Case Manager (Hospital Group) - Berea, Kwa-Zulu Natal

Glasshouse Recruiting

Berea

Introduction

Requirements:
• B degree/diploma nursing qualification and/or Case Management qualification
• Diverse clinical nursing experience
• Case Management experience
• ICD-10 / CPT coding qualification or experience
• SAP IS-H experience
• Proficiency in Microsoft Office

The main purpose of this position:

The Case Manager utilising clinical knowledge and expertise, mitigates financial risk through comprehensive and accurate coding of hospital events, communication with funders on justification for hospitalisation level of care and length of stay

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... More Detail

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