Life Health Care Vacancies – Pre-Admissions Clinical Assessor

Job Description:

A vacancy exists for a Pre-Admissions Clinical Assessor, based at Life Beacon Bay Hospital, reporting to the 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 Q-evaluator score and implement corrective measures, where appropriate
• Perform clinical assessments and document clinical history.
• Ensure high standard of documentation and capture of relevant information for all admissions through hands on supervision and training.
• Implement corrective actions on deviations directly impacting on case management processes
• Adhere to patient services escalation processes
• 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.
• Ensure all pre-admissions are accurately clinically coded in accordance with the coding standards
• 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 minimise risk exposure to the Hospital.
• Implement and monitor quality improvement programmes through power teams
• Manage escalated concerns from Case Managers with external stakeholders
• Monitor of and advice on effective and regular communication with external stakeholders

Job Requirements:

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

Job Details:

Company: Life Healthcare

Vacancy Type:  Full Time

Job Location: East London, Eastern Cape, SA

Application Deadline: N/A