Rate negotiable
Introduction Private Hospital basedin Glenwood Durban is looking for an experienced Case manager
Duties & Responsibilities The Case Manager utilising clinical knowledge and expertise, mitigates financial risk through comprehensive and accurate coding of hospital events, communication with funders on justification for hospitalisation level of care and length of stay.
Duties & Responsibilities
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 industry relevant legislative acts, regulations, and circulars.
Desired Experience & Qualification
ESSENTIAL QUALIFICATIONS INCLUDE:
Case Management qualification AN ADDED ADVANTAGE
Case Management experience
ICD-10 / CPT Coding Qualification And/or Experience
Clinic Manager Software experience advantageous
Proficiency in Microsoft Office products
Package & Remuneration Market and experience related
Rate negotiable
Sourced from external listing
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Sourced from PNet