Team Leader
2 weeks ago
**Introduction**
**Disclaimer**
- As an applicant, please verify the legitimacy of this job advert on our company career page.
**Role Purpose**
- The aim of this position is to work together with the Fund, Hospitals and the Service Providers to co-ordinate and monitor a Beneficiary's in and out of hospital health care needs in order to manage quality and costs in line with clinical guidelines and protocols and intervene when appropriate.
**Requirements**:
- Matric
- Registered nurse/ Enrolled Nurse
- Minimum of 5 years managed care experience - essential.
**Duties & Responsibilities**
- Maintain great staff morale by leading, guiding, developing and supporting team members by identifying appropriate training needs and providing coaching to achieve performance standards.
- Liaise with trainers to ensure that their training material is accurate and continuously updated.
- Networks with other areas across the business.
- Facilitates and manages projects, system enhancements and changes.
- Positively influence and participate in change initiatives.
- Continuously develop own expertise in terms of professional, industry and legislation knowledge.
- Communicate the policy and procedures of the company to the team, ensuring that they are implemented.
- Increase efficiency with tools that enable staff to maintain and monitor cases in terms of quality and cost efficiencies.
- Supervise staff, including identification of training needs and requirements, granting leave, performance appraisals, and productivity (in terms of quality and quantity) in collaboration with the manager for assisting the manager in the development of the programs and staff.
- Compiling Health Risk Management (HRM) operational and scheme reports.
- Attend internal stakeholder and scheme clinical meetings where required
- Improve customer satisfaction by meeting all customer commitments and service provider requirements.
- Coaching and supporting the Managed care teams in ensuring a high standard of service delivery.
- Build and maintain relationships with clients and internal and external stakeholders.
- Deliver on service level agreements made with clients and internal and external stakeholders to ensure that client expectations are managed.
- Demonstrate exemplary leadership behaviour, through personal involvement, commitment and dedication in support of organizational values.
- Select and recruit suitably qualified talent in line with Employment Equity principles and Momentum Health Solutions values.
- Drive a culture that guides and directs best practice, fostering an environment of continuous learning, improvement and cohesiveness.
- Enable a learning and growth culture whereby information regarding successes, issues, trends and ideas are actively shared between team members.
- Execute effective workforce planning practices to ensure that staffing requirements are accurately forecasted.
- Effectively manage performance within the team in order to ensure business objectives are achieved.
- Identify solutions to enhance cost effectiveness and increase operational process efficiency across managed care programmes.
- Implement and provide input into governance processes, systems and legislation within area of specialization.
- Provide input into the risk identification processes development and communicate recommendations in the appropriate forum.
**Competencies**
- Telephone etiquette
- Excellent communication skills both verbal and written.
- Accountability.
- Planning and organising.
- Problem solving.
- Time management.
- Attention to detail.
- Relationship building and interpersonal understanding.
- Customer orientation and results orientation.
- Teamwork and cooperation.
- Responsibility and ownership.
- Attention to Detail.
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