Physiotherapist - Centurion at Road Accident Fund

Purpose of the Job: 

Reporting to the Manager: Treatment and Protocols, the successful incumbent is accountable for the implementation of comprehensive rehabilitations programs and undertaking of specified client care activities in line with the scope of the practice for physiotherapist.

Key Performance Areas

Review, Align and Update Existing Physiotherapy Tariff Including In-Built Rules Applicable to Physiotherapy Profession

• Review and identify gaps in the existing physiotherapy tariffs.
• Align the updated tariff to the developed evidence-based treatment protocols.
• Develop in-built rules and align them with the updated tariff.

Policy Review and Implementation

• Contribute to the development and implementation of departmental policy, procedures and processes.
• Keep up to date with effective policy and practice execution strategies.

Define and Develop Evidence Based Physiotherapy Treatment Protocols in Respect of the Categories of Injuries

• Define Treatment protocol framework comprising of clinical policies, processes and guidelines’
• Ensure that associated treatment protocols are identified for each case by
• Reviewing physician's referral and patient's medical records to determine diagnosis and physical therapy treatment required.
• Develop associated treatment plan templates which accommodates the following codes: ICD10 codes, CPT codes and NAPPI codes, with the clinical coder to create cross walks.
• Develop specific treatment plans according to the individual diagnosis
• Organise for review of the protocols, guidelines and tariffs by relevant specialist in the field
• Design treatment protocols to assist patients to get back to their maximum potential in both work and sport, including adaptation to permanent disabilities.

Draft Clinical Guidelines and Processes for Trauma/ MVA Related Conditions

• Draft concrete and specific guidelines to assist the medical/rehabilitation staff on what type of care that should be provided.
• Work as a member of a holistic rehabilitation team.
• Devise procedures and standards for treatment and exercise programs.
• Provide guidelines for need for appropriate orthopaedic assistive devices.

Stakeholder Management

• Consult with relevant stakeholders (Professional Bodies) on a regular basis to keep up with industry updates, eg South African Society of Physiotherapy.
• Ensure stakeholder awareness and buy-in on the new protocols being developed.
• Manage relationships with vendors, service providers or procurement teams and ensure that all relevant procured items are invoiced and paid on time.
• Represent the Fund in relevant external activities and events.

Reporting

• Collection of patient statistics to inform future decisions
• Compiling monthly reports
• Develop & implement health education programs for claimants and relevant stakeholders
• Ensure processes are in place to have accurate and timeous patient data and information.
• Perform administrative duties as and when required.

Stakeholder Management

• Facilitate and manage communication with relevant internal and external stakeholders in relation to investments and proactively and progressively manage the relationships.
• Manage relationships with vendors, service providers or procurement teams and ensure that all relevant procured items are invoiced and paid on time.

Qualifications and Experience

• Bachelor’s Degree/ Advanced Diploma in Physiotherapy qualification.
• Valid Registration with the HPCSA as a Physiotherapist.
• A qualification in evidence-based medicine and/or treatment protocol development, will be advantageous.
• Relevant 5 - 7 years’ experience in the field of physiotherapy.
• Experience in defining and developing evidence-based treatment protocols of physiotherapy-related treatment protocols.
• Experience in working with ICD 10 codes, CPT codes, NAPPI codes, tariffs, and all modalities of physiotherapy treatments.

Technical and Behavioral Competencies Required

• Communication.
• Network and alliances.
• Planning, organising and coordinating.
• Ethics and values.
• Change Management.
• Risk management.
• Stakeholder development and relations.
• Reporting.
• Computer literacy.
• Knowledge of “managed healthcare” or financial risk assessment principles (environment).
• Display a basic understanding of evidence-based medicine in the treatment and management of injuries with a focus on rehabilitation.
• Knowledge of physiotherapy clinical standards of care within the health industry.
• Knowledge and understanding of systems and process requirements for efficient medical claims processing that are used in the medical aid or other funding industries.
• Knowledge and understanding of holistic rehabilitation principles.
• Understanding and knowledge of the legislation governing RAF, policies and procedures.
• Knowledge and understanding of the RABS Bill and its benefits.
• Knowledge and understanding of the use of evidence-based medicine in policy and treatment protocol development.
• Knowledge of medical disability guidelines (including ICU, orthopaedics, neurology, etc.)
• Knowledge of Medical Billing, Tariffs and Coding applicable to physiotherapy treatment and rehabilitation.
• Knowledge, understanding and application of the National Health Act, Medical Scheme’s Act, and other health related legislation.
• Knowledge of modifiers applicable to Physiotherapy tariffs.