Pre Admissions Clinical Assessor

In brief

**Overview** The Pre-Admission Clinical Assessor role is based at Life Eugene Marais Hospital and reports to Roscher Ferreira, Patient Services Manager. The successful candidate will be responsible for managing the financial and clinical administrative risks associated with future patient admissions. **What you will do** * **Manage pre-admission risk:** * Perform clinical assessments, document clinical history, and ensure accurate clinical coding in line with standards. * Efficiently and proactively manage patient pre-admissions according to Group protocol, liaising with Case Management and National Credit Risk Departments to minimize hospital risk. * Maintain high standards of documentation, capture relevant information, and ensure customer focus at the Pre-Admission Clinic. * Optimize management of bed and theatre bookings through close liaison with wards and Doctor’s rooms. * Apply knowledge of Fund rules and limits, managing authorisation requests, benefit confirmations (e.g., prosthesis), and monitoring insurance verification with funders. * Monitor workflow processes, identify gaps and risks, and implement corrective actions. * **Ensure effective management of quality outputs:** * Adhere to ISO 9001 standards, perform quality walkabouts, and implement corrective measures and quality improvement programmes. * Adhere to patient services escalation processes, monitor Q-evaluator scores, and take appropriate action. * Investigate internal and external stakeholder complaints and drive adherence to customer service standards. * **Ensure and promote operational excellence:** * Drive compliance with LHC policies on authorisations and deviations, implementing corrective actions as necessary. * Monitor reports, adhere to patient services policies and procedures, and ensure compliance with service level agreements. * Assist the case management team when required. * Effectively manage relationships with internal and external stakeholders, fostering healthy relationships, providing feedback, and implementing corrective actions for deviations impacting case management processes. * Monitor and advise on external stakeholder communication and manage escalated concerns. **Requirements (from the original advert)** * Matric * Nursing Qualification, preferably Professional Nurse or Enrolled Nurse with at least three to five years’ experience * Current SANC registration * Knowledge of hospital patient services and case management processes * Knowledge and understanding of CPT & ICD coding * Knowledge of Funder contracts, scheme rules, exclusions and benefits * Understanding of private hospital industry and practices * Computer proficiency **Who should apply** An ideal candidate for this role is a qualified Professional or Enrolled Nurse with at least three to five years of experience and current SANC registration. They should possess a Matric qualification, strong computer proficiency, and a comprehensive understanding of hospital patient services, case management processes, CPT & ICD coding, and funder contracts (including scheme rules, exclusions, and benefits). An understanding of the private hospital industry and its practices is also essential, along with the ability to manage financial and clinical administrative risks related to patient admissions. **Deadline** 9th October, 2026 **Reference** Original posting: https://www.myjobmag.co.za/job/pre-admissions-clinical-assessor-life-healthcare-4 Source: myjobmag

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