Hospital Case Manager

Mediclinic Sandton| Bryanston, Johannesburg | South Africa

Closing date : 17 / 11 /

Number of positions : 1

Recruiter name : Nomsa Rachel Somzila

Reference number : WORKPLACE TYPE

On-site; Permanent

Please note if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profile

MAIN PURPOSE OF JOB

To coordinate the hospital case management process and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimise the financial risk for the organisation.

KEY RESPONSIBILITIES AREAS

• Minimise financial risk by effectively managing patient stay
• Ensure compliance to case management procedures, contracts and legal aspects by utilising available resources and systems
• Ensure correct and timeous finalisation of cases to facilitate reimbursements from funders of claims
• Consistently and timeously communicate with Funders as contractually agreed through the relevant case management channels
• Ensure clinical coding standards are adhered to as per Level 3 coding guideline
• Lead and manage the people in the Case Management team (if applicable)

REQUIRED EDUCATION

ESSENTIAL EDUCATION : Clinical qualification

DESIRED EDUCATION

Registered Nurse / Professional Nurse or qualified Paramedic

REQUIRED EXPERIENCE

DESIRED EXPERIENCE

REQUIRED JOB SKILLS AND KNOWLEDGE

All applicants will be considered, with the understanding that preference will be given in accordance with the Employment Plan of Mediclinic Southern Africa, as well as internal applicants / employees that meet the minimum requirements.

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