Job Description: The Case Manager will accept full responsibility and accountability to render effective case management processes and facilitate the communication process between all role players by providing accurate and timeous clinical information in order in order to minimize the financial risk for the Company. Job Responsibilities: Conduct daily case management rounds in allocated units to obtain updated clinical information from patient files. Comply with case management procedures, Medical Scheme contracts and legal aspects by utilizing available resources and systems (specifically the Case Manager Workstation on SAP). Obtain Doctors’ letters of motivation in support of all cases where Medical Schemes request these from the hospital as part of their assessing process. Communicate consistently and timeously with the Medical Schemes as contractually agreed through the relevant case management channels. Minimize financial risk by effectively managing patient stay Ensure authorizations on admissions (daily) is accurate as per SAP system. Job Requirements: Grade 12. Certificate in Coding (advantageous). 3 - 5 years’ experience in a private hospital or Medical Scheme environment, in a case management capacity. Working knowledge of ICD-10 and CPT codes. Computer proficiency – SAP system or similar. Registered Nurse currently registered with SA Nursing Council (SANC). Job Details: Company: Clinix Health Group Vacancy Type: Full Time Job Location: Mafikeng Application Deadline: N/A Apply Here instantcareers.net
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