Case Manager - Kimberley, Northern Cape

Updated: March 21, 2024 10:53 AM GMT

Glasshouse Recruiting

Kimberley

Introduction

Requirements:
• B Degree Nursing Qualification or equivalent NQF level 6
• 1-2 years’ experience in an administrative role or auditing
• Advanced computer literacy

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 financial risk and final releasing the case for billing
• Liaise with a network of internal and external... More Detail