Fractional & Associate Case Managers / Clinical Leads, Machu Group
FRACTIONAL EXEC JOB · STAFFING AND RECRUITING SECTOR · CHESHIRE EAST, ENGLAND, UNITED KINGDOM

Machu Group is hiring fractional clinical leads and case managers on a self-employed, pay-as-you-go basis across Shropshire and Cheshire. The fractional lead strand offers ongoing clinical accountability for an agreed number of oversight hours per week, paid on weekly contact hours plus a standing monthly retainer. This is a genuine fractional executive/senior clinical role, not a gig platform.
Fractional & Associate Case Managers / Clinical Leads — the balanced verdict
- Explicitly fractional engagement with stated flexibility around other commitments
- Hybrid model — one-off assessments OR ongoing fractional lead role, or both
- Clear pricing structure (hourly contact + standing monthly charge for availability)
- Local work only (Shropshire/Cheshire), no country-wide travel
- Self-employed basis with professional indemnity insurance requirement implies legitimacy
- No day rate or hourly rate stated; 'priced and instructed individually' means negotiation required upfront
- Ongoing fractional lead hours are 'agreed' but not benchmarked; Band 6/7/8 clinical leads may need to scope this carefully
- Self-employed status and requirement for enhanced DBS/professional indemnity place compliance burden on candidate
Fractional & Associate Case Managers / Clinical Leads — the posting in full
Fractional & Associate Case Managers / Clinical Leads
🚀Clinicians-as-a-Service · Shropshire & Cheshire · Self-employed associate basis · Flexible hours👀
Machu Group gives complex care providers on-demand access to senior clinical expertise on a pay-as-you-go basis, without the cost and overhead of permanent recruitment.
We are building our associate network across Shropshire and Cheshire, and would like to hear from experienced case managers, clinical leads and senior nurses who want high-quality clinical work on their own terms. Work is matched locally, so you are covering Shrewsbury, Telford, Chester, Crewe and the surrounding areas rather than travelling the length of the country.
The work falls into two strands.
👩🏾 ⚕️Clinical Services 🏥
Assignments priced and instructed individually.
- Face-to-face visits with clients in their own home, placement or care setting
- Evidence-based clinical needs assessments
- Person-centred care plans and clinically informed risk assessments
- Writing the training need for each package
- Delivering shadowing, practical training and competency sign-off
- Clinical interviews and vetting of nurses and care staff
⏰ Fractional Clinical Lead
Ongoing clinical accountability for a live package, around your other commitments.
- An agreed number of oversight and contact hours per week
- Named point of clinical accountability for the life of the package
- Keeping care plans, risk assessments and competency records current
- Guiding the care team and liaising with the individual, their family, the provider and the wider MDT
Paid on agreed weekly contact hours, plus a standing monthly charge for inbox monitoring, so the time you spend being available is properly recognised.
Both, one, or the other
We are equally happy to speak with clinicians who want to pick up both strands and with those who only want one. Some associates prefer assessment and documentation work they can plan around a full-time role. Others want the ongoing relationship of a fractional lead post. Both are valuable to us.
👀 What we are looking for 🔭
- Registered Nurse (NMC) or registered AHP (HCPC), Band 6 as a minimum, Band 7 or 8 preferred for fractional work
- Demonstrable complex care experience, for example tracheostomy and ventilation, spinal injury, acquired brain injury, enteral feeding, seizure management or positive behaviour support
- Confident writing to the standard regulators and commissioners expect
- Able to work self-employed, with professional indemnity insurance, a full UK driving licence and a current enhanced DBS
✉️ Get in touch ☎️
Send your CV and a short note telling us which strand interests you, your specialties and how much capacity you have each month.
jordan.mitchell@machugroup.com · +44 203 667 9543 · www.machugroup.com
Please only apply if you have a relevant professional qualification, are currently living and working in the UK and have capacity to travel to clients and pick up additional hours.
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