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Billings auditor

Job Details

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.

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Case Manager

Job Details

DivisionDr SK Matseke Memorial Private HospitalBusiness UnitNursingMinimum experience

Entry LevelCompany primary industryHospital and HealthcareJob functional area

Health Care Provider

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
• ICD Code & CPT Coding knowledge
• 3-5 years’ experience as a hospital case manager

Minimum Job Requirements:

• Liaise with Receptionist for authorizations.
• 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 utilization, 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 hospitalization
• Ensure the correct categorization and management of different patient accounts to facilitate reimbursement by Funders.
• Ensure accurate and timeous finalization of cases to facilitate reimbursement by Funders.
• Minimize financial risk by the effective management of patient hospitalization.
• 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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Enrolled Nurse Auxiliary Occupational Health Agency

Job Details

DivisionClinix Head OfficeBusiness UnitOccupational HealthMinimum experience

Entry LevelCompany primary industryHospital and HealthcareJob functional area

Health Care Provider

Job Description

Job Title:                     Enrolled Nurse Auxiliary

Location:                     Clinix Health Group:  Occupational Health Clinic (Selby, Johannesburg)

Reports to:                 Head of Occupational Health.

Job Summary:

As Enrolled Nurse Auxiliary, to take responsibility for both direct and indirect nursing care of a patient or group of patients, and to function under the direct and/ or indirect supervision of a Registered Nurse, according to the scope of practise of an Enrolled Nurse Auxiliary.

Minimum Qualifications and Experience:

• Enrolled Nursing Auxiliary qualification.
• Current registration with South African Nursing Council.
• BLS qualification.
• Certificate in audiometry, spirometry, and vision screening.
• 3+ years’ relevant Nursing experience based on the area of specialization.
• Experience within an occupational health clinic in a mining sector environment is advantageous.
• Computer proficiency advantageous.
• Office administration skills.

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 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). Plan, organize, assess and prioritize work for self to ensure efficient completion of tasks 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.
• Adhere to the principles of Lean management (i.e. reducing wastage and unnecessary expenditure) without compromising patient care whilst ensuring minimal wastage.
• Participate as a team member and contribute effectively towards achievement of unit goals.
• Capturing of patient medicals data on system

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Enrolled Nurse Medical Ward

Job Details

DivisionTshepo Themba Private HospitalBusiness UnitNursingMinimum experience

Entry LevelCompany primary industryHospital and HealthcareJob functional area

Health Care Provider

Job Description

Job Title:                   Enrolled Nurse – Medical Ward 

Location:                   Clinix Tshepo Themba Private Hospital(Dobsonville)                              

Reports to:                Unit Manager.

Job Summary:

As Enrolled Nurse, to take responsibility for both direct and indirect nursing care of a patient or group of patients, and to function under the direct and/ or indirect supervision of a Registered Nurse, according to the scope of practice of an Enrolled Nurse.

Minimum Qualifications and Experience:

• Grade 12.
• Enrolled Nursing qualification.
• Current registration with South African Nursing Council.
• BLS qualification.
• 3+ years’ relevant Nursing experience based on area of specialization.
• Experience within a private hospital environment advantageous.
• Computer proficiency is advantageous.

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 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). Plan, organize, assess and prioritize work for self to ensure efficient completion of tasks 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.
• Participate as a team member and contribute effectively towards achievement of unit goals.

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Enrolled Nurse Theatre

Job Details

DivisionVictoria Itokolle Private HospitalBusiness UnitNursingMinimum experience

Entry LevelCompany primary industryHospital and HealthcareJob functional area

Health Care Provider

Job Description

Job Summary:

As Enrolled Nurse, to take responsibility for both direct and indirect nursing care of a patient or group of patients, and to function under the direct and/ or indirect supervision of a Registered Nurse, according to the scope of practise of an Enrolled Nurse.

Minimum Qualifications and Experience:

• Grade 12.
• Enrolled Nursing qualification.
• Current registration with South African Nursing Council.
• BLS qualification.
• 3+ years’ relevant Nursing experience in Theatre.
• Experience within a private hospital environment advantageous.
• Computer proficiency advantageous.

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 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). Plan, organize, assess, and prioritize work for self to ensure efficient completion of tasks 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.
• Adhere to the principles of Lean management (i.e., reducing wastage and unnecessary expenditure) without compromising patient care whilst ensuring minimal wastage.
• Participate as a team member and contribute effectively towards achievement of unit goals.

