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CHC Appeals nurse

Job Description

Continuing Healthcare (CHC) Appeals Nurse

Location: Birmingham, NHS Contract Type: Temporary Agency Contract Working Hours: Monday to Friday, 9 AM - 5 PM Pay Rate: £320 per day (Umbrella)


Service Care Solutions are recruiting for a Continuing Healthcare (CHC) Appeals Nurse to join the NHS in Birmingham on a temporary agency contract.


Key Responsibilities:

  • Attend and participate in Formal CHC Appeals Meetings.
  • Complete retrospective Decision Support Tools (DSTs) and Needs Portrayal Documents.
  • Assess Continuing Healthcare patients, ensuring consistent application of the National Framework for NHS Continuing Health Care and NHS Funded Nursing Care.
  • Review both previously un assessed (PUPOC) and assessed periods of care.
  • Communicate effectively with appellants and produce comprehensive reports outlining a patient's journey throughout the review period.
  • Chair local resolution meetings with claimants and their representatives.
  • Ensure patient/family/representatives are fully informed and supported throughout the appeal process.
  • Contribute to training and development of staff on Appeals policy.
  • Review care plans and provide feedback on quality and safety concerns.
  • Coordinate and participate in multidisciplinary reviews of DSTs in line with the National Framework.


Requirements:

  • Recent experience in Continuing Healthcare (CHC) is essential.
  • Strong understanding of the CHC Appeals Process and Best Practice Guidance.
  • Proven ability to manage a caseload autonomously and accept case coordinator responsibilities.
  • High-level communication skills to handle complex cases and chair meetings.
  • Experience in completing PUPOC assessments and NHS Continuing Healthcare checklists.
  • A credible practitioner with demonstrated clinical expertise in CHC.
  • Ability to make clinical and evidence-based decisions.
  • Must be a car owner and driver.


Desirable Skills:

  • Experience in presenting cases to panels and contributing to decision-making processes.
  • Ability to resolve conflicting views informally before proceeding to formal appeals.


If you are interested in this role and meet the criteria, please send your CV to andrew.wiles@servicecare.org.uk.
We look forward to hearing from you!