Summary
Overview
Work History
Education
Skills
Timeline
Generic

Marliza Swanepoel

Hospital Clinical Case Manager
Pretoria

Summary

Highly motivated professional demonstrates ability to develop and implement successful plans of action to address individual needs. Possesses strong problem-solving skills to reduce barriers. Committed to helping individuals and families. Talented Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life. Compassionate Case Manager experienced in Health care environments. Hardworking and dedicated to achieving desired case outcomes. Offers excellent problem-solving, conflict resolution and communication abilities. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Ready to help team achieve company goals.

Overview

24
24
years of professional experience

Work History

Hospital Clinical Case Manager

Netcare Akasia Hospital
09.2021 - Current

Streamlined healthcare delivery by efficiently managing caseloads, prioritizing tasks, and maintaining accurate documentation.

  • Developed and implemented comprehensive case management plans to address client needs and goals.
  • Contributed to a positive workplace culture through active engagement in team building activities, peer mentorship, and collaborative problem-solving efforts.
  • Utilized electronic medical record systems to store, retrieve and process patient data.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Scanned and uploaded medical records into electronic medical records system.
  • Researched and resolved medical record discrepancies.
  • Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
  • Streamlined codebase maintenance with thorough documentation, commenting, and version control practices.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Expedited project completion timelines with strong time management skills and adherence to deadlines.
  • Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.
  • Followed up with medical staff regarding missing information in patient records.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Improved code quality by implementing rigorous testing procedures and debugging strategies.
  • Monitored changes in coding regulations to provide recommendations for compliance.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Provided crisis intervention services as needed, responding quickly and appropriately to urgent situations in order to protect patient safety and wellbeing
  • Evaluated treatment plans against individual goals and healthcare standards

Trauma Trained Registered Nurse

Dr George Mokhari Academic Hospital
03.2021 - 08.2021
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Evaluated patient histories, complaints, and current symptoms.
  • Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
  • Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
  • Implemented care plans for patient treatment after assessing physician medical regimens.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
  • Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
  • Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.

Trauma Trained Registered Nurse

Life Healthcare Wilgers
03.2016 - 01.2021
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Evaluated patient histories, complaints, and current symptoms.
  • Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
  • Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
  • Educated family members and caregivers on patient care instructions.
  • Performed triage on incoming patients and determined severity of injuries and illnesses.
  • Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
  • Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
  • Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
  • Organized and managed care of patients undergoing various therapies and procedures.
  • Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
  • Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
  • Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
  • Recorded details regarding therapies to keep patient charts updated.
  • Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
  • Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
  • Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
  • Provided direct patient care, stabilized patients, and determined next course of action.
  • Recorded details regarding therapies to keep patient charts updated
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
  • Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations

Registered Nurse, Emergency Department

PVD Agency
01.2013 - 02.2016
  • Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
  • Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
  • Recorded details regarding therapies to keep patient charts updated.
  • Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
  • Participated in quality improvement initiatives aimed at enhancing the overall effectiveness and efficiency of emergency nursing care delivery within the department.
  • Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
  • Communicated openly and collaboratively with all healthcare staff to organize successful patient care.

Medical Aid Pre Authorization Consultant

Medihelp
03.2013 - 01.2016
  • Provided reporting for forecast analysis and ad-hoc reporting in support of decision-making.
  • Streamlined internal processes to enhance team efficiency and improve overall project outcomes.
  • Created and developed detailed work plans to meet business priorities and deadlines.
  • Devised and implemented processes and procedures to streamline operations.
  • Managed client relationships through regular check-ins and updates on project progress.
  • Optimized customer experience by delivering superior services and effectively troubleshooting issues.
  • Organized and analyzed primary and secondary research to understand industry, market and company trends.
  • Proven ability to learn quickly and adapt to new situations.
  • Worked effectively in fast-paced environments.
  • Self-motivated, with a strong sense of personal responsibility.
  • Adaptable and proficient in learning new concepts quickly and efficiently.
  • Learned and adapted quickly to new technology and software applications.

Education

No Degree - CCSA/PMB/Hospital Billing

Africode Consulting
Johannesburg, South Africa
04.2001 -

Skills

Utilization review

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Timeline

Hospital Clinical Case Manager

Netcare Akasia Hospital
09.2021 - Current

Trauma Trained Registered Nurse

Dr George Mokhari Academic Hospital
03.2021 - 08.2021

Trauma Trained Registered Nurse

Life Healthcare Wilgers
03.2016 - 01.2021

Medical Aid Pre Authorization Consultant

Medihelp
03.2013 - 01.2016

Registered Nurse, Emergency Department

PVD Agency
01.2013 - 02.2016

No Degree - CCSA/PMB/Hospital Billing

Africode Consulting
04.2001 -
Marliza SwanepoelHospital Clinical Case Manager