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Filing Clerk

Job Details

DivisionVictoria Itokolle Private HospitalBusiness UnitFinanceMinimum experience

Entry LevelCompany primary industryHospital and HealthcareJob functional area

Health Care Provider

Job Description

Job Summary:

To deliver an effective case management process and facilitate the communication process between all role-players by providing accurate and timeous clinical information in order to minimize the financial risk for the company.

Minimum Qualification

• Relevant NQF 5 level qualification (i.e administration)
• Hospital Operations
• Records Keeping
• Computer Literacy
• Interpersonal Skills

Minimum Job Requirements:

• Capture all file requests on the file maintenance system
• Manage information requests, i.e., make copies of documentation
• Ensure the correct copying and issuing of information to approved third parties
• Ensure all files dated 30 days and older are moved to the filing room or archives
• Retain or destroy all files according to legislative guidelines
• Obtain the necessary sign-off before discarding a file
• Use the approved platform to obtain information necessary to retrieve or archive files

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Pharmacy Stock Controller

Job Details

DepartmentotherMinimum experience

Entry LevelCompany primary industryHospital and HealthcareJob functional area

Health Care Provider

Job Description

Job Summary:

The Stock controller will accept full responsibility and accountability for the control of stock, including but not limited to, auditing, counting, reconciling, replenishing, ordering, issuing, and condemning. The incumbent is responsible for coordinating and facilitating the collective efforts between relevant departments in order to maximize proper stock control and limit mismanagement of stock.

Minimum Qualifications and Experience:

• Grade 12
• Basic Pharmacist Assistant Certificate
• Knowledge and experience of a pharmaceutical stock control system, consignment stock, theatre stock
• 2-4 years’ experience in stock control, preferably in a hospital environment.
• Computer proficiency – SAP or similar.
• Administrative support in a hospital environment would be advantageous

Minimum Job Requirements:

• Assist the theatre with maintaining optimal stock levels and stock availability by compiling of order according to minimum and maximum stock level.
• Perform cyclic stock counts to minimize stock loss and to ensure rotation of stock.
• Take responsibility for barcoding and packing of surgical items.
• Pick and capture stock to be issued to theatre and wards / units and capture stock transfers from other hospitals.
• Sign off credit slips after being reconciled by the Data Capture and capture invoices during the Data capturer’s absence.
• Adhere to the principles of Lean management (i.e. reducing wastage and unnecessary expenditure) without compromising patient care whilst ensuring minimal wastage.
• Participate as a team member and contribute effectively towards achievement of unit goals.

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Registered Nurse-Nicu x2

Job Details

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.

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Stock Controller Pharmacy

Job Details

DivisionNaledi Nkanyezi Private HospitalBusiness UnitPharmacyMinimum experience

Entry LevelCompany primary industryHospital and HealthcareJob functional area

Health Care Provider

Job Description

Location: Clinix Naledi Nkanyezi Private Hospital (Sebokeng).

Reports to: Responsible Pharmacist.

Job Summary:

To coordinate all processes and functions with related to surgical stock control in the hospital. The incumbent is responsible for coordinating and facilitating the collective efforts between relevant departments in order to maximize proper stock control and limit mismanagement of stock.

Minimum Qualifications and Experience:

• Basic Pharmacist Assistant certificate
• 1-2 years’ hospital experience
• Computer literacy
• Administrative support in a hospital environment would be advantageous

Minimum Job Requirements:

