Careers at Melomed Private Hospitals

Careers Opportunities at Melomed Richards Bay


Important Notice



Administration Posts


Melomed Richards Bay has the following posts available:

Case Manager

 Requirements:

 Qualified Registered Nurse

  • A qualified EN with relevant experience would be considered
  • Both need to registered with SANC and proof of indemnity cover
  • Minimum 3 years nursing experience in a multidisciplinary hospital.
  • Experience and exposure in Theatre and/or ICU would be advantageous
  • Hospital or Medical Aid scheme case management would be an advantage.
  • Experience in ICD 10 and CPT coding is essential
  • Knowledge of Prescribed Minimum Benefits (PMB) Scheme rules and policies
  • Excellent communication skills (written and spoken)
  • Excellent analytical and problem-solving skills
  • Excellent MS Office computer skills, i.e. Outlook, Word, Excel, Kronos, Clinic Manager, etc.
  • Attention to detail
  • Ability to cope well under pressure

 Key Outputs:

 Assess patient conditions and needs to develop appropriate care plans

  • Interact with patients and medical aid schemes
  • Resolve patient and medical aid scheme queries
  • Update all information timeously and accurately
  • CPT and ICD coding
  • Obtain doctors letters, motivations, and justifications in all appropriate cases under managed care of where medical aids request them from their hospitals as part of their assessing process
  • Monitor patient admissions and identify those who have limitations, restrictions, place by their managed care/ medical aid structures e.g. length of stay, cost restrictions, fixed fees, per diem and other limiting fees or drugs and/ or formularies
  • Maintain a control system that ensures the systematic monitoring of managed care patients
CLINICAL AUDITOR

Requirements:

•    Matric
•    Enrolled Nursing qualification
•    Computer literacy essential
•    ICU and Theatre experience advantageous
•    Good communication and interpersonal skills
•    Attention to detail and excellent organisational skills

Key Outputs:

•    Check and ensure that stock has been recorded correctly
•    Ensure that the correct stock and medication has been utilised
•    Ensure that all stock and medication used in the ward has been accounted for
•    Ensure that all the relevant documentation has been completed, signed and authorised, e.g. permission for a theatre procedure.
•    Liaise with the relevant wards to resolve queries
•    Check that all credits have been returned to the Pharmacy
•    Audit the theatre sheets


All interested applicants must forward an updated CV and supporting documents to Thembelihle Mkhize on the email address: mrbrecruitment@melomed.co.za by 13 August, 2021.
Melomed is an equal opportunity employer.  Only short-listed persons will be contacted.

BILLINGS SUPERVISOR ADMINISTRATION DEPARTMENT

Requirements:

    Grade 12
    A tertiary qualification in Business Management would be advantageous
    Minimum 3 5 years experience in a similar role
    Excellent managerial skills
    Knowledge of ICD 10 and CPT Coding
    Knowledge of Medical Aid Rules and Fixed Fee Contracts with Funders
    Excellent computer skills 
    Excellent interpersonal and communication skills
    Numerate, accurate, methodical, customer centric and excellent attention to detail
    Ability to work well under pressure

Key Outputs:

    Manage the financial risk of the hospital by ensuring accurate and timeous billing of records within 3 days
    Supervise staff
    Monitor the Non-Release Report
    Monitor the Patients in Progress Report
    Analyse billing errors and quality improvement plans
    Ensure the accurate resolution of short payment queries received from the Credit Control Department
    Attend to patient queries
    Maintain effective working relationships with internal and external stakeholders
    Provide daily, weekly and monthly reports
    Strictly adhere to deadlines and attend to administrative tasks assigned by Line Manager

Interested applicants are requested to submit their applications to Thembelihle Mkhize to the email address: mrbrecruitment@melomed.co.za by 10 May 2022.

Melomed is an equal opportunity employer. Only short-listed persons will be contacted.


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