Clinical Care Coordinator

at Life Fourways Hospital
Published May 5, 2024
Expires May 30, 2024
Location Johannesburg, South Africa
Category Health Care  
Job Type Full-Time  

Description

A vacancy exists for a Clinical Care Coordinator based at Life Fourways & Life Carstenhof Hospital reporting to the Patient Services Managers. The responsibility of the Renal Care Co-ordinator will be to facilitate the enhancement of more holistic disease management for patients by seamlessly integrating currently disjointed aspects of the renal journey. Improving patient care by supporting the Renal Unit Manager and the Multidisciplinary Team on care activities.

Critical Outputs
Patient management:

Perform health assessments on patients to identify individual patient risk factors
Propose interventions as pre-defined to influence individual patient risk
Actively participate in the management of complex patients by building good relationships with the patient and their family
Monitor patient progress through ongoing patient and clinician interactions
Promote behaviour change to ensure greater treatment compliance and condition management
Coordinate the integration of care including social services
Assist in navigating additional benefits
Arbitrate and resolve conflict and interface with problems that arise in patient care.
Financial Risk Management

Identifying deviations from the clinical pathway
Manage the financial risk related to the clinical pathway including clinical pre-assessment, authorisation and re-authorisation (including clinical coding).
Support the Bill Auditor to close out any funding disputes related to clinical pathway products
Monitor and report on the cost of the event
Analyse trends to identify deviations and influence the responsible persons through presentations and discussion.
Clinical Risk management

Clinical pre-assessment following initial diagnosis.
Acting as primary point of contact for patient from after initial diagnosis until the patient has sufficient knowledge and resources to self-direct care.

Requirements
Grade 12 - Matric
Nursing Qualification (SANC), minimum requirement as a Renal registered nurse with at least 3-5 years’ experience or HPCSA registration appropriate to relevant Medical Qualification such as a Renal Technologist, Clinical Associates and or Nephrologist.
Knowledge of the Life Bill Audit Toolkit, clinical Coding and Life Case Manager Toolkit an advantage
Renal knowledge an advantage
Knowledge of hospital patient services and billing processes
Knowledge and understanding of CPT/CCSA & ICD coding
Knowledge of funder contracts, scheme rules, exclusions and benefits
Knowledge or clear understanding of hospital industry and practices
Computer proficiency

Competencies

MS Office and Hospital Information Systems (iMEDS, Impilo etc.)
High level of sensitivity and diplomacy
Strong organization skills and ability to prioritize
Verbal & Written communication skills.
Leading by example
Problem-solving, analysis and judgement
Resilience, drive & energy
Engaging diversity
Influencing skills
Excellence orientation
Ethical behaviour
Building relationships & networking

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