Job Description

Case Manager - DurbanJOINT MEDICAL HOLDINGS PROPRIETARY LIMITEDRegistration No. 2011/010448/07VACANCY: JOINT MEDICAL HOLDINGSDIVISION: CITY HOSPITAL- CASE MANAGEMENTJOB TITLE: CASE MANAGERPURPOSE OF POSITIONThe incumbent will be responsible for managing risk through application of clinical knowledge, best operating procedures, service level agreements and accurate coding.EQUITY REQUIREMENTSPreference will be given to African males or females.KEY PERFORMANCE AREASFollowing the JMH policy with regards to clinical updating within turnaround times and service level agreements.Accurate and complete ICD 10/ CCSA coding.Month end deadlines.Ensure accurate and complete billing.Ensure adequate and appropriate information is communicated about the medical schemes.To manage the internal DSO and ensure optimization of tools used.Ensure complete rollout and compliance of Care Risk Management Procedures and Protocols.Ensure effective resolution to rejections relating to case management.COMPETENCIES (The following will be advantageous)Registration with the SANC as a RN / EN.Must be computer literate.MINIMUM REQUIREMENTS Must have Billing / Auditing experience essential.(Educational Qualifications & Experience in a multidisciplinary hospital environment.Experience) ICD 10and CCSA coding experience is required.Must have experience in liaising with medical aids, doctors and patients.Must have excellent telephone skills.SKILLS(Practical & Technical) Must possess excellent inter-personal skillProfessionalism and initiativeBEHAVIOURAL ATTRIBUTESWell-spoken and respectful(Personality Characteristics) Must be able to adhere to all company rules and policies.We respect the dignity of an individual.We are committed to giving our doctors top quality service.We are committed to building an atmosphere of trust, and to train and develop our staff to their fullest potential.JMH VALUES(Commitment) We are committed to providing our shareholders with a fair rate of return on their investment.We will act in a responsible manner towards our physical and social environment.CVxe2x80x99s together with supporting documents should be submitted to: recruitment@jmh.co.zaNB: Only short listed candidates will be contacted.POPIA CLAUSE xe2x80x93 HR ADVERTSYour information is collected and processed in accordance with the Protection of PersonalInformation Act No 4 of 2013 (POPIA).By applying to this advert, you consent to JMH (Pty) Ltd collecting and processing your personal information for the purpose of determining your eligibility for the advertised position.If unsuccessful, your personal information is securely destroyed and is not retained by the company.Yours faithfullyJenny BuxGroup HR ManagerJob Type: Full-timeAbility to Commute:Durban, KwaZulu-Natal (Required)Ability to Relocate:Durban, KwaZulu-Natal: Relocate before starting work (Required)

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