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  • Posted: Jan 15, 2025
    Deadline: Not specified
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    In 1992 the company employed less than 5 people who led our first hospital Botshelong Empilweni Private Hospital to open its doors to the Vosloorus community in 1994. With over 20 years of providing quality healthcare in the communities we operate in, Clinix Health Group owns and manages eight hospitals and has approximately 2600 individuals that are working...
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    Enrolled Nurse - Medical ward

    Job Summary:

    • To provide clinical support to patients by assisting the Registered Nurse and Enrolled Nurse  in the delivery of nursing care duties in accordance with quality standard and approved safety regulations as well as scope of practice of the Enrolled Nurse.

    Minimum Qualifications and Experience:

    • Grade 12.
    • Enrolled Nursing qualification.
    • Current registration with South African Nursing Council.
    • BLS qualification.
    • Experience within a private hospital environment is advantageous.

    Minimum Job Requirements:

    • Perform all duties in accordance with South African Nursing Council (SANC), Department of Health (DOH) and National Core Standards.
    • Adhere to the principles and standards of Patient Advocacy according to SANC Acts and Omissions, Company Code of Conduct, Patient Rights and Responsibility Charter, National
    • Millennium Development goals and responsibility of Continuous Professional Development (CPD).
    • Plan, organize, assess and prioritize work for self to ensure efficient completion of tasks under the supervision of a Registered Nurse
    • Implement care as instructed by the Registered Nurse and/or Unit Manager in order to meet individual patient needs, for example, wound care, administration of medication, hygiene care, buttock care, back and pressure care etc.
    • Carry out basic assessment of patient vital signs, intake and output and accurately monitor and record data relating to patient condition.
    • Receive new patients in accordance with company policy and procedures and conduct any updates on existing patients’ condition under the supervision of a Registered Nurse
    • Drive quality of care adhering to work standards and establishing a safe, therapeutic, and clean environment for all stakeholders (patient, family, doctors, and staff) that is free from medico-legal hazards.
    • Document patient care services by accurately charting in patient and department records including progress on patients’ condition.
    • Drive a positive patient (customer) experience by putting patients first and deliver holistic customer-oriented service.
    • Inform and educate patients about the Groups complaints procedure and “My voice” platform.
    • Adhere to the principles of Lean management (i.e. reducing wastage and unnecessary expenditure) without compromising patient care whilst ensuring minimal wastage.

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    Registered Nurse- Medical ward

    Job Summary:

    • To promote and deliver quality patient care and wellness in accordance with industry standards and to execute Nursing duties within the standards, procedures and protocols set down by the South African Nursing Council and Scope of Practice. The incumbent will collaborate with Doctors, multi-disciplinary team members and the community in providing holistic support to patients and their family and loved ones whilst supervising allocated team members, within a specialized unit.

    Minimum Qualifications and Experience:

    • Diploma in General Nursing
    • BLS qualification
    • At least 2 years’ experience in Medical Ward is essential
    • Updated ACLS/PALS/ATLS advantageous

    Minimum Job Requirements:

    • Perform all duties in accordance with South African Nursing Council (SANC), Department of Health (DOH) and National Core Standards.
    • Adhere to the principles and standards of Patient Advocacy according to SANC Acts and Omissions, Company Code of Conduct, Patient Rights and Responsibilities Charter, National Millennium Development goals and responsibility of Continuous Professional Development (CPD).
    • Supervise, organize, lead and control work for self and team to ensure efficient completion of tasks.
    • Devise a working knowledge of, and understand the Nursing Strategy, in order to contribute towards unit goals.
    • Document patient care services by accurately charting inpatient and department records including updating care plans as patient needs changes.
    • Maintain accurate files and records of patient medication, incidents and complaints and steps taken to resolve patient problems or prevent incidents from recurring.
    • Conduct structured ward rounds including accompanying Doctors and other Medical Practitioners for creating and evaluating customized care plans including implementing Doctors instructions and prescriptions.
    • Monitor activities of nurses to ensure compliance with protocols, security, safety of patient environment, Group Nursing policies and procedures, SANC requirements and act on findings through regular unit rounds.
    • Provide first line assessment at the bedside with regards to aspects of medical technology including ventilators, renal replacement therapy equipment, physiological measurement monitors and the like.

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    Billings Auditor

    Job Summary:

    • To oversee the hospital’s billings process and ensure products and services received by patients aligns with the final bill. Perform accurate audits of patient files, comparing the products and services received with the itemized bill in the context of the Company’s billing requirements and contractual arrangements with Medical Schemes.

