Job Description

Care Co-Ordinator

About Discovery

Discovery's core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.

About Discovery Care

Discovery Care is a subsidiary for Discovery Health - made up of 8 distinct areas with segmented teams responsible for the processing of specialized claims, CIB queries and escalated clinical queries processes while our case management teams are responsible for reviewing clinical cases for each of the specialized areas. Our clinical services area is also responsible for all council disputes while our high touch team provide hands on services and escalated query resolution to sensitive cases.

Key purpose:

The coordinator plays a key role in an integrated funder-provider program designed to co-ordinate the care of a carefully selected group of DH members by actively identifying patients that meet our clinical entry criteria.
The Coordinator facilitates the care of these patients in an appropriate facility in collaboration with the referring doctor, patient, family and the Scheme. This requires the building and maintaining of excellent relationship with facility staff and patients.
The aim of Care Coordinator's role is to ensure that sustainable long term care plans are in place by the end of the rehab admission. This will be done in conjunction with the family and the facility.

Aim

Actively enabled a thorough discharge plan including, handover to relevant providers in the OH setting. Specific action plan outlined to the family that may arise post discharge. Social interventions in place as required. Ongoing care and management put in place for the member.

Key output:

The successful applicant will be responsible for but not limited to the following job functions:

Key Outputs

The successful candidate will be responsible for but not limited to:

Function:

• Perform health assessments on patients in order to identify individual patient risk factors
• Work closely with the facility promoting the uptake of CCP
• Maintaining relationships between the acute hospital, the specialists and the rehabilitation facility and Discovery Health

Other responsibilities include:

• Disease education to promote treatment compliance and condition management
• Attendance of multidisciplinary team meetings and family meetings
• Assist with benefit navigation and access
• Assisting in obtaining discretionary funding for members outside of plan benefits
• Facilitate a handover to the Member Care Program for further out of hospital management

Personal Attributes:

• Strong communication skills
• Ability to work closely within a multidisciplinary team
• Ability to build and maintain relationships
• Passion for disease management
• Strong organizational skills
• Ability to work independently (self-driver)
• Drive to improve patient care
• Ability to recognize boundaries and limitations
• Creative thinker/solutions driven

Competencies:

Compassion: Genuinely cares about people; is concerned about their work and non-work problems; is available and ready to help; is sympathetic to the plight of others not as fortunate; demonstrates real empathy with the joys and pains of others.
Customer Focus: Is dedicated to meeting the expectations and requirements of internal and external customers; gets first-hand customer information and uses it for improvements in products and services; acts with customers in mind; establishes and maintains effective relationships with customers and gains their trust and respect.
Interpersonal Savvy: Relates well to all kinds of people-up, down, and sideways, inside and outside the organization; builds appropriate rapport; builds constructive and effective relationships; uses diplomacy and tact; can defuse even high- tension situations comfortably.
Dealing with Paradox: Can act in ways that seem contradictory; is very flexible and adaptable when facing tough calls; can combine seeming opposites like being compassionately tough, stand up for self without trampling others, set strong but flexible standards; can act differently depending upon the situation; is seen as balanced despite the conflicting demands of the situation.
Personal Learning: Picks up on the need to change personal, interpersonal, and managerial behavior quickly; watches others for their reactions to his/her attempts to influence and perform, and adjusts; seeks feedback; is sensitive to changing personal demands and requirements and changes accordingly.
Learning on the Fly: Learns quickly when facing new problems; a relentless and versatile learner; open to change; analyzes both successes and failures for clues to improvement; experiments and will try anything to find solutions; enjoys the challenge of unfamiliar tasks; quickly grasps the essence and the underlying structure of anything
Planning: Accurately scopes out length and difficulty of tasks and projects; sets objectives and goals; breaks down work into the process steps; develops schedules and task/people assignments; anticipates and adjusts for problems and roadblocks; measures performance against goals; evaluates results.

Qualification & experience:

The following requirements are essential:

• Matric
• Registered Nurse or Enrolled Nurse(working under supervision of RN, colleague in the same region)
• 2 years Discovery Health experience- MCP or AIB
• Valid SANC Registration
• 5 years industry experience with a minimum of 2 or more of the following:

xefx83xbcClinical Nursing Experience
xefx83xbcCare Management or similar experience
xefx83xbcMultidisciplinary team experience

• Valid driver's license and own transport
• Microsoft Office

The following requirements are advantageous:

• Exposure to sub-acute /rehabilitation

EMPLOYMENT EQUITY

The Company's approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

Discovery