Team Leader & Training Coordinator

Johannesburg, Gauteng, South Africa

Job Description


Minimum Education: Nursing Qualification (Nursing Diploma as a registered nurse)
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Minimum Experience: 3 to 5 years (previous pre-authorisation, case management experience in a managed healthcare environment is essential)
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Duties and Requirements includes but is not limited to the following:

  • Knowledgeable of the Medical Schemes Act and Government Gazette on tariffs
  • Conduct telephonic assessment, competency assessments and first line interviews during recruitment
  • Responsible for the training of all new staff recruits in the areas of clinical assessing/auditing, pre-authorisation and specialised case management
  • Providing detailed training feedback post probation
  • Responsible for identifying and meeting training needs of existing staff
  • Responsible for identifying and updating system and process enhancements throughout the department
  • Review and update training manuals, guidelines, standard operating procedures (SOPxc3xa2xc2x80xc2x99s) and cheat sheets
  • Maintain quality control for Clinical auditing staff and provide monthly feedback and stats to senior manager
  • Monitor workload to ensure SLAxc3xa2xc2x80xc2x99s are met
  • Involvement with any complex hospital/ associated account queries leading to resolution and reconciliation of the account
  • Assist with all HR issues ie: performance counselling, change management etc.
  • 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

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Job Detail

  • Job Id
    JD1327707
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Johannesburg, Gauteng, South Africa
  • Education
    Not mentioned