Specialist: Emergency Medical Services

Division:  Claims
Reference No:  4923
Location: 

Centurion, Gauteng, ZA

Employment Type:  Permanent
Disability (EE targeted role):  No
T.A.S.K Grade:  15
Job Posting Salary:  R891,176.00
Job Posting End Date:  8 Oct 2024

The Road Accident Fund’s mission is to provide appropriate cover to all road users within the borders of South Africa; to rehabilitate and compensate persons injured as a result of motor vehicle accidents in a timely and caring manner; and to actively promote safe use of our roads.

 

 

 

Purpose of the Job: Reporting to the Manager: Medical Advisory, the successful incumbent is accountable to manage the standard of clinical care by developing and maintaining clinical standards and supporting strategies.

 

Key Performance Areas

Assessment of Clinical Impairment in Line with International Best Practices

  • Provide guidance in the interpretation of emergency rescue and stabilization analysis.
  • Assessment and review of clinical appropriateness of emergency medical services.
  • Coordinate with internal departments to find solutions and resolve matters.
  • Support in the identification, development and implementation of cost-effective processes in order to increase efficiency and reduce cost drivers related to the emergency medical services.

 

Training and Support

  • Ensure updated and standardised emergency medical services training to medical staff within RAF.
  • Provide support to RAF teams on EMS related matters.
  • Identify relevant treatment plans and gaps in EMS.

 

Quality Assurance

  • Provide consultations on the implementation or programs and services.
  • Ensure that programs and services are implemented and maintained at the highest standards.
  • Manage the development and implementation an unusual occurrence procedure.
  • Ensure that research is conducted to determine if there are any new or revised regulations.

 

Policy Review and Implementation

  • Contribute to the development and implementation of emergency medical service protocols.
  • Contribute to the development and implementation of emergency medical service tariffs
  • Keep up to date with effective SOP’s, policy and practice execution strategies.
  • Ensure that policies and systems are managed and monitored in line with regulations.

 

Reporting

  • Prepare and submit regulation reports as and when required to provide progress updates and/or inform management decisions.
  • Develop reports/ policies/ procedures and guide the process through the alignment of the documents to the overall RAF’s Strategy.
  • Develop functional reporting systems, for management, projects or performance reporting.
  • Prepare proposals, briefings, presentations, reports, and other documentation and provide management information both verbally and in report format.

 

Stakeholder Management

  • Prepare and submit regulation reports as and when required to provide progress updates and/or inform management decisions.
  • Develop reports/ policies/ procedures and guide the process through the alignment of the documents to the overall RAF’s Strategy.
  • Develop functional reporting systems, for management, projects or performance reporting.
  • Prepare proposals, briefings, presentations, reports, and other documentation and provide management information both verbally and in report format.

 

Qualifications and Experience

  • Bachelor’s Degree/ Advanced Diploma in an Emergency medical services related qualification.
  • National Ambulance Emergency Assistant Certification (AAA) or Intermediate.
  • Registration with the HPCSA as a Paramedic ILS Minimum/ ALS Desired.
  • Pre-hospital Trauma Life Support (PHTLS) certification will be an advantage.
  • Relevant 5 - 7 years’ experience in Emergency Management Environment.
  • Experience in working with ICD 10 codes (diagnosis codes) will be an advantage.
  • Experience in Healthcare Administration and Funding industry.
  • Experience in medical claims, related charges, and clinical audit of claims.

 

Technical and Behavioral Competencies Required

  • Resilience.
  • Network and alliance.
  • Employee engagement.
  • Ethics and values.
  • Change management.
  • Critical and innovative thinking
  • Policy conceptualisation and formulation.
  • Risk Management.
  • Stakeholder development and relations.
  • Reporting.
  • Understand different systems of ambulance provision.
  • Vast knowledge of MVA and related complications.
  • Knowledge of medical information systems and processes.
  • Knowledge of clinical technology and trends.
  • Understanding of health technologies.
  • Knowledge of impairment rating procedures.
  • Knowledge of relevant clinical legislation.

 

NB: “RAF offers Total Employment Cost packages with no additional contributions from the Employer, successful candidates are required to structure their packages in a manner that will suit their needs”.

 

 

 

 

The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.

Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful

Security Vetting shall be conducted on all prospective employees

It is the applicants’ responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.