Case Administrator | Maternity Unit | Fixed TermFunction: Patient servicesFacility: Life Beacon Bay HospitalPosition: Case Administrator | Maternity Unit | Fixed TermA vacancy exists for a Maternity Case Administrator based at Life Beacon Bay Hospital, reporting to the Patient Services Manager. The successful candidate will be responsible for care coordination administrative functions during a low and high-risk antenatal maternity journey as well as the post-partum journey as part of the Little Life Integrated Care Product (LLICP). The function will manage onboarding and offboarding of patients to the LLICP, track patient compliance to antenatal care plans and assume a key liaison role between the OBGYN's in a facility and the little life maternity clinic. This is a 12 month fixed term contract.Critical OutputsCommunication & LiaisonCommunicate with doctors practice regarding referrals, completion of the forms for risk change.Liaison between the midwife and the doctors.Follow up on patient appointments with midwife or doctor's office.Communicate with Nursing Maternity Team.Work closely with the midwife and unit manager.Management of patient referrals, risk and status updatesActioning referrals by doctor's practice.Actioning risk changes or status updates from doctor's practice.Ensuring all necessary documents are uploaded onto the system.Admin & Data Capturing/CMS userCapture source system data into CMS system.Actioning CMS alerts.Admin: ensuring all required forms are captured e.g. patient consent, change of risk and referrals.Retrieve physical consent forms and stats on how many patients were referred.Ensuring standard care plans are adhered to.Ensuring all CMS tasks actioned within specified time frame.Ensuring info retrieved from the doctors and midwife is accurately captured on CMS.Actively form part of the MDT.Assist with marketing the program.Effective management of relationships with internal/external stakeholders byFoster and maintain healthy relationships with internal stakeholders. E.g. nursing, pharmacy and business hubs.Provide relevant feedback and information on concerns or issues raised by internal stakeholders.Provide and facilitate training regarding RSRT contracts to relevant internal stakeholders (e.g. pharmacy, pre-admission and nursing staff).Gatekeeper to external patient calls with escalation to midwife.Identify and monitor gaps and risks and assist with the implementation of corrective actions agreed with management.Provide relevant feedback and information on concerns or issues raised by external stakeholders.Provide feedback on external stakeholders impacting on the efficiency and effectiveness of the co-ordination process.Escalate doctor non-compliance in terms of the Maternity ICP program to the relevant meetings.RequirementsMatric.Any qualification that covers Anatomy, Physiology, Pathophysiology and Microbiology as foundational course.Knowledge of hospital patient services processes.Knowledge and understanding of CPT & ICD coding.Knowledge of Funder contracts, scheme rules, exclusions and benefits.Understanding of private hospital industry and practices.Computer proficiency.CompetenciesAttention to detail.Problem-solving, analysis and judgement.Resilience.Engaging diversity.Verbal & written communication skills.Professional and technical proficiency.Building relationships.Customer responsiveness.Organisational awareness.Influencing skills.Action orientation.Excellence orientation.Ethical behaviour.Drive, energy and urgency.Email: ****** date: Friday, November 22, 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.
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