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Billings auditor

DivisionTshepo Themba Private HospitalBusiness UnitFinanceMinimum experience

AssociateCompany primary industryHospital and HealthcareJob functional area

Health Care Provider

Job Description

Job Title:  Billings Auditor

Location:  Clinix Tshepo Themba Private Hospital

Reports to:  Patient Services Manager

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.

Case Manager

DivisionNaledi Nkanyezi Private HospitalBusiness UnitAdministrationMinimum experience

AssociateCompany primary industryHospital and HealthcareJob functional area

Administrative

Job Description

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)

Clinical Pharmacist

DivisionVictoria Itokolle Private HospitalBusiness UnitPharmacyMinimum experience

AssociateCompany primary industryHospital and HealthcareJob functional area

Health Care Provider

Job Description

Clinix is seeking a dedicated and motivated Clinical Pharmacist to be responsible for the leading, managing, coordination, and monitoring of clinical pharmacy services and driving pharmaceutical improvement within the hospital. The clinical pharmacist will be responsible for conducting daily ward rounds and review patient medication profiles across the hospital division and contribute to improving patient outcomes.

Minimum Qualifications and Experience:

• B. Pharm Degree and a post graduate qualification in Clinical Pharmacy
• Active registration with the South African Pharmacy Council
• Five (5) years’ experience as a pharmacist (post internship) of which two (2) years must be in Clinical Pharmacy inclusive of Antibiotic Stewardship, Pharmacovigilance, and general Rationale Medicine Use
• Computer Proficiency in Microsoft 365 applications like Excel and PowerPoint
• Excellent communication (written and verbal) and interpersonal skills, with the ability to collaborate effectively with multidisciplinary teams
• Successful training and understanding of the Blue Bird programme and ability to work on SAP will be additional benefits.

Minimum Job Requirements:

• Ensure the provision of customer focused, professional clinical pharmacy services by conducting daily ward rounds to perform comprehensive medication reviews for patients, monitoring responses to medications and making necessary interventions to ensure optimal therapeutic outcomes
• Ensure medication safety and timeous resolution of medication-related challenges
• Elevate antimicrobial stewardship performance as a key focus area
• Monitor microorganisms and collect and analyse Antimicrobial Stewardship data to identify inappropriate utilization of antimicrobials
• Drive interventions to optimize drug utilization and pharmaceutical care
• Active participation in internal stakeholder meetings including presentation of progress and gaps
• Professional collaboration by enhancing cooperative and influential working relationships with doctors, microbiologists, nursing staff, infection prevention control, pharmacists and other key functional stakeholders to achieve key outputs
Competencies
• Problem-solving, analysis and judgement
• Adapting to change and resilience
• Relationship building
• Customer focus and service delivery
• Communication
• Teamwork

Enrolled Nurse – Medical ward

DivisionNaledi Nkanyezi Private HospitalBusiness UnitNursingMinimum experience

AssociateCompany primary industryHospital and HealthcareJob functional area

Health Care Provider

Job Description

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.

Maintenance Assistant

Job Details

DivisionCullinan Wellness Private HospitalMinimum experience

Entry LevelCompany primary industryFacilities ServicesJob functional area

Operations

Job Description

Minimum Qualifications and Experience:

• Grade 12 or equivalent qualification.
• Engineering N3
• Minimum of 3 years of maintenance experience in hospital/healthcare.
• Proven knowledge of air conditioning, mechanical, electrical, plumbing, nurse call systems and medical gases and fire system preferred.
• Basic knowledge of local building legislations (codes) and other related requirements will be advantageous.
• Basic knowledge of Occupational Health and Safety Act.

