Clinix Vacancies

Share this post on

To apply, click on the link at the end of the posts and all the best with your applications

Billings auditor – Sebokeng, Gauteng

Job Description

Location: Clinix Naledi Nkanyezi Private Hospital (Sebokeng).
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 Rand Value of the final bill. The incumbent performs detailed and 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:

Print pro-forma invoices on allocated patient files
Access SAP reports daily, such as:
Billing status report
Released for final billing
Discharged not released
Review and analyse reports as a management tool, in order to identify negative trends and implement corrective action
Escalate trends and deviations to relevant Departments and follow up to ensure corrective action has been implemented
Conduct sample audits on patient files to assess accuracy and general quality of the work completed by the billings team; identify trends and deviations and implement corrective action
Audit patient files as per Company requirements (and standards) and in accordance with the Company
contracts with Medical Schemes:
Verifying patient personal information, Medical Scheme details, admission and discharge date and time
Verification of medication used
Verifying medication prescribed, administered and returned to the Pharmacy
Verifying surgical movement (where applicable), including gases and equipment used, theatre minutes
Verifying LOS updates from Medical Schemes to ensure days allocated by Medical Schemes reconcile to actual LOS
Verifying that the treatment category on SAP system reconciles with treatment category on patient file
Document corrections to patient files and escalate to appropriate individuals as required / distribute to the relevant departments
Verify corrects completed by Departments and accurately check the final bill on the system
Perform End of Case (EOC) on the approved system
Ensure the accurate maintenance of supplier invoices
Specific to private patients (including COID and RAF patients), final bill invoices on the SAP system as “paper” claim and forward patient files to the Collections Department for further management

Click here to apply

Case Manager – Sandton, Gauteng

Job Description

Company description: The Clinix Health Group help communities to live longer healthier lives through the provision of quality and affordable healthcare. The group provide integrated world-class healthcare systems both internally and externally to the broader ecosystem in order to become a trusted local citizen.

Job Title :Case Manager

Location :Clinix Health Group – Hospital/s

Reports to :Patient Services Manager

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.

REQUIREMENTS

Minimum Qualifications:

Diploma/Degree in Nursing,
Registered nurse , currently registered with SANC
Certificate in Basic / Intermediate Clinical Coding

Minimum Experience:

Must have 3 to 5 years’ experience in a private hospital or medical scheme environment in a Case management capacity

Key Competencies:

Hospital Operations
Coding standards and protocols
Working knowledge of core specialties in facility
Knowledge of private health care operations
Working knowledge of ICD-10 and CPT coding
Computer proficiency – SAP System or similar
Conflict management

DELIVERABLES

Ensure authorizations on admissions (daily) is accurate as per SAP system.
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, etc.)
Ensure the maintenance of patients’ clinical status (subsequent interventions and treatments) in accordance to Funder requirements for the duration of hospitalization
Ensure the correct categorisation and management of different patient accounts 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)
Ensure timeous resolution of stakeholder queries and complaints and take ownership of case management and reimbursement related issues
Ensure financial and case management documentation is maintained to support accurate record keeping and future requirements as per legislation and CHG standards
Adhere to statutory standards, policies and procedures within the business unit to ensure compliance at all times and take remedial action where necessary.

Click here to apply ‘

Case Manager x2 – Sebokeng, Gauteng

Job Description

Location: Clinix Naledi Nkanyezi Private Hospital (Sebokeng).
Reports to: Patient Services Manager.

Job Summary:
To plan, coordinate and execute case management work at hospital level. The incumbent utilities clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding of patient care.

Minimum Requirements:

Diploma in General Nursing.
Advance Certification in Intermediate coding
IDC and CPT coding
3-5 years’ experience as a hospital case manager

Minimum work experience:

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 Funder.
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 Funder.
Ensure to remain in the group and facility targets of 3 days for WIP (work in progress) and DNYB (discharged not yet billed).

Click here to apply

Enrolled Nurse – Theatre x2 – Sebokeng, Gauteng

Job Description

Location: Clinix Naledi Nkanyezi Private Hospital (Sebokeng).

