Boitumelo Kosi

Work History

Locum Occupational Medical Practitioner

Locum at Netcare, Mobitrain, SD Recruitment

01.2023 - Current

Employee Medical Surveillance assessments at different companies in the Western Cape
Assessment of employees for medical fitness for duty and incapacity
Assessment of employees in relation to suitability of the required PPE e.g
Foot exams for footware and making recommendations
Medical assessment of employees in relation to their existing chronic conditions, monitoring of control and referring when needed
HIRA assessments as part of the risk assessment for different companies
Collaborated with multidisciplinary teams to provide comprehensive care for patients with complex medical issues.

Locum Medical Doctor

HealthForce

03.2022 - Current

To conduct consultation at nurse led clinics remotely via video medium
To review the clinical medical histories and examinations collected by the nurse practitioner on patients
To draw conclusions and order investigative tests that aid in forming a diagnosis for a patient
To refer patients to specialists, government hospitals and allied health professionals when deemed necessary, which includes providing the patient with a referral letter
To collaborate with the nurse practitioner at making a concrete decision on appropriate courses of treatment for each patient

Independent Medical Practitioner (Locum in Emergency Unit)

Melomed Hospital Group

05.2019 - Current

To manage both minor and major acute conditions which are both medical emergencies and trauma-related conditions in a busy trauma unit, from history taking to discharge/referral.
Maintained accurate documentation of all patient interactions, ensuring compliance with regulatory requirements such COIDA, billing systems etc while also facilitating seamless continuity of care among providers.
Enhanced patient care by implementing evidence-based medical practices and staying updated on the latest treatment protocols.
Collaborated with multidisciplinary teams to provide comprehensive care for patients with complex medical issues.

Medical Advisor

Discovery

09.2022 - 07.2023

Provide clinical support to the Medical Review team, PMB team, Chronic Illness Benefit, hospital case management, oncology case management, exec office, benefit compliance review, the underwriting and forensics area, as well as other business areas
Participating in key clinical forums internally and externally
Communication of funding decisions to the relevant parties
Keeping abreast with legislative and industry changes and how it affects your business unit
Identification of new trends in Medical Industry, and engagement with relevant clinical stakeholders
Constant interaction and relationship building with external health care providers
Maintenance of database of funding decisions made
Support to Junior Staff and other Medical Advisors
Knowledge of Claims, coding and assisting in getting payment resolutions
Identify operational gaps and initiate improvement strategies
Clear knowledge of evidence-based medicine and the application thereof and review of clinical evidence on a case-by-case basis

Senior Specialist: Medical Officer

Liberty

10.2020 - 08.2022

Conduct medical and underwriting research
Provide underwriting advice and underwriting assessments to moderate and complex cases that involve risk for the organization
Provide claims advice and support to the claims assessment team by providing medical expertise in interpretation of the medical policy contracts.
In collaboration with stakeholders, define a research plan to address areas of concern, opportunities &/or areas requiring further investigation
Provide expertise and support to identify, develop, implement and enhance strategic business opportunities in support of the organisational mandate
Translate the organisational risk and governance management model into a compliance framework and policies that apply to an area of specialisation across value chains, enabling the management of critical risks
To provide guidance and training to the nurses on the road with respect to collection of medical requirements from clients and conducting clinical practice

Quality Advisor/Surveyor

The Council for Health Service Accreditation of Southern Africa (COHSASA)

05.2017 - 12.2018

Train healthcare facilities through the process quality improvement and accreditation process using the standards provided by COHSASA.
Train and assist healthcare facility staff to assess their institution against the COHSASA standards. Use various management tools and set objectives so as to assist the facility to work towards achieving compliance with the accreditation standards
Provide training in continuous quality improvement methodology and problem-solving techniques, according to COHSASA's guidelines, when required as per contract
Team leader role for a team of three/four/five individuals conducting a visit to a health facility for the purposes of quality improvement or accreditation audit.
Compile detailed reports on findings, interventions, and recommendations to healthcare facilities, and assist with report-back processes to governance structures.

Summary

Overview

Work History

Locum Occupational Medical Practitioner

Locum Medical Doctor

Independent Medical Practitioner (Locum in Emergency Unit)

Medical Advisor

Senior Specialist: Medical Officer

Quality Advisor/Surveyor

Education

Postgraduate Diploma in Occupational Medicine -

MBA -

MBChB -

Skills

HPCSA Registration

IT Skills

Drivers license

References

Timeline

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