Current Jobs at Clinix Health Group (Pty) Ltd

Job Description

To plan, coordinate and execute case management work at hospital level. The incumbent utilities clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding of patient care.

Minimum Requirements:

• Relevant Nursing qualification.
• CM or Billings Clerk with ICD training and anatomy and physiology course certification.
• IDC and CPO coding.
• 3-5 years’ experience as a hospital case manager.

Minimum work experience:

• Liaise with Receptionist for authorisations.
• Ensure compliance to case management procedures, standards and protocols.
• Plan, coordinate and execute Clinical coding in accordance with relevant CHG standards and protocols.
• Ensure accurate, appropriate and complete diagnostic and procedural coding of all patient records in the hospital.
• Timeously and consistently communicate and follow up with Funders (Medical Aids, COID, Government, RAF, DOL, etc.).
• Provide appropriate clinical information to Funders in order to update Length of Stay, Level of Care, formulary utilisation, assistive devices / Prosthesis, diagnostic interventions, therapy intervention and procedural interventions and required change in the facility.
• Consult daily with all relevant health care providers with regards to patient treatment.
• Ensure the maintenance of patients’ clinical status (subsequent interventions and treatments) in accordance to Funder requirements for the duration of hospitalisation.
• Ensure the correct categorisation and management of different patient accounts to facilitate reimbursement by Funder.
• Ensure accurate and timeous finalisation of cases to facilitate reimbursement by Funders.
• Minimise financial risk by the effective management of patient hospitalisation.
• Follow the established and approved escalation processes in the event of a decline of payment by Funder.
• Ensure to remain in the group and facility targets of 3 days for WIP (work in progress) and DNYB (discharged not yet billed).

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Job Description

To provide support within scope of practice with regards to the coordination and management of financial and administrative function in line with relevant standards and in support of the Group’s financial objectives.

Minimum Requirements:

• Bachelor’s Degree in Accounting or Finance.
• 1-3 Years experience in similar role.
• Good understanding of financial and accounting regulations.
• Understanding of private healthcare industry accounting practices.

Minimum work experience:

• Maintenance of financial security by following internal controls.
• Accurate preparation of journal entries and ledger account reconciliations.
• Review of accounting transactions for accurate and proper classifications.
• Prepares reconciliations of general ledger accounts and ensures timeous resolution of outstanding issues.
• Maintains files (electronically and otherwise) for audit and file and information management purposes.
• Prepare an analysis of relevant accounts to ensure all relevant expenses are recorded.
• Compile data as required in order to prepare for monthly reports.
• Enter, update or retrieve accounting data from automated systems (SAP) and other approved platforms.
• Responds to accounting procedure questions by researching and interpreting accounting policy and regulations.
• Protects operations by keeping financial information confidential.
• Provide assistance to the Finance Manager and other senior managers, where applicable.
• Assist with the analysis or projects as requested by the line manager and prepares reports outlining findings for the Finance Manager’s review and sign-off.
• Ensure compliance to relevant policies and procedures with regards to asset removing.
• Maintain the asset register.
• Take accountability for asset replacement, verification and assessment process.

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Job Summary: 

To take accountability for the safety, health, environment, risk, and quality assurance aspects of hospital operations by ensuring full compliance, of all staff in the workplace, with health and safety standards through identification, prevention and control of hospital risks including infection control.

Minimum Qualifications and Experience:

• Nursing degree/diploma, Current South African Nursing Council (SANC) registration mandatory.
• Infection Control certificate or expert knowledge advantageous.
• Knowledge of risk management processes advantageous.
• Expert knowledge of the Occupational Health and Safety Act (OHS Act).
• Demonstrated Clinical expertise and ability to teach and educate all stakeholders to combat disease transmission.
• Computer proficiency – MS Office, SAP or similar.

Minimum Job Requirements:

• Perform all duties in accordance with South African Nursing Council (SANC), Department of Health (DOH) and National Core Standards.
• Develop and co-ordinate the yearly SHERQ action plan and longer term SHERQ roadmap, prepare monthly reports on progress and present feedback at Group forums.
• Plan, direct and implement, co-ordinate, maintain and evaluate the effective hospital-wide infection control program consistent with the regulatory requirements and the needs of the Clinix Health Group.
• Participates in professional development and education activities/programs to ensure excellence in the provision of Infection Prevention and Control Services at the Hospital.
• Educates and teaches Infection Control to all stakeholders and keeps knowledge current regarding infectious diseases and specializes in the prevention and control of infectious disease outbreaks in a hospital setting.
• Assist in retaining all current quality accreditations and work towards the attainment of new quality accreditations.
• Compile relevant reports and progress on all incidents and adverse event investigations and report back to Hospital Management and Head Office with recommendations and timelines.
• Ensure accurate reporting and compliance with overall legislation and COID, including investigations and findings within the prescribed standards.
• Facilitate all forms of risk assessment eg: general, manual handling, emergency preparedness, fire prevention and in the hospital and provide recommendations.
• Develop and maintain updated risk register including actions to mitigate risks whilst maintaining accurate reporting and record keeping of all SHERQ and infection control activities.