Hospital Risk Managment Teamleader & Training Co-ordinator at M&M Consulting
M&M Consulting Services and Talent Acquisition
- R60,000 per month
- Permanent Senior EE position
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Bryanston
- Posted 17 May 2024 by M&M Consulting Services and Talent Acquisition
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Job 2568753
About the position
Job key responsibilities
- Conduct telephonic assessment, competency assessments and first line interviews during recruitment
- Updating of current department assessments used during recruitment
- Responsible for the training of all new staff recruits in the areas of clinical assessing/auditing, pre-authorisation and specialised case management
- Provision of in-depth managed healthcare system training relevant to the position (new staff should arrive with the necessary clinical expertise relevant to the position they have been recruited for)
- Providing detailed training feedback post probation
- Responsible for identifying and meeting training needs of existing staff
- Regular submission of all reports with regards training and development, both internal and external
- Be a continuous source of expert information for staff as well as any system updates
- Responsible for identifying and updating system and process enhancements throughout the department
- Review and update training manuals, guidelines, standard operating procedures (SOP's) and cheat sheets
- Manage ad hoc clinical and system projects as required
- Liaising with outsourced providers and suppliers
- Liaising with Medical advisor, Scheme Fund manager and members
- Referral of problems to the Medical advisor and Clinical Review team
- Provide clinical expertise within the organisation where required
- Maintain quality control for Clinical auditing staff and provide monthly feedback and stats to senior manager
- Monitor workload to ensure SLA's are met
- Involvement with any complex hospital/ associated account queries leading to resolution and reconciliation of the account
- Review of departmental Stats
- Assist with all HR issues ie: performance counselling, change management etc
- Escalate departmental issues to management
- System testing
- Responsible for testing any system programming changes that affect the department
- Identify staff members who display an aptitude for testing and develop their testing abilities
- Data Mining
- Involvement with the data mining process from a statistical point of view within the areas of trends, costs and disease management, amongst others
- Review of data for the Annual statutory return of the scheme to Council for Medical schemes
- Working with other healthcare personnel within the organisation and liaising closely with the business liaison unit
Desired Skills:
- Nursing Qualification
- 3 to 5 years Previous pre-authorisation
- case management
- ICD10 coding - Modifiers
- tariff codes
Desired Work Experience:
M&M Consulting Services and Talent Acquisition
About the agency
M&M Consulting Services as a business was established by its owners through the passion and commitment in serving people and Corporates, by
providing strategic partnerships to our clients, developing expertise of our client's environment, their challenges and other needs.
With over 14years experience in Human Capital, M&M Consulting Services has mainly focused on Managed Services and Recruitment and allowing businesses to focus on their core business. We combine our HR expertise with the knowledge of our client's environment to design, implement and
manage customized staffing solutions, resulting in improved business performance for our clients.
M&M Consulting Services is a SME, providing the flexibility most companies desire in the current economical state. We are ever changing and by doing so,we are able to blend in with the land scape changes.
WHAT WE DO
Partnering with key Stakeholders, Our vision is to be a proudly South African talent solutions provider, delivering the highest quality of service to clients and candidates.
We’re in the business of transformation, of both organizations and careers. Through the range of recruitment, talent management and recruitment process outsourcing solutions we offer, we help both organizations and individuals realize their full potential.
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