding of client needs and is committed to making meaningful impact by supporting clients through challenging situations and ensuring positive outcomes.

Experience

Clinical Case Manager

Key Case Management LTD

  • Manage complex clinical cases with poly trauma, neurological, complex and/or catastrophic injuries. Experience in managing multidisciplinary teams and care packages. Specialises in managing transition, and problem solving in complex care packages.

CHC Clinical Lead

North Central London ICB

  • Undertaking case reviews and ensuring that the healthcare needs of patients referred for Continuing Healthcare (CHC) review are met and the National Framework for NHS Continuing Healthcare assesses their cases.
  • Conducting reviews for Continuing Healthcare eligibility consistently and according to the National Framework for Continuing Healthcare and CHS procedures.
  • Where applicable, review prior assessments by the National Framework to ascertain whether there has been a change in need since the previous documentation.
  • To provide nursing and social assessment of patient needs and contribute to the patient care plan with input from the Complex Patient Management Group (CPMG).
  • To provide a point of contact for patients, their families, and carers and to facilitate the breakdown of barriers to communication between patients and professionals.
  • To be the designated manager for named GP practice(s) and maintain comprehensive clinical communication with typical practices and the Complex Patient Management Group (CPMG). Virtual Ward Case Management.
  • To facilitate the timely and appropriate transfer of care to the most appropriate care setting.
  • To provide clinical and professional support and leadership to the clinical areas as appropriate.
  • To provide a complete clinical nursing assessment of patients, identify their care needs, and implement the necessary actions to support the patient closer to home. This will involve visiting the patient in their home.
  • To support practices in collating referrals for case management and actively participate in practice MDT/ CPMG meetings.
  • To ensure that waiting times for care are reduced.
  • To ensure that patient records are maintained by IG regulations and are accessible to those requiring access.
  • To take an initiative-taking approach to the case management of patients with complex needs. This will involve communicating with Family/Carers, Social Services, Continuing Healthcare, Community Services, GPS, Care Homes, and other service providers to ensure any health or social care issues that may impact a timely handover of care are resolved early in the patient pathway.
  • To provide guidance, support and mentoring to the team by using in-depth knowledge of all aspects of care.
  • To collaborate with the CPMG to identify barriers or changes to clinical conditions that may impact the successful transfer of care between partner organisations.
  • Previous nursing experience and up-to-date knowledge of clinical nursing practice.
  • Previous experience working within Primary Care and the Community setting.
  • A firm understanding of the changing commissioner/ provider landscape.
  • Knowledge of organisational structures and relationships in health and social care.
  • Understanding of the broader determinants of health.
  • Computer literacy and knowledge of EMIS Web, electronic care plans & Microsoft applications.

Professional Registration

  • Nursing and Midwifery Council

Qualifications

  • Registered General Nurse
  • Best Interest Assessor
  • DoLS Signatory
  • Nursing qualification at post- registration level, e.g., community specialist practice, older people, long- term conditions.
  • Experience and knowledge in a health-related subject.
  • Evidence of Continuous Professional Development in relevant field.
  • Demonstrate self and patient management competencies.
  • Computer literacy and knowledge of Microsoft applications.
  • Teaching qualification, Leadership qualification or equivalent experience.
  • An Independent Best Interest Assessor.
  • A DoLS Signatory.

Areas Covered

  • Greater London

Key Skills

  • Excellent communication skills with the ability to communicate effectively across multidisciplinary teams.
  • Able to effectively assess and analyse information on complex clinical conditions, plan care from various options and refer appropriately if required.
  • Demonstrate clinical effectiveness and application of policies and procedures in practice.
  • Provide evidence-based care that is responsive to client needs.
  • May require the use of own transport for home visits.