Fresh Jobs at Joint Medical Holdings

• The Case Manager Team Leader will oversee communication among patients, physicians, and medical insurers to uphold the agreement between the funder and the JMH Group as outlined in the JMH Group Tariff Interpretation Document. Additionally, they will apply clinical expertise in managing patient risk related to length of stay, level of care, and available medical benefits, while also supervising case management activities.
• Adhering to JMH policy regarding clinical updates within specified turnaround times and service level agreements.
• Ensuring precise and comprehensive ICD 10/CCSA coding.
• Meeting month-end deadlines.
• Verifying accurate and complete billing.
• Communicating adequate and pertinent information to medical schemes.
• Managing internal DSO and optimizing utilized tools.
• Overseeing the complete rollout and adherence to Care Risk Management Procedures and Protocols.
• Effectively resolving rejections related to case management.
• Supervising all Case Management staff.
• Leading and guiding a team of case managers, offering direction and assistance to maintain the highest standards of care coordination.
• Cultivating a collaborative and supportive workplace atmosphere, encouraging teamwork, communication, and professional growth among team members.
• Keeping abreast of industry trends, regulations, and best practices in case management, ensuring compliance with relevant standards and guidelines.

MINIMUM REQUIREMENTS

• Registration with the SANC as an RN
• Must be computer literate.
• Must have Billing / Auditing experience will be advantageous.
• Experience in a multidisciplinary hospital environment.
• ICD 10 and CCSA coding experience is a requirement.
• Must have experience in liaising with medical aids, doctors, and patients.

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PURPOSE OF POSITION

• We are seeking a dedicated and detail-oriented Quality Coordinator to support and monitor the implementation of quality assurance systems within our healthcare facility. The successful candidate will ensure compliance with regulatory standards, drive continuous quality improvement, and promote patient safety and excellence in care.

KEY PERFORMANCE AREAS

• Develop, implement, and maintain the hospital's Quality Management System.
• Ensure alignment with national health regulations, accreditation standards (e.g., DOH, OHSC), and internal policies and ensure the hospital meets statutory requirements and licensing conditions.
• Update policies and procedures in line with changing regulatory requirements and monitor adherence to standard operating procedures (SOPs) across departments.
• Develop and oversee patient safety programs and initiatives.
• Monitor adverse events, incidents, and near-misses, implement corrective and preventive actions and promote a culture of safety and incident reporting.
• Monitor clinical indicators such as infection rates, mortality, readmissions, and patient outcomes.
• Collaborate with clinical teams to improve standards of care.
• Support evidence-based practices and clinical governance.
• Plan and execute internal quality audits (clinical and non-clinical). Track audit findings and ensure corrective actions are completed.
• Develop dashboards and reports on quality indicators.
• Analyse data trends to identify areas of improvement.
• Ensure documentation complies with legal and regulatory standards.
• Maintain a central document control system.
• Provide training on quality standards, patient safety, and compliance.
• Conduct orientation programs for new staff on quality practices.
• Support departments in implementing quality improvement tools and methodologies.
• Collect, analyse, and report on key performance indicators (KPIs).
• Prepare quality reports for hospital leadership and governing bodies.
• Utilize data for strategic decision-making and performance improvements.
• Lead the Quality Improvement Committee and related subcommittees.
• Coordinate quality-related activities across departments.
• Advise senior management on quality and patient safety matters.
• Support strategic planning aligned with quality goals.

COMPETENCIES (The following will be advantageous)

MINIMUM REQUIREMENTS

(Educational Qualifications & Experience)

• Registered with South African Nursing Council (SANC) as a Registered Nurse.
• Preferably have at least 5-7 years' experience in the clinical setting, valid APC.
• Must have at least 3nyears' experience working in Quality management.
• Ability to work effectively within a team in a fast-paced environment.

SKILLS

(Practical & Technical)

• Effective clinical assessment and critical thinking skills.
• Able to prioritise and work well under pressure.
• Effective communication and interpersonal skills.
• Effective organisational and time management skills.
• Basic computer literacy.