Case Manager | Specialised Units

Function Nursing Facility Position Case Manager | Specialised Units Introduction

A vacancy exists for a Case Manager Specialised Units, based at Life Springs Parkland Hospital, reporting to Marilyn Daswa, Patient Service Manager. The successful candidate will be responsible for the management of the financial and clinical administrative risks pertaining to patients in specialised units – Intensive care units, high care units and neonatal intensive care units.

Critical Outputs

Ensuring operational excellence by

• Conducting ward rounds and ensuring the accurate complete collection of clinic data from patient files and liaisons with nursing staff and attending clinicians
• Updating accurate clinical information to justify length of stay and level of care to medical funds of specialised unit cases and where operationally required general ward cases.
• Updating and providing the necessary information to funders regarding high value items, limited benefits and protocols as defined by managed care organizations
• Communicating funder requirements / responses to attending clinicians and patients where necessary, and ensuring compliance with industry standards
• Ensuring effective management of real time and manual messaging, including requests, responses, rejections and submissions.
• Ensuring the accurate submission of accounts to funders.
• Complying with governance and risk management requirements by ensuring adherence to patient services policies and procedures
• Ensuring compliance to service level agreements with internal and external stakeholders

Ensuring effective management of revenue by

Ensuring effective management of quality outputs by

Ensuring effective management of relationships with internal / external stakeholders by

Requirements

Competencies

#J-18808-Ljbffr