
Website Mediclinic Legae
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 correct and timeous finalisation of cases to facilitate reimbursements from funders of claims
- Ensure clinical coding standards are adhered to as per Level 3 coding guideline
- 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
- Lead and manage the people in the Case Management team (if applicable)
Job Requirements:
- Funder Contracts; Medical aid requirements/narrations
- Computer literate (Microsoft Office)
- Scientific nursing principles and process
- Anatomy (including terminology)
- Patient admin programmes on the AS400 system
Qualification & Experience:
- Experience in private healthcare environment or experience as an ILS/ALS Paramedic
- Clinical qualification
- Minimum of 3 years in a clinical role
- Registered Nurse / Professional Nurse or qualified Paramedic
- Experience in Theatre and or ICU; Medical aid background
Job Details:
Company: Mediclinic Legae
Vacancy Type: Full Time
Job Functions: N/A
Job Location: Cape Town, Western Cape, South Africa
Application Deadline: N/A
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