    Minimum Qualifications and experience:

    • Nursing Diploma
    • 2-3 years’ experience in Billings environment
    • Advanced Computer Literacy
    • SAP will be an advantage.

    Minimum Duties:

    • Perform Billings Auditing duties in accordance with the Clinix Health Groups standard and procedure.
    • Adhere to the principles and standards of patient advocacy according to the Clinix Health Groups
    • Review and analyze reports as a management tool, to identify negative trends and implement corrective action.
    • Audit patient files as per Company requirements (and standards) and in accordance with the Company contracts with Medical Schemes
    • Perform End of Case on the approved system
    • Ensure the accurate maintenance of supplier invoices.
    • Efficient management of Billing processes by Specific to private patients, final bill invoices on the SAP system as ‘paper’ claim and forward patient files to the collections department for further management.
    • Adhere to reporting standards by analysing information and reports by identifying trends, discrepancies and inconsistencies for decision making

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    Case Manager

    Job Summary:

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

    Minimum Qualifications and Experience:

    • Nursing Diploma
    • Registered Nurse
    • IDC and CPT coding knowledge
    • 3-5 years’ experience as a hospital case manager

    Minimum Job Requirements:

    • 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 Funders
    • 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 Funders
    • 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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    Unit Manager Casualty

    Job Summary:

    • To take responsibility for efficiently leading all activities within the Unit, providing leadership and direction to all staff, and promoting quality patient care and patient experience through operational excellence whilst maintain the highest standards of professionalism and respect. In addition, to ensure cost effective service delivery within legal parameters, policies, and procedures.

    Minimum Qualifications and Experience:

    • B. Cur/Diploma in General Nursing.
    • Current registration with South African Nursing Council.
    • Post basic qualification in Neo Natal Critical Care/ General Intensive Critical care will be advantageous.
    • BLS qualification.
    • Further Business Management qualification advantageous.
    • Updated ACLS/PALS/ATLS advantageous.
    • 3+ years’ experience at a managerial/supervisory level.
    • Exposure in Wellness facility advantageous.
    • Computer Literacy.

    Minimum Job Requirements:

    • Perform all duties in accordance with the South African Nursing Council (SANC), Department of Health (DOH) and National Core Standards.
    • Adhere to the principles and standards of Patient Advocacy according to SANC Acts and Omissions, Company Code of Conduct, Patient rights and Responsibility Charter., National Millennium Development goals and responsibility of Continuous Professional Development (CPD).
    • Promote effective and quality patient care through the application of relevant policies and procedures and efficient management of day-to-day Unit activities.
    • Ward administration to ensure compliance with protocols, security, safe patient environment, policies, procedures and the Groups patient care standards.
    • Effective Management of cost centre and operational unit activities and processes including control of equipment, tools, stock, to required levels and according to prescribed guidelines.
    • Manage staff including agency staff and identify and implement quality improvement opportunities.

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    Patient services Manager

    • Responsible for the management and co-ordination of patient services resources, processes and operations to achieve the quality, growth and people objectives in order to ensure the optimization of the hospital’s profitability.

    Minimum Qualifications and Experience:

    • Registered nurse (ICU/Theater trained or experienced).
    • A qualification in business admin/frontline management.
    • Minimum of five years relevant experience in a leadership role with change and people management experience.
    • Current registration with the relevant professional / regulatory body.
    • Understanding of relevant and current legislation as well as the knowledge of CPT/ICD coding, technical and clinical concepts and patient services business processes is a pre-requisite.
    • Understanding of basic financial principles (i.e., budgets, credit management, planning).
    • Proficiency in SAP system

    Minimum Job Requirements:

    • Monitoring and improving quality metrics.
    • Managing data integrity and compliance to working procedures.
    • Managing the collection of outstanding co-payments from patients.
    • Ensuring accurate implementation and application of medical aid rules and benefits.
    • Ensuring implementation and application of COID rules.
    • Ensure appropriate delegation and allocation of case managers to wards according to skills and strengths.
    • Ensuring that the correct and accurate Level of Care is applied such that there is alignment between the case managers and the unit managers at all times.
    • Ensure that all updates are communicated daily with the correct codes, ICD10 and/or CPT codes.
    • Ensuring active daily ward rounds by Case managers to be able to generate current clinical information to funders.
    • Ensure that all requested motivation letters are submitted to medical aids in real time.
       

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