Reports to: Unit Manager

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 advantageous.
1 to 3 years’ relevant Nursing experience in a Theatre.
Experience within a private hospital environment is advantageous.

Minimum Job Requirements:

Perform all duties in accordance with the South African Nursing Council (SANC), the 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).
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.
Assist the Registered Nurse and Administration staff in maintaining adequate stock levels including accurate recording and charging of stock used.
Assist the Registered Nurse during a procedure by handling medical equipment and stock as required.
Escalate any issues to Registered Nurse or Unit Manager.
Participate and contribute toward team meetings and offering ideas to improve patient care
Monitor costs and expenses to achieve cost efficiencies and reduce waste

Click here to apply

Enrolled Nurse Auxiliary Occupational Health Agency – Johannesburg, Gauteng

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

Click here to apply

Enrolled Nurse Theatre – Mafikeng, North West

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.

Click here to apply

Filing Clerk – Mafikeng, North West

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

Click here to apply

Group Legal Manager

Job Description

Company description: The Clinix Health Group helps communities to live longer healthier lives through the provision of quality and affordable healthcare. The group provides integrated world-class healthcare systems, both internally and externally to the broader ecosystem, to become a trusted local citizen.

Job Title :Group Legal Manager
Location :Clinix Health Group – Head Office
Reports to :Chief Legal Officer

JOB SUMMARY
To lead and manage CHG’s Legal Services and, in collaboration with the Executive Management, develop a legal, risk and compliance strategy in line with CHG’s overall strategic goals and objectives.

REQUIREMENTS

Minimum Qualifications

Minimum Experience

Minimum 5 years’ post qualification experience – specialising in corporate and commercial law.
Previous experience in the healthcare industry advantageous.

Key Competencies

Legislation, regulations, policies, procedures, and standards relevant to the industry in which the Group operates.
Knowledge in healthcare-related legal, risk, compliance, commercial and corporate landscape and improvement.
Computer literacy.
Conflict management and dispute resolution.
Leadership skills.
Drafting and negotiation.
Strategic acumen and leadership.

DELIVERABLES

Implement, monitor and control the Group’s legal processes according to quality standards, policy and compliance and legislative requirements.
Ensure the development, alignment, mapping and implementation of end-to-end standard operating procedures / processes for legal.
Identify innovative ways to improve legal practices, processes and synergies to save costs, increase efficiencies and improve service delivery across the Group.

Develop and maintain relationships with contracted legal firms to ensure quality of services offered to the Group.
Perform legal research necessary to draft and analyse various contracts (existing and new), policies (where relevant and as required) and to provide advice to the Group.
Draft, negotiate, review and amend and ensuring the execution of various and appropriate commercial agreements and standard templates for all business areas.
Manage various litigation matters which include costs management, litigation process management and compile regular status updates for Executive Management.
Conduct legal due diligence investigations.
In collaboration with relevant stakeholders in IT, review and negotiate various software license agreements, IT services agreements, maintenance and support agreements, whilst also drafting and reviewing IT related consultancy service agreements and ad hoc IT agreements.

Collaborate with various departments (i.e., Risk and Compliance, Procurement, Hospital Operations) to mitigate and minimise legal and related risks.
Provision of legal advice across all aspects of the business and escalate or refer to appropriate people as necessary.
Lead and manage the Legal team meetings and ensure participation from all parties.
Sponsor company initiatives and projects as it relates to Legal.

Reduce the Group’s financial risk by applying sound legal advice and principles.
Negotiate preferential rates with external law firms and legal counsel based on volumes.
Research, collate and present business intelligence to feed into management decisions and support business strategy.
Ensure complete, timeous, and accurate reporting with appropriate levels of escalation to enable effective decision making.
Remain up to date with relevant legislative developments and inform or ensure training for the respective Group representatives.

Click here to apply

Medical Officer – Johannesburg, Gauteng

Job Description

Company description: The Clinix Health Group (CHG) assists communities to live longer, healthier lives through the provision of quality and affordable healthcare. The group provides integrated world-class healthcare systems both internally and externally to the broader ecosystem as a trusted local citizen.