• Oversee picking and packing of stock on internal orders and ensure that ethical stock is double checked and signed off by a Pharmacist or a Post Basic Pharmacist Assistant, before the stock is delivered to the Unit/Ward
• Conduct daily spot checks on entire stock issue for different areas to check correct items, quantities and barcodes were used to transfer the stock
• Conduct daily review of all stock items not supplied on internal orders to ensure stock is ordered in advance
• Ensure that the stock room is kept clean and tidy at all times and that stock is stored according to manufacturer and legal requirements
• Manage efficiencies in the stock room to prevent obstacles / challenges or unproductivity of stock room staff at all times
• Liaise with Ward Clerks (or person responsible for stock control in the ward) at all times to ensure that ward stock management is in accordance to the Group’s Standard Operating Practice
• Oversee issue of bulk stock (consumables stock) to wards/units on prescribed days
• Ensure all stock for delivery is clearly marked, sealed and accompanied by the correct paperwork
• Oversee the process for inter-hospital transfers – inclusive of the CHG Pharmacy issuing stock to another hospital or procuring from another hospital
• Oversee the checking of the quality of packaging for any breakages, damage, leakage or any fault that may affect the quality of the product
• Always maintain the Pharmacy in a clean professional state
• Ensure that all activities conducted is in accordance with the regulations of the Pharmacy Act, Medicines and Related Substances Act and other Acts of parliament and the Good Pharmacy Practice guidelines at all times
• Ensure maintenance of necessary stock levels in all Units and Pharmacy
• Identify and manage slow moving stock by returning stock to suppliers or engaging with sister hospitals to transfer stock
• Oversee accurate bar-coding and packing of stock onto shelves
• Conduct regular checks on SAP to ensure that items are correctly loaded according to pack size, description and base unit of measurement and deal with any deviations with staff accordingly assist with the compounding, manipulation or preparation of non-sterile medicines or scheduled substances according to a formula and standard operating procedures approved by the responsible pharmacist

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Unit Manager Surgical ICU

Job Details

DivisionDr SK Matseke Memorial Private HospitalBusiness UnitNursingMinimum experience

Entry LevelCompany 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 maintaining the highest standards of professionalism and respect. In addition, to ensure cost-effective service delivery within legal parameters, policies and procedures must be followed.

Minimum Qualifications and Experience:

• BCur in General Nursing.
• BLS qualification and updated ACLS/PALS/ATLS.
• Diploma in Critical Nursing Care.
• Nursing Administration.
• 3+ years’ experience at a managerial/supervisory level.
• Experienced in Pediatric and Surgical ICU.

Minimum Job Requirements:

• Perform all duties following 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 the responsibility of Continuous Professional Development (CPD).
• Promote effective and high-quality patient care through the application of relevant policies and procedures, as well as the efficient management of day-to-day Unit activities.
• Ward administration ensures compliance with protocols, security, a safe patient environment, and the Group’s patient care standards, as well as policies and procedures.
• 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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Ward Clerk Medical

Job Details

DivisionBotshelong Empilweni Private HospitalBusiness UnitNursingMinimum experience

Entry LevelCompany primary industryHospital and HealthcareJob functional area

Administrative

Job Description

Location:                                    Clinix Botshelong-Empilweni Private Hospital (Vosloorus).

Reports to:                                Unit Manager

Job Summary:

To provide administrative support to the Unit Manager (and the Nursing team) of an allocated unit thereby contributing to the overall success of the unit and meeting both internal and external customer expectations.

REQUIREMENTS

Minimum Requirements:

• NQF 5 / Relevant Nursing Qualification.
• Computer literacy.
• SAP experience.
• Stock Control.
• ICD 10 Code and CPT coding ability.

Minimum Experience:

• 2 years administration experience. 

Added Advantage:

• Healthcare professional qualification.
• Finance-related qualification.

DELIVERABLES:

• Maintain the patient register (Patient list and white board) to ensure it is up-to-date and accurate by documenting admissions and discharges to the unit – this involves reconciling the white board with the SAP system every 2 to 4 hours.
• Establish and maintain an accurate filing system of all relevant documentation (patients’ documents, minutes and audit documents, for example).
• Print new checklists at the beginning of each month for fridges, emergency blood, emergency trolley and environmental purposes.
• Order stationery (bulk) on allocated days and inform Unit Manager when there is a problem with the availability of stationery.
• Perform any reasonable administration task on instruction from the Unit Manager.
• Compare number of patients in allocated unit with Occupancy list and make necessary adjustments (e.g. bed movements, transfer of patients to another unit and discharge of patients) on the approved system.
• Capture all materials (surgical and ethical consumables) from charge sheets / mobile billing.
• Capture all services i.e. gases (oxygen) and equipment from all charge sheets on the approved system.
• Assist in conducting cycle counts for the ward and manage stock credits to the Pharmacy.
• Ensuring adequate stock levels in ward.
• Ensure suitable arrangements are made in terms of patient transfers.
• Ensure that all patients are discharged on the system and compile files with complete patient details.

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