Case Manager Hospital Group (durban)
Job Description
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 stakeholders regarding patient treatment
Adhere to the NHN Managed Health Care rules of engagement
Compliance with all industry relevant legislative acts, regulations and circulars
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 is advantageous
Proficiency in Microsoft Office products
Between 3 - 5 Years
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Job Detail
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Job IdJD1523763
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationDurban, ZN, ZA, South Africa
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EducationNot mentioned