Vicki Swart
Registered Nurse
Boksburg,Gauteng
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
16
16
years of professional experience
4
4
years of post-secondary education
2
2
Languages
Work History
Quality Assurance Auditor and Training
Medical Services Organisation International
Sandton
1 2023 - Current
- Claims Quality Assurance, Calls Quality Assurance, Training of employees Client Quality Reporting
- Delivered third-party audit services at client locations, keeping operations in compliance with regulatory requirements and ISO standards.
- Completed timely quality reports highlighting deficiencies and recommending corrective actions.
- Implemented corrective actions to address discrepancies found during audits, resulting in improved overall performance.
- Identified issues of non-compliance and elevated reports to senior personnel.
- Skilled at working independently and collaboratively in team environment.
- Applied effective time management techniques to meet tight deadlines.
- Scheduled and executed 3600 yearly audits.
- Followed standard operating procedures for inspections and tests.
- Updated quality control records and reports
- Educated and oriented employees to improve compliance with quality control protocols.
Operations Manager
Medical Services Organisation International
Sandton
01.2014 - 12.2022
- Clinical Audit.
- Managing clinical team of approximately 35 staff members
- Month end Client reporting
- Call Centre Management as well as Case Management
- Observed each employee's individual strengths and initiated mentoring program to improve areas of weakness.
- Led hiring, onboarding and training of new hires to fulfill business requirements.
- Reduced process bottlenecks by training and coaching employees on practices, procedures, and performance strategies.
- Assisted in recruiting, hiring and training of team members.
- Conducted regular performance reviews, identifying areas for improvement and developing action plans to address them.
- Trained and guided team members to maintain high productivity and performance metrics.
- Supervised operations staff and kept employees compliant with company policies and procedures.
Clinical Coordinator
Medical Services Organisation International
Sandton
11.2012 - 12.2013
- Pre-Authorisation, Coordination of clinical care, Medical Assistance.
- Conducted regular performance assessments and provided constructive feedback to staff members, promoting high-quality service delivery.
- Coordinated, monitored, assigned, and documented patient and clinical care activities.
- Enhanced interdisciplinary collaboration through effective communication and coordination among healthcare team members.
- Managed complex patient cases, collaborating with multidisciplinary teams to develop personalized treatment plans.
- Excellent communication skills, both verbal and written
- Applied effective time management techniques to meet tight deadlines.
- Self-motivated, with strong sense of personal responsibility
- Organized and detail-oriented with strong work ethic
Medical Claims Coordinator
Interhealth Technologies
Bedfordview
05.2011 - 10.2012
- Medical claims assessment for Medical Insurance Medical Assistance – Coordination of Emergency evacuation, Repatriation
- Case management Pre-Authorisations.
- Reconciliations
- Liaison with hospitals re progress of members, obtaining of medical reports, clinical updates.
- Incorporated with MSO International
- Identified and resolved discrepancies between patient information and claims data
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Managed large volume of medical claims on daily basis.
- Developed strong working relationships with insurance company representatives, fostering collaboration and cooperation in claims resolution.
- Assessed medical claims for compliance with regulations and corrected discrepancies.
- Conducted regular audits of processed claims to identify areas for improvement in quality control measures.
- Responded to correspondence from insurance companies.
- Negotiated payment arrangements with providers and patients when necessary, resulting in increased revenue recovery rates.
Registered Nurse, Medical-Surgical Unit
Life Roseacres Hospital
Germiston
08.2008 - 04.2011
- Work as ward sister in Surgical ward.
- Responsible for doctors' rounds, supervision of staff, shift leader Quality management training received Working currently as second in charge in Surgical Administrative duties, booking of agency staff.
- Training of students and junior staff.
- Provided direct patient care, stabilized patients, and determined next course of action
- Implemented medication and IV administration, catheter insertion, and airway management
- Monitored patient reactions after administering medications and IV therapies
- Provided didactic and clinical instructions to orient new nurses and potential student nurses to achieve training outcomes
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
- Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks
- Recorded details regarding therapies to keep patient charts updated
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Demonstrated expertise in wound management techniques resulting in accelerated healing times for patients with complex wounds or pressure injuries.
Education
Four-year Nursing Diploma Course - Nursing Science
Ann Latsky College
Johannesburg, South Africa 01.1994 - 12.1997
Skills
Personal Information
- ID Number: 7507030060088
- Date of Birth: 07/03/75
- Gender: Female
- Marital Status: Married
Professional Memberships
not currently active -South African Nursing Council Registration
Language
Afrikaans and English
Awards
- Received a certificate for the best student in the Urology Course in 2003.
- I also received a family planning certificate as a student.
- Previous BLS instructor's course and BLS certification
References
- Natalie de Beer, 084 920 3534
- Brenda Durow, 082 446 4334
- Brett Muir, 082 958 1449
- Julian Gutuza, 083 448 2736
Timeline
Operations Manager
Medical Services Organisation International
01.2014 - 12.2022
Clinical Coordinator
Medical Services Organisation International
11.2012 - 12.2013
Medical Claims Coordinator
Interhealth Technologies
05.2011 - 10.2012
Registered Nurse, Medical-Surgical Unit
Life Roseacres Hospital
08.2008 - 04.2011
Four-year Nursing Diploma Course - Nursing Science
Ann Latsky College
01.1994 - 12.1997
Quality Assurance Auditor and Training
Medical Services Organisation International
1 2023 - Current
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