Team Leader And Training Coordinator Hospital Risk Management

Johannesburg, Gauteng, South Africa

Job Description

A well-established company located in Johannesburg North is looking for a Team Leader & Training Coordinator to join their team!
Education & Experience:

  • Nursing qualification (Diploma/Degree) with SANC registration (essential).
  • Experience in pre-authorisation, case management, and clinical auditing within a managed healthcare/medical scheme environment (essential).
  • Technical proficiency in managed healthcare systems, case management modules, and claims processing.
  • Previous training, coaching, or mentoring experience.
  • Supervisory/leadership background in clinical risk management (advantageous).
Knowledge & Skills:
  • Strong knowledge of ICD-10, CPT-4 coding, PMB legislation, tariffs, and scheme rules.
  • Ability to identify non-chargeable and overcharged items in hospital accounts.
  • Knowledge of adult learning principles and training methodologies (advantageous).
Key Responsibilities
  • Team Leadership: Mentor and support staff, oversee workloads and SLA compliance, ensure quality standards, and deliver performance reports.
  • Training Coordination: Design and deliver training programmes, conduct assessments, identify development needs, and align content with regulatory/industry changes.
  • Clinical Governance & Systems: Handle complex clinical queries, ensure compliance in reconciliations, support data analysis and cost containment, and participate in system testing.
  • Process Improvement & Communication: Update SOPs and processes, drive operational efficiency, maintain stakeholder relationships, and contribute to strategic initiatives.

Skills Required

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Job Detail

  • Job Id
    JD1517335
  • 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