Job Opportunities at Mediclinic

MAIN PURPOSE OF JOB

To lead a quality and safe patient care experience that meets the set clinical standards through the optimal management of human and organisational resources within a structured unit.

KEY RESPONSIBILITY AREAS

• Ensure safe patient care by meeting set clinical quality standards according to company policies and procedures
• Manage and mitigate clinical risks in the unit
• Lead and manage the staff in the unit
• Manage the unit's operational and capital expenses according to financial and budget guidelines and ensure optimal utilisation of resources
• Manage and actively contribute to a positive patient experience in the hospital
• Support the achievement of interdepartmental outcomes
• Manage key stakeholder relations

REQUIRED EDUCATION

ESSENTIAL EDUCATION:   3 or 4-year Diploma or 4 year Degree in Nursing; Postgraduate qualification in the unit’s specialist area (if relevant)

DESIRED EDUCATION:  Nursing education qualification; Nursing management  qualification

REQUIRED EXPERIENCE

ESSENTIAL MINIMUM EXPERIENCE:  At least 5 years professional nursing experience in a hospital; 2-3 years leadership experience in a hospital

DESIRED EXPERIENCE:  Infection Prevention and Control; Clinical Facilitation

REQUIRED JOB SKILLS AND KNOWLEDGE

• Auditing and accreditation processes
• Clinical risk management
• Computer literate (Microsoft Office)
• Continuous improvement and quality assurance methodologies
• Financial management
• Healthcare industry
• Human resource processes including employee relations
• Infection prevention and control (IPC) principles and protocols
• Management of staff productivity
• Nursing functional knowledge
• Patient complaint management
• Relevant nursing legislation

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MAIN PURPOSE OF JOB

To coordinate the hospital case management process and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimise the financial risk for the organisation.

REQUIRED EDUCATION

ESSENTIAL EDUCATION:  Registered as a Professional Nurse with SANC

DESIRED EDUCATION: Theatre or ICU Qualified Professional Nurse

REQUIRED EXPERIENCE

ESSENTIAL MINIMUM EXPERIENCE:  Minimum of 3 years in a clinical role

DESIRED EXPERIENCE:  Experience in Theatre and or ICU.

KEY RESPONSIBILITY AREAS

• Minimise financial risk by effectively managing patient stay
• Ensure compliance to case management procedures, contracts and legal aspects by utilising available resources and systems
• Ensure correct and timeous finalisation of cases to facilitate reimbursements from funders of claims
• Consistently and timeously communicate with Funders as contractually agreed through the relevant case management channels
• Ensure clinical coding standards are adhered to as per Level 3 coding guideline
• Lead and manage the people in the Case Management team 

REQUIRED JOB SKILLS AND KNOWLEDGE

• Anatomy; physiology and terminology
• Funder Contracts; Medical aid requirements/narrations
• Scientific nursing principles and process
• B2B EMS (electronic message system: check status of authorisations and use for trouble,shooting)
• Computer literate (Microsoft Office)
• Authorisation and motivation of Level of Care; Length of Stay; Short Payments etc.
• Relevant aspects of applicable statutory acts (e.g. Consumer Protection Act; PMB; etc.)
• Patient Administration policies and procedures (e.g. Patient Confidentiality; Visitation of external case managers; etc.)
• Daily workflow; managing deviances; coding; and case management processes
• Application of clinical codes and finalisation thereof (Level 3 coding)
• Patient admin programmes on the AS400 system