Job Title : Medical Officer

Location : Clinix Solomon Stix Morewa Memorial Hospital

Reports to : Hospital Manager

JOB SUMMARY

To serve as an advisor on health issues and disease control, provide medical support, discover inconsistencies and investigate problems. To diagnose, treat and manage physical injuries and illnesses. The incumbent is responsible for providing patient centred, holistic care to patients at the facility.

REQUIREMENTS

Minimum Qualifications

MBCHB
Registration with HPCSA as a medical practitioner
A certificate qualification in any of the following BLS, ACLS, APLS or ATLS ill be an added advantage

Minimum Experience:

Minimum of 5 years`experience post community service
Psychiatric and rehabilitation centre exposure will be advantageous
Private healthcare experience will be advantageous

Key Competencies

Computer literacy
Multidisciplinary team management
Conflict management
Organisational awareness
Interpersonal skills
Analytic skills

DELIVERABLES

To oversee the patient’s diagnosis and treatment for rehabilitation, mental and physical ailments and injuries
Determine and prescribe the correct course of treatment
Research, enable and consult on opportunities to harness medical technology in the treatment of clients
Ensure safety of staff and patients by reporting safety hazards to management
Document and track cases assigned to portfolio
Utilise the approved platforms and reporting templates to document medical data and reports for patients
Give detailed reporting (informed by doctor-patient confidentiality best practice) to relevant medical or familial (to the patient) stakeholders
Develop and maintain mutually beneficial relationships with internal and external stakeholders to drive effective service delivery
Promote alignment by understanding and communicating departmental and customer needs and requirements throughout the hospital
Identify educational opportunities for clinical and allied professionals (related to holistic treatment of patients) and contribute to training plans
Maintain own CPD points required to maintain accreditation
Ensure all financial and contract documentation is maintained to support accurate record-keeping
Ensure accurate services provided to patients are documented and appropriately billed for
Drive adherence to statutory standards, policies and procedures within the business unit to ensure compliance at all times and take remedial action where necessary
Apply and maintain the risk management framework for the Business Unit
Administer and sign-off on appropriate documents according to Delegation of Authority and define SLAs in conjunction with other Departments, Functions and Suppliers

Click here to apply

Medical Officer – Sandton, Gauteng

Job Description

Job Title : Medical Officer

Location : Clinix Botshelong-Empilweni Private Hospital

Reports to : Hospital Manager

JOB SUMMARY

REQUIREMENTS

Minimum Qualifications

MBCHB
Registration with HPCSA as a medical practitioner
A certificate qualification in any of the following BLS, ACLS, APLS or ATLS ill be an added advantage

Minimum Experience:

Minimum of 5 years`experience post community service
Psychiatric and rehabilitation centre exposure will be advantageous
Private healthcare experience will be advantageous

Key Competencies

Computer literacy
Multidisciplinary team management
Conflict management
Organisational awareness
Interpersonal skills
Analytic skills

DELIVERABLES

To oversee the patient’s diagnosis and treatment for rehabilitation, mental and physical ailments and injuries
Determine and prescribe the correct course of treatment
Research, enable and consult on opportunities to harness medical technology in the treatment of clients
Ensure safety of staff and patients by reporting safety hazards to management
Document and track cases assigned to portfolio
Utilise the approved platforms and reporting templates to document medical data and reports for patients
Give detailed reporting (informed by doctor-patient confidentiality best practice) to relevant medical or familial (to the patient) stakeholders
Develop and maintain mutually beneficial relationships with internal and external stakeholders to drive effective service delivery
Promote alignment by understanding and communicating departmental and customer needs and requirements throughout the hospital
Identify educational opportunities for clinical and allied professionals (related to holistic treatment of patients) and contribute to training plans
Maintain own CPD points required to maintain accreditation
Ensure all financial and contract documentation is maintained to support accurate record-keeping
Ensure accurate services provided to patients are documented and appropriately billed for
Drive adherence to statutory standards, policies and procedures within the business unit to ensure compliance at all times and take remedial action where necessary
Apply and maintain the risk management framework for the Business Unit
Administer and sign-off on appropriate documents according to Delegation of Authority and define SLAs in conjunction with other Departments, Functions and Suppliers

Click here to apply

Patient Services Manager – Sandton, Gauteng

Job Description

Company description:The Clinix Health Group helps communities to live longer healthier lives through the provision of quality and affordable healthcare. The group provide integrated world-class healthcare systems both internally and externally to the broader ecosystem to become a trusted local citizen.

