To ensure that the member is well informed and educated to mitigate the risk associated with illness which will limit hospitalisation, mortality and further health degradation and costs.
Qualifications
Relevant B Psych degree. Current registration with Health Professions Council of South Africa (HPCSA)
Experience
2-3 years counselling in a hospital or clinical experience, providing patient care
Accountabilities:
Client service delivery and quality
- Follow procedures and cooperate with peers and leader for best possible service delivery
Compliance and Risk Management
- Defined legal, statutory and regulatory compliance is maintained at the required standards
- Operational risk and governance structures, measures and frameworks are complied with and necessary action is taken to address issues, when necessary
- Contribute to cost savings within the department to assist with financial goals and targets
Operating Model
- Meet delivery objectives through working with other team members within and linked to the department / project
- Resolve operational performance variations and problems and escalated unresolved issues to higher levels
- Ensure delivery targets/objectives are met and operate in a supportive manner to achieve successful delivery
Operational Implementation of Strategy
- Keep up to date with operational changes implemented in response to important external influences
- Deliver in a manner that supports and meets operational quality standards and meets the defined departmental priorities
- Perform according to defined operational best practice and identify and implement opportunities for continuous delivery improvement
Operational Leadership
- Deliver personal performance within Human Capital frameworks and policies to ensure delivery to agreed standards and objectives
- Engage in development, coaching and mentoring
- Support transformation through valuing diversity
- Behave in alignment with the Afrocentric values
Stakeholder Management
- Ensure appropriate, active and informative relationships with customers and relevant stakeholders are successfully achieved
- Address customer or stakeholder complaints in alignment with the policies and procedures and ensuring customer / stakeholder buy-in
Generic Objectives
- Provide appropriate and impactful telephonic and written counselling, education and support to allocated clients with high risk or long term illnesses, thereby reducing hospital admissions and risk factors.
- Complete required administration and case information on assigned cases to standard and within deadline.
- Handle and resolve medical and claim related fund queries.
- Refer high risk patients to alternative professionals for additional support (such as social workers).
Competency Requirements:
Knowledge
- Application of financial and risk assessment methodology
- Knowledge of scheme rules and contractual negotiations
- Knowledge and application of relevant legislation
Skill
- Technical expertise in functional area
- Attention to Accuracy and Detail
- Problem solving and decision making skills
- Knowledge and application of clinical intervention principles
- Knowledge and application of clinical risk assessment
- Report writing and presentation skills
- Communication Skills
- Task Management
- Data modelling and evaluation
- Numerical Ability
- Customer Focus
- Business Writing Skills
- Ability to negotiate and influence
The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of line managers.
Our Commitment to Transformation
AfroCentric is committed to transformation and embracing diversity. Our Employment Equity plan and targets will be considered as part of the recruitment process. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create
Should you not receive feedback within a month of applying, please consider your application unsuccessful!