Description:
One of our clients in the Health Care industry has a vacancy available for a Health-Programme Co-ordinator in Middelburg.The ideal candidate will be a mature individual (older than 40-years of age) with more than seven years experience within a hospital case management position. Must be eager to learn, healthy and fit. Needs to be able to speak and understand Afrikaans. PLEASE NOTE: ONLY APPLY IF YOU QUALIFY IN FULLWeekly rotation - 07H00 to 16H00 or 08H00 to 17H00 (Monday to Friday).Telephonic standby every third week.Qualifications:Registered NurseValid SANC registrationSkills, Competencies, and Experience:Seven or more years experience as a senior in a hospital setting.Experience as a Wellness nurse within a retail pharmacy/wellness service provider will be advantageous.Experience within a medical scheme/managed care organisation will be advantageous.Legal knowledge, i.e. Medical Schemes Act, POPIA, medical liability, etc.Knowledge of the South African Healthcare industry coding structures i.e. ICD10, CPT4, NRPL, PMB conditions and clinical protocols, etc.Extensive clinical knowledge related to all aspects of patient management, including home care.Excellent telephonic and written communication skills (will be tested).Computer literacy, MS Office especially intermediate knowledge of Excel (will be tested) and experience with an industry information system (e.g. hospital, medical scheme administration, or managed care).Proficiency in English verbal and written.Strong organisational and task prioritization, and multitasking skills.Ability to research and analyse information.Maintaining confidentiality of information.Decision-making skills.Following through on commitments.Flexibility to travel.Own transport and a valid drivers license.Ability:High degree of accuracy and attention to detail.Self-motivator and the ability to work effectively independently.Show initiative.Demonstrated ability to deal with emotionally charged and stressful situations effectively.Compassionate and attentive listener must be able to interact with the family/ loved ones of members with long-stay hospital events and members with complex disease profiles, including but not limited to chronic conditions, oncology, mental wellness, etc.Must be confident and comfortable with clinical decision-making.Summary of Responsibilities:Confidential management of patient medical conditions, treatment, and funding information.Driving risk-based preventative intervention and care thorough the Schemes model and programmes, including health risk assessments (HRAs), hospital and home visits and assessments.Clinical coding per CPT4 and ICD10 requirements and as per client standards.Managing patient hospitalisation; including the receipt and verification of hospital clinical updates, coordinating the appropriate Level of Care (LOC) and Length of Stay (LOS), and contain hospital stay financial risk (discharge planning).Provide continuous, complete, and accurate updates and discharge inform
03 Apr 2024;
from:
gumtree.co.za