Job title : Head of HealthCare Operations (Parktown)
Job Location : Gauteng,
Deadline : December 21, 2024
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Description
THE JOB AT A GLANCE
As the Head of HealthCare, you will be reporting to the CEO of COID & Group Operations.You will be responsible for providing strategic direction and evaluation of the sub-acute rehabilitation centre and fostering sustainable interdisciplinary collaboration towards achieving the goal of successful and cost-effective rehabilitation for customers. You will also be responsible for execution of our RMA HealthCare Strategy, ensuring that all the revenue budget and occupational rate for the sub-acute rehab centre is managed appropriately and achieved.
WHAT WILL YOU DO?
Implementation of the HealthCare Strategy
Provide strategic and creative direction of the HealthCare strategy
Execution of the HealthCare Strategy and monitor deliverables
Build a Sub-Acute Rehab centre that is fit for to compete in the market and ensuring compliance with legislation and that it is consistent with the overall RMA strategy
Adjudicate requests for additional care and confer with senior RMA medical personnel prior to decision making
Explore the model of the centre and mobile clinics for better quality care.
Managing the Sub Acute Rehab Centre
Oversee all activities of the rehabilitation centre
Develop an operating model for the sub-acute rehab centre
Support or assist the Rehabilitation team to execute the rehabilitation and early return to work framework
Assist in the enhancement of the mapped process for the medical management and rehabilitation team
Provide strategic and operational input to the day-to-day activities of the Rehabilitation centre
Provide clinical leadership to ensure personalised, safe, effective, and timely quality patient care for patients of the specialty at the RMA subacute rehabilitation facility
Ensure legislative and RMA policy compliance in all rehabilitation practices
Oversee the internal policies, processes and procedure on the coordinated case management at the sub-acute rehab centre
Work with the rehabilitation team to identify and establish potential provider networks that will support the centre
Ensure cost effective patient assessment and treatment plans
Adhere to the service level agreements or turnaround times to enhance the overall claim management processing cycle.
Customer and Stakeholder Relations
Develop promotional campaigns for the centre, working with the social insurance team
Ensure customer satisfaction pertaining to sub acute rehabilitation centre services
Engage with hospital management and provider networks to establish strong stakeholder relationships
Work collaboratively with managers in Medical, Claims Management, and internal and external MSPs to promote RMA Benefits and negotiate improved tariffs
Engage with internal and external stakeholders to investigate and identify operational needs and areas of improvement in line with the company strategy
Effectively collaborate with respective business units to implement customer centric business processes and technology solutions
Document and implement operational needs to solve business challenges and help drive customer service delivery
Support the COID and Group Operations management team in identifying, assessing and providing solutions to business requirements
Liaise with relevant stakeholders to identify, assess, and document business requirements.
Reporting
Provide feedback to COID and Group Operations Management on occupancy rate, progress of the sub acute rehab centre operating model in line with the targets, hospital medical spend and provider usage patterns
Monthly reporting on sub acute rehabilitation centre revenue and expenses status and progress.
Team Leadership
Oversee the performance of the sub acuture Rehabilitation centre to deliver a best-in-class service to all relevant stakeholders, meeting or exceeding all key performance areas and within budget
Support cross RMA initiatives to drive improvements and improve efficiencies
Eliminate obstacles facing staff, to make sure workloads are fairly spread, and to improve the overall work environment
Evaluate the performance of direct reports against contracted performance targets, identify performance and developmental gaps and agree on personal development plans
Promote a spirit of equality and non-discrimination and ensure that policies are implemented fairly and consistently
Develop and maintain a work environment that recruits, retains, and supports high performing employees
Participate, and encourage sub-ordinates to participate, in seminars, workshops, and conferences and online learning as identified in personal development plans
Keep abreast of emerging trends in health care delivery; identify and define new and innovative strategies to achieve organisational goals and objectives
Grow and maintain a strong medical community of practice and cultivate a learning culture amongst medical and administrative colleagues.
Requirements
WHAT YOU'LL BRING TO THE TABLE?
Degree or Diploma in any of the therapy professions (Physiotherapy, Occupational Therapy, Social Work or Speech Therapy) or Relevant healthcare qualification
NQF Level 9: Master's Degree in an Accredited Healthcare or Insurance or Management Qualification
Occupational Health qualification diploma /degree (DOH) will be advantageous
Minimum 8 – 10 years clinical experience, which includes a rehabilitation environment or experience
Experience in Rehabilitation of the injured preferred
Experience managing a team of medical specialists
Case Management experience advantageous
Up-to-date knowledge of relevant OHS Act and Regulations, COIDA
Up-to-date knowledge of OHS Act and Regulations, COIDA
Demonstrate knowledge of and proficiency in rehabilitation services and modalities
Case management knowledge and skill
Exceptional communication skills: Listening, verbal and written
Proficiency in Microsoft Office (Word, Excel, Outlook, and PowerPoint)
Diagnostic, analytic, and problem-solving skills.
Well-developed organisation and time management skills
Ability to build and lead cohesive, successful team(s)
Up-to-date registration with the Nursing Council or HPCSA (independent practitioner) / SACSSP
Valid driver's license
Knowledge of business policies, processes and procedures, legal compliance.
Medical / Healthcare jobs