A vacancy exists for a Renal Care Coordinator based at Life Cosmos Hospital, Mpumalanga 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. The position will be responsible for Life Cosmos and Life Midmed.

Critical Outputs
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
Supporting the patient and family with education in respect of all care needs as they journey through the Life Healthcare system

Requirements

Grade 12 - Matric
Nursing Qualification (SANC), minimum requirement as a Renal registered nurse with at least 3-5 years of experience or HPCSA registration appropriate to relevant Medical Qualification such as a Renal Technologist and or Clinical Associates
Knowledge of the Life Bill Audit Toolkit, Clinical Coding and Life Case Manager Toolkit would be an advantage
Renal knowledge would be 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

Competencies

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