Hi, I’m
ANICA SAUER
Registered Nurse And Midwife
Pretoria, Moreletapark
Summary
I am a highly motivated individual with a strong work ethic. I seek challenging opportunities where I can fully use my skills for the success of the organisation. I want to succeed in a stimulating and challenging environment that will provide me with advancement opportunities.
Overview
14
years of professional experience
2
Languages
Work History
Discovery Health Medical Scheme, TYPE, Financial
Clinical Care Specialist
03.2021 - 07.2024
Job overview
- Golden Key !nternational Society membership acquired during studies for BCur Ed et Adm (2016) - North-West University
- O Best student in Health Services Management Theory (2011) - North
- West University
- Overall Top Performers - 4th Quarter PEA's DHMS Gauteng Service
- Team, DUTIES AND FUNCTIONS : o To perform health assessments on patients in order to identify individual patient risk factors
- Perform interventions to influence individual patient risk
- O Promote behavior change to ensure greater treatment compliance and condition management
- O Authorizing of admissions and treatment as per agreed protocols
- O Assist members with clinical related queries
- O Proactively assist complex members with understanding their plan benefits and maximizing their use to effect risk savings in the long term
- Monitor patient progress through ongoing patient interaction and follow-up
- Coordination of integration of care including social services where appropriate
- O Maintain relationships between key internal and external stakeholders
- Refer to other departments where appropriate to ensure that the relevant benefits are provided.
Health Medical, TYPE, Financial Services
Pre-Authorization Consultant
12.2019 - 02.2021
Job overview
- O Confirming benefits according to set protocols and funding rules
- O Accurately obtaining and capturing information to confirm correct funding
- O Servicing all key stakeholders telephonically and via other servicing channels until the query has been resolved
- Servicing key stakeholders in a customer centric way to ensure that we live by our service principles
- O Keeping up to date with product changes and benefits to ensure that all key stakeholders are accurately serviced
- O Continuously staying abreast of all digital servicing tools within the business and ensuring that the functionality is fully understood
- O Achieving and exceeding key performance metrics relating to service delivery
- Keeping abreast of continuous process, product updates and digital tools
- Dealing with multiple interactions
- Consistently utilizing all servicing tools available
- REASON FOR LEAVING :
- Growth opportunity became available to apply clinical Registered Nurse skills as a Clinical
- Care Specialist in the Member Care Programme of Discovery Health Medical Scheme.
NetCare Waterfall City Hospital, TYPE, Healthcare Services
Registered Nurse / Midwife
10.2017 - 11.2019
Job overview
- Experience of working in Ante-Natal, Post-Natal, Nursery, Labour, and Maternity wards, and Ceasarian Section Theatre
- Capacity to implement and maintain standards of health practice required from all accredited bodies and appropriate health legislation
- Perform nursing duties in accordance with the South African Nursing Council (SANC), Department of Health (DOH) and National Core Standards
- Adhere to the principles and standards of patient advocacy according to the SANC acts and Omissions, Company Code of Conduct, Patient Rights and Responsibility
- Charter, National Millennium Development goals and the responsibility of continuous professional development (CPD)
- Supervise, organize, lead and control quality of care work for self and the team adhering to therapeutic standards and goals
- Actively participate in internal and external auditing processes, for example DOH
- National core standards, SHERQ, SANC and Risk Audit
- Document and maintain accurate files and records of patient medication and conduct ward rounds including accompanying Doctors and other Medical
- Practitioners for creating and evaluating customised care plans including implementing
- Monitor activities of nurses to ensure compliance with protocols, security and safety of patient environment, Group Nursing policies and procedures, SANC requirements on findings through regular unit rounds
- Take responsibility for activities specifically related to midwifery which include - Act as lead health professional and contact for the expecting mother, provide full antenatal care, identify high risk pregnancies, monitor and support expecting mothers during labour and the birthing process, teach new and expectant mothers how to feed, care for and bathe their babies and understand the emotional, physical, and psychological process of pregnancy and birth
- Take responsibility for activities specifically related to midwifery / neonatal care in
- Theatre which include observing babies post-ceasarian sections, compiling
- APGAR scores, relevant measurements of babies and neonatal resuscitation if required
- REASON FOR LEAVING :
- To pursue a career at Discovery Health Medical Scheme and gain exposure to practicing in the Financial Services - Health lnsurance sector.