Job Title : Patient Services Manager

Location : Clinix Health Group – Hospital/s

Reports to : Group Patient Services Manager

JOB SUMMARY

To plan, organize and execute the revenue cycle management at a hospital facility. The incumbent manages a team of specialist that contribute to hospital finances through accurate billing and risk mitigation processes.

REQUIREMENTS

Minimum Qualifications:

Registered Nurse with a Bachelor`s degree/ Relevant Bachelor’s degree.
Intermediate or Advanced CPT and ICD-10 clinical coding.

Minimum Experience:

3-5 years’ experience in a similar role in private healthcare.
Must demonstrate exceptional communication skills along with excellent customer service skills.
Vast Experience in Billings and Case Management .
Working knowledge in Operating Theatre and ICU.
Hospital Operations
Clinical coding standards and protocols
Revenue cycle management (Patient administration)

KEY COMPETENCIES:

Must be computer literate
Good management skills
Conflict management skills
Knowledge of private health care operations
Building relationship / Establishing rapport
Critical judgement
Continuous improvement

DELIVERABLES

Ensure efficient management Reception, Admissions, Case Management and Billing Auditing departments.
Monitor and ensure WIP (Work-in-Progress) is within the agreed upon periods.
Ensure overall rejections are within the acceptable threshold.
Review, audit and sign off on all consignments to ensure accuracy of billing and minimization capital loss.
Conduct daily EOC (End of Case) reconciliation to ensure billings are done within the allotted timeframes per funder standards.
Ensure case managers Maintain up-to-date register of length of stay and update the funders regularly to ensure all services rendered are paid.
Lead and drive the accurate and business billing process to ensure Patient Services metric targets are achieved.
Analyse data trends relating to rejections and short payments.
Inspect work performed in the revenue cycle management team and ensure work is performed according to CHG quality standards
Review existing processes and suggest innovative ideas to improve and streamline processes to drive efficiencies and minimise redundancy
Ensure the development, alignment, mapping and implementation of end-to-end standard operating procedures / processes
Investigate and understand Funder, Doctors, Nurses and Patient needs to enable delivery of a quality service
Maintain accurate records of patient care and timeously submit to funders to ensure the organisation is appropriately reimbursed for all services rendered
Adhere to statutory standards, policies and procedures within the business unit to ensure compliance at all times and take remedial action where necessary

Click here to apply

Pharmacy Stock Controller X 2 – Soweto, Gauteng

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
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.

Click here to apply

Social Worker

Job Description

Job Title: Social Worker

Location: Clinix Solomon Stix Morewa Memorial Hospital

Reports to: Therapy Manager

Job Summary:

To provide essential psychosocial support to patients within a psychiatric setting. This role involves conducting assessments, offering counselling, developing treatment and discharge plans, and connecting patients and families with community resources.

Minimum Qualifications and Experience:

Grade 12
Bachelor of Social Work
Proof of registration with the SACSSP
3 years’ experience as a social worker
Experience in a psychiatric or mental health setting
Previous Healthcare experience will be advantageous
Computer literate

Minimum Job Requirements:

Keep abreast of current legislation pertaining to patient record management and treatment
Conduct home visits when required and give detailed reports in accordance with hospital standards
Collaborate with other healthcare professionals to evaluate patients’ medical or physical condition and to assess patient needs to develop an appropriate treatment plan
Utilize consultation data and social work experience to plan and coordinate patient care and rehabilitation and follow through to ensure service efficiency
Follow up, evaluate and modify treatment plans to accommodate change in status and ensure efficacy
Advocate for patients to resolve crises and intervene in crisis situations to assist as necessary
Monitor patients to ensure they are receiving the required services and that services meet their current needs
Maintain contact with patients, follow up on inquiries and obtain feedback on progress
Render counselling services to patients and evaluate potential problems within their environment
Organize support groups or counsel family members to assist them understanding, dealing with, and supporting the patient