Life Healthcare Vacancies Near Me – Clinical Assessor

Website Life Healthcare

Job Description:

A vacancy exists for a Pre-Admissions Clinical Assessor, based at Life Beacon Bay Hospital, reporting to the Cindy-Lee Prince, Patient Services Manager. The successful candidate will be responsible for the management of the financial and clinical administrative risks pertaining to future patient admissions.

Job Responsibilities:

  • Monitor insurance verification with funder
  • Adhere to ISO 9001 standards
  • Perform quality walkabouts and implement corrective measures, where appropriate
  • Maintain a high level of customer focus amongst all staff at the Pre-Admission Clinic to the benefit of the Hospital, Public and Doctors.
  • Manage authorisations requests and benefit confirmations i.e. prosthesis benefit confirmation
  • Ensure high standard of documentation and capture of relevant information for all admissions through hands on supervision and training.
  • Perform clinical assessments and document clinical history.
  • Ensure all pre-admissions are accurately clinically coded in accordance with the coding standards
  • Sound working knowledge and application of Funds relevant rules and limits.
  • Optimal management of bed and theatre bookings through close liaison with ward and Doctor’s rooms
  • Efficient and proactive pre-admission of all patients in accordance with Group protocol and close liaison with Case Management and National Credit Risk Departments to minimize risk exposure to the Hospital.
  • Identify and monitor gaps and risks and implement corrective actions accordingly.
  • Monitor workflow processes

Job Requirements:

  • Understanding of private hospital industry and practices
  • Knowledge of hospital patient services and case management processes
  • Resilience
  • Engaging diversity
  • Verbal & written communication and presentation
  • Knowledge and understanding of CPT & ICD coding
  • Computer proficiency
  • Knowledge of Funder contracts, scheme rules, exclusions and benefits
  • Current SANC registration
  • Nursing Qualification, preferably Professional Nurse or Enrolled Nurse with at least three to five years’ experience
  • Problem-solving, analysis and judgement

Job Details:

Company: Life Healthcare

Vacancy Type: Full Time

Job Location: East London, Eastern Cape, SA

Application Deadline: N/A

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