Case Manager – Part Time (Hospital Group) – Berea, Kwa-Zulu Natal 84 views

Job Overview

Requirements:

 

  • B degree/diploma nursing qualification and/or Case Management qualification
  • Diverse clinical nursing experience
  • Case Management experience
  • ICD- / CPT coding qualification or experience
  • SAP IS-H experience
  • Proficiency in Microsoft Office

 

Duties & Responsibilities:

 

  • Responsible for application of clinical knowledge in justifying patient hospitalisation in terms of treatment, length of stay and level of care
  • Monitor and action risk related to medical aid benefits and hospitalisation
  • Ensure accurate, specific and comprehensive clinical coding
  • Timeous, effective communication and follow-up with medical aids
  • Review authorisation aspects approved, mitigating financial risk and final releasing the case for billing
  • Liaise with a network of internal and external stakeholders regarding patient treatment
  • Adhere to NHN Managed Health Care rules of engagement
  • Compliance with all industry legislative acts, regulations and circulars

 

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Unit 3 Sunningdale Suites
12 Wild Wood Close
Sunningdale
Cape Town
Send an email
+27 21 554 5309 / +27 21 200 6629

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