Case Manager

Recruiter:

Glasshouse Recruiting

Job Ref:

CPT000269/Tracy

Date posted:

Wednesday, February 23, 2022

Location:

Kimberly, South Africa

SUMMARY:

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

JOB DESCRIPTION:

Requirements:

Registered with SANC – as a Registered Nurse / Enrolled Nurse
4 - 5 years’ working with finance and Medical Aid Administration
Experience working within a Hospital will be an advantage
Advanced Computer Literacy
Clinical coding knowledge
Knowledge of clinical terminology and anatomy, funder rules, co-payments and exclusions

Duties & Responsibilities:

Liaise network of internal and external stakeholders to ensure that managed care of patients is maintained
Monitor and control costs for managed Care Organization patients
Confirm length of stay for full Managed Care Organization patients
Accompany managed Care Organization Case Managers on ward rounds in the hospital
Assist with final authorisation of managed care patient files
Ensure correct coding for all Managed Care Organization patients
Supply all details regarding history to clinical partners

Should you meet the above requirements, we urge you to please apply by forwarding your CV along with any supporting documents to -house.co.za

NB! This job is now closed. You can apply for other jobs by uploading your CV.

Case Manager

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