Minimum Job Requirements:

• Attend to daily job cards as obtained from both internal and external customers and incoming emergency calls.
• Attend to planned (preventive) maintenance on plant and equipment: daily, weekly and monthly checks for proper functioning and safety and assist with corrective maintenance, repairs, and replacements.
• Faultfinding and basic maintenance on electrical system, plumbing infrastructure, refrigeration / air conditioning and general building maintenance.
• Assist with electrical installation, plumbing installation and air-conditioning installation.
• Management, monitoring and control of medical gases back-up cylinder system and safe handling of chemical substances.
• Initiate and closed out job cards for deviations issues identified during daily, weekly and monthly checks.
• Initiate jobs and close out cards for emergency work as a result of emergency call outs.
• Ability to attend to after hour’s emergency and be on standby when required.
• Ability to manage external contractors and provide instructions on work requirement.
• Ability to identify and escalate possible risks that will require intervention of the technical specialist.
• Ability to adhere and comply with company policies and procedures and the Occupational Health and Safety Act requirements.
• Ability to establish and maintain relevant stakeholder relationships (nursing staff, patients and doctors) and meet their expectations.

REGISTERED NURSE – REHAB

DivisionSolomon Stix Morewa Memorial Private HospitalBusiness UnitNursingMinimum experience

Not ApplicableCompany primary industryHospital and HealthcareJob functional area

Health Care Provider

Job Description

Job Summary 

A Registered Nurse will 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.

Minimum Qualifications and Experience:

• • Nursing degree/Diploma with Psychiatry
  • Current registration with South African Nursing Council
  • BLS qualification.
  • 3 years wellness experience preferred
  • Previous experience in a private hospital environment advantageous
  • Computer Literacy

Minimum Job Requirements:

• Perform nursing 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 the SANC acts and Omissions, Company Code of Conduct, patient rights and Responsibility charter, National Millennium Development goals and the responsibility of continuous professional development (CPD). Supervise, organize, lead and control work for self and team to ensure efficient completion of tasks.
• Actively participate in internal and external auditing processes, for example DOH, National core standards, SHERQ, SANC and Risk Audit.
• Document patient care services by accurately charting inpatient and department records including updating care plans as patient needs changes.
• Monitor activities of nurses to ensure compliance with protocols, security and safety of patient environment, Group Nursing policies and procedures, SANC requirements on findings through regular unit rounds.
• Management of stock and equipment utilized in psych.
• Carry out basic assessment of patient vital signs, intake and output and accurately monitor and record data relating to patient condition. Escalate any issues to Unit Manager.

Registered Nurse- Medical ward

DivisionNaledi Nkanyezi Private HospitalBusiness UnitNursingMinimum experience

AssociateCompany primary industryHospital and HealthcareJob functional area

Health Care Provider

Job Description

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.

Registered Nurse-Nicu x2

DivisionVictoria Itokolle Private HospitalBusiness UnitNursingMinimum experience

AssociateCompany primary industryHospital and HealthcareJob functional area

Health Care Provider

Job Description

Job Summary:

The Registered Nurse will 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.

Minimum Qualifications and Experience:

• Nursing degree / diploma.
• Current registration with South African Nursing Council.
• Qualification in Neonatal Nursing Science unit is essential.
• BLS qualification and updated ACLS/PALS/ATLS.
• Post registration experience required.
• Previous experience in a private hospital environment advantageous.
• Computer Proficiency

Minimum Job Requirements:

• Perform nursing 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 the SANC Acts and Omissions, Company Code of Conduct, Patient Rights and Responsibility Charter, Code of Conduct, Patient Rights and Responsibility Charter, National Millennium Development goals and the responsibility of continuous professional development (CPD). Supervise, organize, lead and control quality of care work for self and team adhering to therapeutic standards and goals.
• Actively participate in internal and external auditing processes, for example DOH, National Core Standards, SHERQ, SANC and Risk Audits.
• Document and maintain accurate files and records of patient medication and conduct ward rounds including accompanying Doctors and other Medical Practitioners for creating and evaluating customized care plans including implementing.
• Monitor activities of nurses to ensure compliance with protocols, security, safety of patient environment, Group Nursing policies and procedures, SANC requirements on findings through regular unit rounds.

Unit Manager Casualty

DivisionVictoria Itokolle Private HospitalBusiness UnitNursingMinimum experience

AssociateCompany primary industryHospital and HealthcareJob functional area

Health Care Provider

Job Description

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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