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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