The Department of Health aims to provide quality health services and ensure a caring climate for service users, implement best-practice health care strategies, create a positive work environment for staff, and provide appropriate and top-quality training for health workers. Our vision is to provide high-quality, efficient and accessible healthcare to transform people's lives. Our mission is to create an effective public healthcare system in Gauteng by ensuring we have the right people, skills, system and equipment to provide the care our patients need to live healthy and quality lives.
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Appropriate Diploma/Degree in a Health-Related Field. Ten (10) years’ experience in a clinical field of which 5 years should be in a supervisory level. Registration with SANC or HPCSA for 2025/2026.
A valid driver’s license. Case management experience will be an added advantage. Skills/Competence/Knowledge: Computer Literate. Knowledge of National Health Act, Medical Schemes Act, Occupational Health, and Safety Act.
PFMA, RAF Act, COIDA, Patient's Right Charter, Batho Pele Principles, UPFS policy, ICD 10 Coding Classification of patients, NHI and PAIA management policy. Must be a driven, customer focused individual with excellent planning, organizing, training, communication (verbal and written) and reporting skills.
Have good interpersonal relations and presentation skills. Decision making skill. Must be able to work under pressure.
Duties :
Efficient and effective implementation of Case Management standard of practise, policies, protocols and procedure within the hospital. Coordination of work within Revenue Management, Patient Admin, Clinical, Therapeutics and Nursing departments.
Monitor and manage internal patients who are externally funded (i.e., ensure that ALOS is kept within the norm according to diagnosis and also to obtain reasons from Clinical HOD for extended length of stay). Managed and monitor Medico Legal cases.
Ensure that ICD 10 and UPFS coding are correct, specific, and relevant. Ensure efficient and effective communication of updated clinical information for externally funded clients/ patients.
Auditing of externally funded billed files in order to monitor accuracy in coding. Liaising with all relevant role players in matters relating to Case Management.
Authorizing of all medical aid patients including compilation of clinical updates. Monitoring and support on Medical Aid rejections. Provide training and support on UPFS, ICD IO coding, procedure codes and charge sheets.
Attend nursing and other clinical audit committees to monitor hospital efficiency indicators to improve positive clinical outcomes and quality of care. Daily monitoring of inpatient's registration by doing ward rounds with operational managers, play a role in daily bed management.
Compilation of comprehensive reports for reporting i.e., weekly, monthly, and quarterly reports. Supervision and development of staff. Please note this is a non OSD post.
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