Clinical Case Manager Hospital Group (kimberly)
Job Description
Responsible for the application of clinical knowledge in justifying patient hospitalization in terms of treatment, length of stay and level of care
Monitor and action risks related to medical aid benefits and hospitalization
Ensure accurate specific and comprehensive clinical coding
Timeous, effective communication and follow-up with medical aids
Review authorization aspects approved, mitigating financial risk and final releasing of the case for billing
Liaise with a network of internal and external stakeholders regarding patient treatment
Adhere to the NHN Managed Health Care rules engagement
Compliance with all industry relevant legislative acts, regulations and circulars
B Degree/Diploma Nursing qualification and/or Case Management qualification will be an advantage
Diverse clinical nursing experience
Case Management experience
ICD 10 / CPT coding qualification or experience
SAP IS-H experience will be advantageous
Proficiency in Microsoft Office products
Continuous company Training and Development
Between 3 - 5 Years
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Job Detail
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Job IdJD1595883
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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 LocationKimberley, NC, ZA, South Africa
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EducationNot mentioned