The Palestine Liberation Organization for the benefit of the Palestinian Authority has received a grant from the International Development Association (IDA) toward the cost of the Health System Resiliency Strengthening Project, and it intends to apply part of the proceeds to payments for consulting services to be procured under this project.
The consulting services (“the Services”) include the selection of a qualified and experienced Coordinator for Israeli hospitals to work with the Services Purchasing Unit (SPU). The Coordinator will be responsible of all coordination necessary regarding the treatment of patients referred to Israeli service providers. Coordinate and manage the referral applications that the SPU receives from the Regional Referral Committees and reviewed by medical reviewers and approved to be treated in one of the Israeli contracted hospitals. Responsibility includes the correct assigning of DRG (a diagnosis code), coordinate with facility to refer the patient and revision of all invoices from Israeli health facilities against the referral authorization. More specifically, the Coordinator is expected to perform the following tasks:
- Review all the medical referrals that are transferred to him/her and give the correct medical diagnosis code (DRG) and complete the necessary approvals within the SPU in coordination with the Israeli service providers.
- Compilation of information and documents concerning the patient, whether medical or administrative, in order to prepare a file for the patient depending on the procedures followed.
- Follow up on all necessary internal coordination at the SPU to complete the referral process based on the decisions of the referral committees and medical reviewers.
- Enter information to the E-referral system for any new referred cases or follow up cases and inform referral facilities and follow up with them regarding each referral.
- Assist medical reviewers to select the appropriate service provider based on the nature of the case and MOU signed with service providers to ensure the provision of services to the patient with the best quality and price.
- Follow up the information received from the service providers either through the electronic page or through e-mail.
- Prepare periodic reports on referred cases to Israeli hospitals and update the SPU director and team.
- Follow up with referral service providers on the provision of medical documents and reports, in addition to financial invoices for each referral.
- Provide necessary coordination for the transfer of patients who have completed their treatment or are not approved to complete their treatment with service providers.
- Prepare patient files for the referral committee meetings and attend the committee in person (if necessary) to answer any arising questions.
The Ministry of Health invites eligible qualified candidates to provide information indicating their qualifications, experience and appropriate skills to perform the services. The main qualifications required are as follows:
جميع الحقوق محفوظة لموقع جوبس.
Minimum Qualifications: First degree in medical, nursing, pharmacy or public health field. Business administration degree with experience in health related field can be considered.
Maximum Qualifications: Master’s Degree in Health Management
Practical Experience: Minimum two years of experience in managing medical transfers or medical files or health insurance (Case Management) preferably with Israeli sick funds or within the Palestinian Ministry of Health.
Other basic knowledge, capacities and skills:
- Strong oral and written communication skills in Arabic, Hebrew and English. Hebrew language is a must.
- Knowledge of referral guidelines and processes related to service purchase unit systems.
- Proficiency in using computer and electronic databases and willingness to work on E- referral system.
- Ability to assess medical records and documentation for completeness and accuracy.
- Knowledge of Israeli DRG codes and their application.
- Strong organizational skills and ability to manage large work volumes in a timely manner.
- Ability to collaborate with and support other team members.
- Ability to work effectively under pressure and meet performance expectations.
- Excellent skills of observation, deduction and induction.
The contract will be a Time-Based contract for a period of Seven months to be renewed based on the performance evaluation and availability of fund.
The attention of interested Consultants is drawn to paragraph 1.9 of the World Bank’s Guidelines: Selection and Employment of Consultants under IBRD Loans and IDA Credits & Grants by World Bank Borrowers dated January 2011 (revised July 2014) (“Consultant Guidelines”), setting forth the World Bank’s policy on conflict of interest.
Interested candidates are requested to send their CVs and a cover letter to the Ministry of Health at this email: [email protected].
The closing date for applying is COB of October 27, 2019. Please clearly indicate the position which you are applying in the subject line of your email.