Phumuzile Hilda Sanganza
Harare,HA
Summary
Dynamic and results-oriented Registered General Nurse and Wellness Programs Officer with extensive experience at Premier Service Medical Aid Society. Excelled in cross-functional team development and analytical problem-solving, significantly enhancing healthcare service delivery. Proven track record in emergency response and project execution, demonstrating adaptability and effective interpersonal abilities.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Wellness Programs Officer
PREMIER SERVICE MEDICAL AID SOCIETY
01.2021 - Current
- Wellness research and education, gathering information on wellness programs through various research tools and techniques
- Providing health and wellness communication to members and liaise with other departments for member communication
- Managing the collation or collection of robust data to facilitate the analysis of healthcare funding intelligence
- Keeping abreast of health risk management protocols and schemes benefits design and utilizing knowledge to carry out duties
- Reviewing quantitative data and statistics on health risk programs
- Recommending wellness programs, initiatives and events to ensure stakeholders are informed on managing their own health and guided to utilize the correct healthcare service providers
- Researching healthcare services, institutions and practices as they apply to managing and improving individual healthcare
- Recommending interventions, initiatives and interventions for enhancing individual healthcare
- Monitoring and reviewing success of initiatives, programs and events
- Ensuring events, programs and initiatives fall within approved budgets
- Maintaining accurate data collation and appropriate reporting
- Generate weekly, monthly and quarterly sectional reports and adhoc system based reports for decision making purposes.
CLAIMS ASSESSOR
PREMIER SERVICE MEDICAL AID SOCIETY
01.2018 - 01.2021
- Claims processing, preparing claims for payment by analyzing for reasonability, regulatory requirements, costs and manual intervention where necessary
- Gathering additional data from service providers or members for incomplete claims
- Applying benefit policy management when processing claims
- Highlighting claims that needed further investigation
- Developing weekly and monthly claims reports detailing claims ratios, investigations, special cases and query resolution
- Attending to member and service provider claim queries and providing feedback to inform decisions on claims management
- Maintaining accurate data collation and appropriate reporting
Registered General Nurse
CHINHOYI PROVINCIAL HOSPITAL
01.2014 - 01.2017
- Worked in the Adult Medical and Surgical Wards on rotational basis
- Responsibilities
- Full assessment of patients and collecting relevant medical history so as to formulate a nursing diagnosis
- Collecting vital observations (blood pressure, pulse, temperature, respirations, SPO2) , noting and intervening on any anomalies
- Performing procedures such as wound care, accessing intravenous lines, insertion of nasogastric tubes, suturing and removal of sutures according to the hospital standard operating procedures
- Timely administration of prescribed medication by intravenous, intramuscular, intra – dermal, oral or subcutaneous routes
- Follow through and carrying out all doctor’s orders
- Health education of patients and caregivers on various health related issues and preventative measures
- Collecting of blood samples for laboratory investigations
- Ordering drugs and sundries
- Assisting patients with feeding, bathing and oral care
- Offering psychological support to patients and relatives
- Assist patients on discharge and counsel them on follow ups.
Education
QUALIFICATIONS - Business Management
Midlands State University
01.2022
Diploma - General Nursing
Chinhoyi Provincial Hospital
01.2017
Level -
Trust Academy High School
01.2005
O” -
Skills
- SKILLS SET
- Ability to adapt to a new working environment
- Ability to perform well in a fast-paced, high-pressure environment
- Effective Interpersonal Abilities
- Proficient Multitasking Ability
- Professional Project Execution
- Open to New Experiences
- Analytical Problem Solving
- Cross-Functional Team Development
- Risk assessment
- Emergency and non-emergency response
- Information verification
References
- REFERENCES
- The Principal Tutor Chinhoyi Provincial Hospital P.O.Box 17 Chinhoyi Zimbabwe +263773922535
- Mrs R Majongosi Branch Manager PSMAS BinduraOffice +263772852827 3) Dr T. Chiworeka Popolation Health and wellness Co-ordinator PSMAS Head Office Mobile +263779 210 844 Tel: 263 242 792004-6
Certification
- Customer service certification
Websites
Timeline
Wellness Programs Officer
PREMIER SERVICE MEDICAL AID SOCIETY
01.2021 - Current
CLAIMS ASSESSOR
PREMIER SERVICE MEDICAL AID SOCIETY
01.2018 - 01.2021
Registered General Nurse
CHINHOYI PROVINCIAL HOSPITAL
01.2014 - 01.2017
QUALIFICATIONS - Business Management
Midlands State University
Diploma - General Nursing
Chinhoyi Provincial Hospital
Level -
Trust Academy High School
O” -
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