Rehabilitation Manager - Parktown at Rand Mutual - RMA

• As a Rehabilitation Manager, you will be responsible for the day to day supervision, direction and evaluation of all rehabilitation activities and to foster sustainable interdisciplinary collaboration towards achieving the goal of successful and cost-effective rehabilitation for clients.

WHAT WILL YOU DO?

Rehabilitation Management

• Ensure legislative and RMA policy compliance in all rehabilitation practices
• Manage and oversee the internal policies, processes and procedure on case management and rehabilitation management
• Promote an environment that facilitates innovation, creative solutions, and empowerment
• Analyse hospital medical spend and provider usage patterns
• Identify and establish potential provider networks
• Conduct risk management by applying mitigating actions appropriately
• Monitor hospital admissions and patient progress weekly
• Adjudicate/Authorise requests for hospital admissions, MRI scans, CT scans and chronic medication
• Adjudicate requests for additional care and confer with RMA medical personnel prior to decision making
• Ensure cost effective patient assessment and treatment plans
• Promote early discharge and prevent unessential hospital readmissions
• Observe and evaluate treatment effect and recommend changes to rehabilitation team and/or medical team where necessary
• Perform appropriate rehabilitation assessments on patients if required
• Ensure compliance with patient care standards from service providers
• Coordinates resources to meet the rehabilitation care needs of the patient

Team Leadership:

• Adhere to the RMA values and polices and consistently behave in an honest and ethical way
• Supervise and lead the Rehabilitation team
• Identify performance gaps within the rehabilitation team; coach and assist team members with the development and implementation of their personal development plans
• Create awareness of the rehabilitation function within the broader RMA team
• Encourage collaboration and teamwork within and between teams
• Serve as coach, mentor and positive role model
• Assist with the recruitment, development. performance management, coaching and counselling of the team.

 Cost Management:

• Ensure quality and cost-effective rehabilitation
• Actively participate in improving customer experience
• Provide accounting assistance to managers and employees

Accurate and Timely Reporting:

• Manage the rehabilitation unit budget
• Analyse medical spend and usage patterns of hospital service providers
• Evaluate treatment options, promote early hospital discharges, prevent unessential readmissions, monitor treatment pre-authorizations, and engage in tariff negotiations with hospitals and other treatment service providers.

Customer and Stakeholder Relationships:

• Ensure customer satisfaction pertaining to rehabilitation care needs
• Engage with hospital management and provider networks to establish strong stakeholder relationships
• Work collaboratively with managers and team leaders in Medical Claims Management, and internal and external MSPs to promote RMA Benefits and negotiate improved tariffs

Review and Report on Rehabilitation costs, status and progress:

• Provide feedback to Medical Claims Management on hospital medical spend and provider usage patterns
• Weekly and monthly reporting on rehabilitation management status and progress

WHAT YOU'LL BRING TO THE TABLE?

• NQF 7 - Degree in Nursing, Physiotherapy, Occupational Therapy or Social Work
• Minimum 5 years of experience as a health professional 3 years of which should be in a team leader capacity
• Experience in Rehabilitation of the injured preferred
• Case Management experience advantageous
• Working knowledge of the COID Act
• Demonstrate knowledge of and proficiency in rehabilitation services and modalities
• Case management knowledge and skill
• Exceptional communication skills: Listening, verbal and written
• Proficiency in Microsoft Office (Word, Excel, Outlook and PowerPoint)
• Diagnostic, analytic, and problem-solving skills.
• Well-developed organisation and time management skills
• Ability to build and lead cohesive, successful team(s)
• Registration with the Nursing Council or H.P.C.S.A for relevant discipline
• Valid driver’s license

Closing date: 29 June 2023