Hospital Case Manager (Hospital Group) – Bloemfontein, Free State 77 views

Job Overview

Requirements:

 

  • Registered with SANC
  • Clinical qualification
  • Registered Nurse / Professional Nurse or qualified Paramedic
  • Minimum of 3 years in a clinical role
  • Experience in Theatre and or ICU; Medical aid background; Experience in private healthcare environment or experience as an ILS/ALS Paramedic

 

Skills:

 

  • Anatomy (including terminology)
  • Funder Contracts; Medical aid requirements/narrations
  • Patient admin programmes on the AS400 system
  • Scientific nursing principles and process
  • Computer literate (Microsoft Office)
  • Authorisation and motivation of Level of Care; Length of Stay; Short Payments etc.
  • Relevant aspects of applicable statutory acts (e.g. Consumer Protection Act; PMB; etc.)
  • Patient Administration policies and procedures (e.g. Patient Confidentiality; Visitation of external case managers; etc.)
  • Daily workflow; managing deviances; coding; and case management processes
  • Application of clinical codes and finalisation thereof (Level 3 coding)
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