Case Manager – Hospital Group – Berea, Kwa-Zulu Natal Full Time NEW

Requirements:

• B Degree Nursing Qualification or equivalent NQF level 6
• 3 years patient care experience
• Intermediate CPT and ICD 10 training
• Microsoft Excel knowledge
• Nursing policies and procedures
• Advanced Computer Literacy

The main purpose of this position:

The incumbent will be responsible for the liaison between the patient and medical aids in order to secure payment for the hospital

Duties & Responsibilities:

• Liaise with network of internal and external stakeholders to ensure that managed care of patients is maintained
• Monitor and control costs for Managed Care Organisation patients
• Confirm length of stay for all Managed Care Organisations patients
• Accompany Managed Care Organisation Case Managers on ward rounds in the hospital
• Assist with final authorization of Managed Care patient files
• Ensure correct coding for all Managed Care Organisation patients
• Supply all details regarding patient history to Clinical partners
• Ensure DNYB & In-Patients are managed within Group benchmarks