Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa – products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and employee assistance programmes.

Clinical Risk Consultants are responsible for supporting the implementation and maintenance of clinical risk management strategies, policies, and procedures to promote patient safety and minimize adverse events. A Clinical Risk Consultant must have excellent attention to detail, analytical skills, and understanding of clinical processes that will contribute to maintaining high standards of care and reducing potential liabilities. The role reports to the Clinical Risk Manager.
Note: This job specification serves as a general outline of the responsibilities and qualifications expected of a Clinical Risk Administrator. Specific duties and requirements may vary depending on the organisation.

Clinical Risk Consultant Responsibilities and Key Outcomes

Conduct comprehensive risk assessments to identify potential hazards and vulnerabilities in clinical processes and practices.

Analyse data and trends related to adverse events, incidents, and near misses to identify areas that require further investigation and for improvement

Collaborate with clinical and network teams and contribute in formulation of strategies for mitigating risks and enhancing patient safety.

Monitor compliance with established policies and procedures and recommend adjustments as needed.

Facilitate the timely reporting of incidents, adverse events, and near misses according to established protocols.

Coordinate incident investigations by working closely within a multi-disciplinary team to gather information and determine root causes.

Document investigation findings and contribute to developing corrective and preventive action plans.

Participate in quality improvement initiatives aimed at enhancing patient care and reducing clinical risks.

Collaborate with multidisciplinary teams to implement evidence-based practices and best practices in risk management.

Monitor the effectiveness of quality improvement interventions and recommend further enhancements.

Maintain accurate and detailed records of risk assessments, incidents, investigations, and corrective actions.

Ensure confidentiality and compliance with relevant regulations in the handling of sensitive information.

Generate reports and analyses to communicate key findings and trends to stakeholders at various levels.

EDUCATION AND QUALIFICATIONS
REQUIRED
Matric
Registered Nurse/Clinical Associate/Paramedic
Experience in the Managed Care Industry or Dealing with Service Providers in the Healthcare industry.
Qualification in healthcare administration, nursing, or a related field will be advantageous.
PERFERRED
Nursing Qualification
WORK EXPERIENCE:

Proven experience in clinical risk management, patient safety, or quality improvement within a healthcare setting.

Excellent analytical, problem-solving, and critical thinking skills.

Effective communication and interpersonal skills, with the ability to collaborate with diverse stakeholders.

Proficiency in data analysis tools and software applications.
TECHNICAL SKILLS OR KNOWLEDGE

REQUIRED
Strong understanding of healthcare regulations, accreditation standards, and risk management principles.
PERSONAL ATTRIBUTES: BEHAVIORAL COMPETENCIES

Attention to detail: Ability to meticulously analyse data and identify potential risks.

Adaptability: Willingness to respond to changing priorities and challenges in a dynamic healthcare environment.

Integrity: Commitment to upholding ethical standards and maintaining confidentiality.

Team player: Capacity to collaborate effectively with multidisciplinary teams to achieve common goals.

Continuous learner: Eagerness to stay abreast of emerging trends and best practices in clinical risk management.

Personal Attributes

• Excellent problem-solving skills backed by solid technical knowledge.
• Excellent customer service and communication skills, with the ability to explain technical concepts to non-technical users.
• Excellent organisational and time-management skills, with the ability to manage multiple priorities in a fast-paced environment.
• A versatile and service-oriented mind-set.
• Good communication skills.
• Understands the importance of documentation.
• Open to learn, but also willing to teach.