Clinical Case Manager

4 weeks ago

Cape Town, South Africa The Career Network Full time
Job title : Clinical Case ManagerJob Location : Western Cape, Cape TownDeadline : December 07, 2024Quick Recommended Links
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JOB PURPOSE

  • The main purpose of the job is to ensure effective; efficient and timeous monitoring of referrals, admissions, discharges, compliance and patient movements working closely within a multidisciplinary team reporting into the Clinical managers, viz., Therapy Manager and the Matron, Nursing Manager. 

JOB REQUIREMENTS

Key Performance Areas

  • Clinical Function: Referral process 
  • Participate in all new on and offsite admission screening meetings. 
  • Develop contacts and build a network of professional relations with referring partners in order to optimize the continuum of care across all levels of care whilst enhancing the patient care experience 
  • Promote and maintain good interdisciplinary relationships with the referring sources.
  • Ongoing verbal and written information sharing and liaison with referring facilities to facilitate an efficient and smooth -running referring and admission system.
  • Proactively report bed availability and communicate this with all referring facilities once a week.
  • Screen all new referrals applications to ensure that patients meet our admission criteria.
  • Ensure that all documentation is in place for a referral to be processed at admissions meeting.
  • Monitor the capturing of prospective patient information, distribution of minutes and all relevant patient information to the MDT prior to the admissions meeting.
  • Ensure that an effective communication system for referrals is in place and put recommendations for review and change forward when required.
  • Admission and discharge process
  • Optimize the continuum of care by managing the patient effectively throughout the admissions period and from admission back into the community
  • Enhancing the patient flow management by improving the admissions process, and assist with comprehensive discharge planning
  • Ensure comprehensive patient flow and bed management system in collaboration with the clinical team
  • Ensure that the bed capacity is utilized efficiently and effectively, whilst maintaining patient safety 
  • Proactively report bed availability and communicate this with all referring facilities
  • Manage patient’s admissions and emergency transfers and provide comprehensive reports to the clinical managers
  • Maintain excellent written and verbal communication with all disciplines in the various referral system
  • Provide clinical support in decision making within the clinical team
  • Regular reporting on bed availability and identify trends in medical conditions 
  • Work closely with the clinical team to expedite admissions
  • Patient discussions forums monitoring coordinate e.g., case discussion
  •  Administrative Function
  • Monthly Reports with statistical information regarding patient documentation, recordkeeping updated patient data, trends, predictions and recommendations
  • Weekly written and verbal information to referring facilities regarding bed capacity and availability.
  • Development Monitoring and implementation of SOP’s.
  • Services Quality and compliance
  • Understand the importance of quality in relation to every day work
  • Participate in quality measures to ensure that the service is provided at high quality
  • Uphold the vision, mission and values of the Home.
  • Patient, parent satisfaction
  • Ethical compliance and professional practice
  • Monitor, evaluate and coordinate care provision to ensure that it is safe, timely, effective, efficient, equitable, and patient -centered.
  • Participation in patient quality of improvement discussion forums (e.g., monthly combined meetings; Monday morning ward rounds and weekly case discussions) to evaluate if predicted care plan outcomes are met within expected timeframes
  • Facilitate communication to make sure all stakeholders are kept up to date with patient progress and adjustments to care and discharge plans. 
  • Advocate for the patients by checking that patients (where applicable) are informed about their clinical status and condition management so that they can make informed decisions. 
  • Regularly check that clinical record keeping is in accordance with the relevant Healthcare acts and regulations.
  • Monitor records and administrative tasks to evaluate if it is up to date and meet clinical standards in line with professional body guidelines and requirements.
  • Strategic Role and function
  • Form part of the patient safety committee
  • In conjunction with the deputy matron and registered nurses implement effective strategies for control, and evaluate and report on the standards of service delivery and make recommendations.
  • Take responsibility for the effectiveness of service delivery.
  • Behavioral Competencies
  • Demonstrate effective communication with patients, parents, supervisors and other team members. 
  • Work as part of the multidisciplinary team to ensure good overall clinical care 
  • Be able to work with and have an understanding of diversity in order to work and communicate with persons of diverse backgrounds.
  • Able to plan and organize own work and mentor personnel to ensure proper clinical care. 
  • Display and create awareness of values mission and vision of the organization in conduct and engagements. 
  • Ability to form sound interpersonal relations internally and externally.
  • Confidentiality adherence; POPIA

Required qualifications 

  • Degree or Diploma in Nursing/ Allied Health
  • Current registration with SANC / HPCSA
  • Understanding of scope of practice of discipline categories according to job description.
  • Understanding of legislation and ethical requirements and how these impacts on service delivery.
  • Be clinically sound /knowledgeable to be able to judge and facilitate appropriate admissions
  • Be knowledgeable about the child health sector within the department of health (ensure early discharges, and safety net) 
  • Have excellent written and verbal communication skills

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