Monday , February 6 2023

Jobs at Mediclinic – Hospital case manager

Website Mediclinic

Job Description:

To coordinate the hospital case management process and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimise the financial risk for the organisation.

Job Responsibilities:

  • Ensure clinical coding standards are adhered to as per Level 3 coding guideline
  • Lead and manage the people in the Case Management team (if applicable)
  • Consistently and timeously communicate with Funders as contractually agreed through the relevant case management channels
  • Ensure compliance to case management procedures, contracts and legal aspects by utilising available resources and systems
  • Minimise financial risk by effectively managing patient stay
  • Ensure correct and timeous finalisation of cases to facilitate reimbursements from funders of claims

Job Requirements:

  • B2B EMS (electronic message system: check status of authorisations and use for trouble,shooting)
  • Computer literate (Microsoft Office)
  • Daily workflow; managing deviances; coding; and case management processes
  • Anatomy; physiology and terminology
  • Relevant aspects of applicable statutory acts (e.g. Consumer Protection Act; PMB; etc.)
  • Authorisation and motivation of Level of Care; Length of Stay; Short Payments etc.

Qualification & Experience:

  • DESIRED EXPERIENCE: Experience in Theatre and or ICU; Medical aid background; Experience in private healthcare environment or experience as an ILS/ALS Paramedic
  • ESSENTIAL EDUCATION: Clinical qualification
  • ESSENTIAL MINIMUM EXPERIENCE: Minimum of 3 years in a clinical role
  • DESIRED EDUCATION: Registered Nurse / Professional Nurse or qualified Paramedic

Job Details:

Company: Mediclinic

Vacancy Type: Full Time

Job Functions: N/A

Job Location: Pietermaritzburg, KwaZulu-Natal, SA

Application Deadline: N/A

Apply Here

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