A vacancy exists for a Care Co-ordinator based at Life Eugene Marais Hospital reporting to the Patient Services Manager.The responsibility of the Care co-ordinator will be to navigate a patient on a clinical pathway from diagnosis until post-discharge. The successful candidate will be responsible for managing the financial and clinical risks of the business unit.Critical OutputsFinancial Risk ManagementAuthorisation and reauthorisation (including clinical coding) during in-patient admission.Identifying deviations from the clinical pathway.Manage the financial risk related to the clinical pathway including clinical pre-assessment, authorisation and re-authorisation (including clinical coding).Manage submission of hospital claim and support the Bill Auditor to close out any funding disputes related to clinical pathway products.Monitor and report on the cost of the event.Analyse trends to identify deviations and influence the responsible persons through presentations and discussion.Clinical Risk ManagementClinical pre-assessment following initial diagnosis.Acting as primary point of contact for patient from after initial diagnosis until the patient has sufficient knowledge and resources to self-direct care.Supporting the patient and family with education in respect of all care needs as they journey through the Life Healthcare system.Co-ordination/Facilitation RoleBuilds awareness of Life Care Coordinator role with internal & external service providers.Receives criteria-based referrals from relevant care providers and responds within 8 working hours.Tracks patients referred with a diagnosed health pathway to ensure all diagnostics and follow-up appointments are booked to facilitate patient transition to next step of care program.Tracks patients test results to determine what further action is required, liaising with Dr and or members of the multidisciplinary team (MDT).Provides administrative support and facilitates MDT meetings including preparing patient notes, images etc. and organizing and recording the content of meetings.Updates each patient record with outcome of MDT meetings and communicates with relevant healthcare partners as required.Takes responsibility for all outcomes identified for Life Care Coordinator at MDT meetings and actions in a timely manner liaising with internal and external healthcare partners.Assesses patient needs for support services and suggest referrals.Monitoring, coordinating and tracking the care of a patient on clinical care pathways to improve health, treatment or end of life outcomes.Assessing the care and services required by the patient and for making the necessary referrals to the multi-disciplinary team/support service partners.Post-discharge follow-up and monitoring.Completes data reports and patient records in relation to interventions.Educates patients by providing information on available care options to empower the patient to make informed decisions and participate in their plan of care/goal setting.Provides emotional support to patients and families to navigate the journey through the relevant care pathway.Prioritizes own workload and develops systems to improve effectiveness of post.RequirementsGrade 12Diploma or degree in Nursing, Physiotherapy, Clinical Associates, Paramedics as Critical Care Assistants or Emergency Care Practitioners or any other qualification that covers Anatomy, Physiology, Pathophysiology and Microbiology as foundational courses.Current SANC registration appropriate to relevant Medical Qualification.Knowledge of hospital patient services and billing processes.Knowledge and understanding of CPT/CCSA & ICD coding.Knowledge of funder contracts, scheme rules, exclusions and benefits.Knowledge or clear understanding of hospital industry and practices.Computer proficiency.CompetenciesMS Office and Hospital Information Systems (iMEDS, Impilo etc.)High level of sensitivity and diplomacy.Strong organization skills and ability to prioritize.Verbal & Written communication skills.Leading by example.Problem-solving, analysis and judgement.Resilience, drive & energy.Engaging diversity.Influencing skills.Excellence orientation.Ethical behaviour.Building relationships & networking.Customer responsiveness.Able to work autonomously without close supervision.Email: ****** date: Wednesday, October 23, 2024Internal applicants - Before making an application, you are requested to discuss your application with your line manager. External candidates will also be considered.Life Healthcare is an Equal Opportunity Employer.Thank you for your interest in this opportunity. Kindly note that only shortlisted candidates will be contacted. Applicants who have not been contacted within two weeks of the closing date of this advert, should consider their application as unsuccessful.
#J-18808-Ljbffr