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. [the_ad id="29344"] 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 [the_ad id='29345'] Apply Here Vacanciesspot.com
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