Job Description

Intercare is a dynamic healthcare company focusing on offering value-based healthcare to patients. As ambassadors of the Intercare brand, everything we do is guided by our purpose to make people feel better. Our shared values of People-centred, Integrity, Inclusivity, Excellence and Innovation define what we believe and who we are.

Intercare Physical Rehabilitation Hospital situated in the Sports Science Institute of South Africa (SSISA), Newlands, Cape Town is recruiting for a Case Manager. The purpose of the position is to create awareness of services offered amongst key stakeholders in the area, to identify patients aligned with admission criteria and to coordinate and provide a professional and efficient Case and Risk Management function.

CRITICAL OUTPUTS

Participate in recruiting referring Doctors and other members of the professional team. Participate in recruiting referring Doctors, other members of the professional team and active marketing of the facility. Build productive relationships with healthcare professionals to ensure adequate referral rates to achieve budgeted occupancy levels. Conduct clinical assessments to ensure that transfers and admissions adhere to criteria. Obtain authorisation from funders/medical aids & submit required documentation during the patient stay to ensure timeous payment of accounts. Minimise the financial risk by effectively managing patients stay. Coordinate feedback from the multi-disciplinary team and communication on multiple platforms. Provide management, audit, progress and discharge reports. Effectively manage and maintain patient outcomes data. Ensure compliance to case management procedures, contracts and legal aspects by utilising available resources and systems.

REQUIREMENTS

Registered with SANC as a Registered Nurse At least 3 years' Case Management experience in a Sub-Acute or Acute hospital environment Previous experience in marketing services in a healthcare environment Working knowledge of ICD & CPT coding would be advantageous Working knowledge of Fund's rules, limits & contracts; perdiem/fixed fee interpretation; tariffs an advantage Manage daily workflow, case management and coding processes Full computer literacy on all MS Office packages B2B EMS (electronic messaging systems: check status of authorisation and used for problem solving. Ability to build relationships with Health Care Professionals Excellent Administrative & Negotiation skills required Patient admin programmes on the AS400 system
Job Type: Full-time

Experience:

Case Manager: 2 years (Preferred)
License/Certification:

Are you qualified Registered Nurse registered with SANC? (Required)
Work Location: In person