Koster Hospital, TYPE OF COMPANY, Healthcare Services
Registered Nurse / Midwife
01.2011 - 09.2017
Job overview
- Perform all duties in accordance with South African Nursing Council (SANC)
- Department of Health (DOH) and National Core Standards
- Adhere to the principles and standards of Patient Advocacy according to SANC
- Acts and Omissions, Company Code of Conduct, Patient Rights and
- Responsibilities Charter, National Millennium Development goals and responsibility of Continuous Professional Development (CPD)
- Supervise, organize, lead and control work for self and team to ensure efficient completion of tasks
- O Devise a working knowledge of, and understand the Nursing Strategy, in order to contribute towards unit goals
- Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, and making recommendations according to the hospital's requirements of best and safe practices and unit specific protocols and procedures
- O Actively participate in internal and external auditing processes, for example DOH
- National Core Standards, SHERQ, SANC and Risk Audits
- Document patient care services by accurately charting inpatient and department records including updating care plans as patient needs changes
- Maintain accurate files and records of patient medication, incidents and complaints and steps taken to resolve patient problems or prevent incidents from recurring
- Conduct structured ward rounds including accompanying Doctors and other
- Medical Practitioners for creating and evaluating customized care plans including implementing Doctors instructions and prescriptions
- O Monitor activities of nurses to ensure compliance with protocols, security, safety of patient environment, Group Nursing policies and procedures, SANC requirements and act on findings through regular unit rounds
- Drive the reduction in healthcare associated infections
- O Participate actively during resuscitation, where necessary
- Provide guidance and advice, whilst applying good clinicaljudgment, to other
- Nursing staff working in the maternity care setting and regarding the safe and effective use of critical care technologies (i.e
- Monitoring and supporting pregnant patients and diagnostic and therapeutic techniques)
- Conduct, plan, strengthen and scaling up of essential obstetric and neonatal emergencies e.g
- ESMOE
- REASON FOR LEAVING : Relocation to Pretoria after getting married
Education
North West University
BACCALAUREUS CURATIONIS from Registered Nurse and Midwife
North West University
BACHELOR OF NURSING SCIENCE from Education and Administration
Koster Combined SchoolKoster
Senior Certificate
SANC
15529043
Telephonenumbers
0764869584
Numberofdependants
2
Ethnicrace
White
Driverslicence
Code 10
Owntransport
Yes
Languageproficiency
Afrikaans, English, English, English
Personal Information
- ID Number: 8905020032084
- Age: 35
- Gender: Female
- Nationality: South African
- Marital Status: Married
Timeline
Clinical Care Specialist
Discovery Health Medical Scheme, TYPE, Financial
03.2021 - 07.2024
Pre-Authorization Consultant
Health Medical, TYPE, Financial Services
12.2019 - 02.2021
Registered Nurse / Midwife
NetCare Waterfall City Hospital, TYPE, Healthcare Services
10.2017 - 11.2019
Registered Nurse / Midwife
Koster Hospital, TYPE OF COMPANY, Healthcare Services
01.2011 - 09.2017
North West University
BACCALAUREUS CURATIONIS from Registered Nurse and Midwife
04.2011
North West University
BACHELOR OF NURSING SCIENCE from Education and Administration
04.2016
Koster Combined School
Senior Certificate
05.2007
Similar Profiles
Liora KatzLiora Katz
Operations Executive at Discovery Health Medical SchemeOperations Executive at Discovery Health Medical Scheme
Sinda MbinyasheSinda Mbinyashe
Team Leader Coach - Service Specialist at Discovery Health Medical SchemeTeam Leader Coach - Service Specialist at Discovery Health Medical Scheme
DRIDIE MUKONDELELIDRIDIE MUKONDELELI
Medical Review Consultant at Discovery health medical schemeMedical Review Consultant at Discovery health medical scheme
Tanya DippenaarTanya Dippenaar
Part Time Bookkeeper at BlueMeg Singapore (Pte) LtdPart Time Bookkeeper at BlueMeg Singapore (Pte) Ltd
BABANILE MDOKABABANILE MDOKA
Voluntary Worker at Pretorius Park Clinic Community GardenVoluntary Worker at Pretorius Park Clinic Community Garden