Clinical Risk | Virtual Care Team Leader at Kaelo

Responsibilities include:

Team Lead Specific Duties

• Develop and maintain reports of daily activities, present analysis and feedback to the Clinical manager.
• Perform monthly Quality Assurance Audits for the team.
• Allocate daily roles and activities to team members based on demand and capacity.
• Where applicable, ensure that the team are appropriately allocated to afterhours duties, and maintain a record of timesheets to be submitted to the line manager for remuneration of afterhours activities.
• Ensure the team is meeting their specified SLA for all daily activities, where inefficiencies or issues are noted these must be raised to the line manager immediately.
• Ensure GP authorisations are loaded accurately and completely according to company standards and policies.
• Training and coaching the team (including but not limited to: company policies and standards, product rules, clinical guidelines) to ensure high-quality clinical care management services are provided.
• Communicate with the Health Service Cantre Manager to ensure operational efficiencies between the Health Service Centre and virtual care teams.
• Provide input and support for projects as required by the business

Daily operational activities

Virtual care bookings

• Ensure that the team calendars are appropriately opened and/or blocked according to the tea, availability and scheduling
• Ensure that members are being consulted as scheduled
• Manage any escalations related to consultations
• Consulting patients together with the team during the available time slots
• Weekly reporting of bookings and consultations

Clinical triage queue

• Ensure availability of a team daily who is responsible for the calls being transferred from the call centre
• Ensure the tracker is completed daily
• Ensure accurate call tagging
• Report on weekly summary or tracker

Administrative duties

Line management of virtual care nurse team

• monthly
• Leave management
• Training and development
• Scheduling of Drs according to their availability
• Act as a liaison for the VC doctors
• Quality auditing
• Rostering and scheduling

General

• Report any clinical escalations/concerns to the Clinical Review Committee or clinical risk management teams
• Maintain confidentiality in clinical conditions shared with her/him.

Key outcomes

• Assist the Clinical and Medical Advisors to identify appropriate resources and guidelines to effectively assess, prioritize, advise, and manage patients presenting with a variety of primary healthcare conditions, including but not limited to: Common acute and chronic outpatient conditions, emergency conditions, HIV, maternity and family planning, child care.  
• Ensure all team members thoroughly complete documentation utilizing the appropriate computer software in compliance with the approved policies and procedures.
• Ensure all team members maintain current nursing skills and knowledge base by attendance at workshops and seminars, completion of mandatory continued professional development, reading of professional journals, publications, and participation in professional organizations.
• Develop and maintain reports on the activities carried out within their team, presenting feedback and analysis of targets and outcomes.

Qualifications

EDUCATION: QUALIFICATIONS: ACCREDITATIONS WITH PROFESSIONAL BODY

REQUIRED

• Professional Nurse / Registered Nurse / Enrolled Nurse / ALS paramedic
• Degree / Diploma in Nursing
• A minimum of 5 years nursing experience.
• Experience across both the public and private health sector.
• Medical Aid or Insurance industry experience will be an advantage.
• Knowledge of ICD codes.

DESIRED

• PHC, Midwifery, and HIV experience is an advantage.

TECHNICAL SKILLS OR KNOWLEDGE

REQUIRED

• Strong understanding of clinical codes.
• Attention to detail.
• Health risk assessment knowledge.
• Computer Literacy (Microsoft office). 

Additional Information

PERSONAL ATTRIBUTES: BEHAVIORAL COMPETENCIES

• Accountability for clinical decisions made.
• Communication with all related health care workers, patient, and next of kin involved in a case.
• Writing skills-for clear and concise notes that are easy to understand.
• Efficient and effective mindset to make clear clinical decisions without prejudice and interfering personal beliefs.
• Planning and organisation of work.
• Resilient and adaptive to different environments.
• Prioritizes patient care
• Self-development
• Ethical always maintaining professional image and language.
• Team player