Case Manager

Case Management Role at Melomed Bellville HospitalREQUIREMENTS:- Seeking a Qualified Registered Nurse- Valid Registration with SANC and proof of indemnity cover- Minimum 2 years of experience required- Previous exposure to private hospital environments would be beneficial- Familiarity with ICD 10 and CPT coding - Understanding of Prescribed Minimum Benefits...

Work Experience:Minimum 2 years of experience as a Registered Nurse with a background in Case ManagementFamiliarity with ICD10 CodesProficiency in understanding and applying Medical Aid Scheme PoliciesPrior experience in Case Management within a Medical Aid settingExperience working in Private Hospitals would be beneficial

Experience:Qualified Nurse2 Years Experience in Case ManagementQualifications:Familiarity with ICD10 CodesUnderstanding of Policies & Rules of Medical Aid SchemesBackground in Medical Aid as Case ManagerExperience in Private Hospital setting is a bonus

Qualified Registered Nurse A qualified EN with relevant experience would be considered Both need to registered with SANC and proof of indemnity cover- Minimum 3 years nursing experience in a multidisciplinary hospital. Experience and exposure in Theatre and/or ICU- Private Hospital or Medical Aid scheme case management- Experience in ICD 10 and CPT coding is...

Knowledge of the SAP PSRM Generic Case Framework in SAP ECC Special SAP Knowledge System integration between SAP ECC and SAP Portal, UI5 Mobile and BW4 HANA Understanding of SAP RE_FX Module in particular SAP LUM Knowledge of SAP Master Data (Setting up Parties) Knowledge of Case to Finance Integration Knowledge of Case Subcomponents Knowledge of Case...

Position Purpose:To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources.Experience:5 years' experience in the Managed Care environment in pre-authorisation call centre/ hospital case...

Company DescriptionWNS (Holdings) Limited (NYSE:WNS) is a global Business Process Management (BPM) leader. WNS offers business value to 400+ global clients by combining operational excellence with deep domain expertise in key industry verticals, including Banking and Financial Services, Consulting and Professional Services, Healthcare, Insurance,...

Case Manager: Physiotherapist***Chronic Medicine Management and aPMBGradeB4M1Position PurposeExperience***A minimum of 2 years experience as PhysiotherapistQualifications***Qualified PhysiotherapistGeneric Output DetailsAccountabilitiesClient service delivery and quality:Follow procedures and cooperate with peers and leader for best possible service...

Case Manager: Physiotherapist Chronic Medicine Management and aPMBGradeB4M1Position PurposeReporting to the PMB Supervisor, the role incorporates the evaluation of ambulatory PMB applications in line with reimbursement guidelines, communication with healthcare professionals and participation in the "exceed the customer expectations" principles of the...

WHO WE ARE:A21 is a nonprofit organization fueled by radical hope that human beings everywhere will be rescued from bondage and completely restored. We are the abolitionists of the 21st century, and we work to free people in slavery and disrupt the demand.For 15 years now, we've rolled up our sleeves and set our feet to action. Why? Because in a single...

Our client, a private hospital based in Cape Town are currently recruiting for a Hospital Clinical Coder who will be responsible, in collaboration with the Hospital Case Management Teams for liaising between the patients, treating clinicians and managed care organisations in order to provide clinical coding that is updated in accordance with the patient...

Responsibilities: Production Oversight: Direct and coordinate the daily operations of the meat casing department, ensuring production targets, quality standards, and deadlines are met. Team Leadership: Supervise, train, and mentor staff, promoting a positive work environment and ensuring staff adhere to health and safety regulations. Quality Control:...

Cape Town Area - Western Cape: Responsible for the systematic and methodical investigation, analysis and documentation of all business areas to determine inefficiencies in order to create effective solutions to assist in reduction of costs and productivity improvements. Designs integrated solutions and develops business cases across various business areas...

SoluGrowth is looking for Technical Project Manager for a 12 Months fixed term contract based in Cape Tows, Bellville.RESPONSIBILITIES: Facilitate process for Business Case development and approval. Ensure alignment between approved Business Case and Project delivery. Define and manage the project in accordance with the PM methodology, governance, and...

Establish necessary Program/Project Governance and structuresFacilitate process for Business Case development and approvalEnsure alignment between approved Business Case & project deliverySmooth transition from project implementation to ongoing BAU Support & MaintenanceAccountable for procurement process, vendor contracting & delivery management per...

IntroductionRole PurposeInvestigate claims to determine the legitimacy of claims and adherence to product and organizational requirements.Requirements:years experience in the financial services industry (essential) years people management experience (essential) Formal qualificationsGrade 12 or equivalent qualification Extensive financial services industry...

Establish necessary Program/Project Governance and structures Facilitate process for Business Case development and approval Ensure alignment between approved Business Case & project delivery Define & manage the project in accordance with the PM methodology, governance & standards Accountable for resource contracting and optimal utilisation Effective Risk,...

This role is primarily responsible for Client Relationship Management at the Program Level and Performance & People Management.Minimum Requirements: 8 years of experience with Life and Annuities Retirement Plan Services× General loans eligibility and Transaction processing× Hardship Withdrawals and High-Risk Transactions× Pension Risk Transfer× Defined...

Manage the Admin Department and processes with regards to non-releasesManage the Credit Control queriesManage Case Manager updates and escalations for Medical AidsEnsure accurate ICD 10 and CPT CodingAnalysis of Billing errorsManaging Fixed Fee Contracts with Medical AidsDaily and Monthly reporting to the Hospital Manager and Head Office regarding Admin...

Duties: Capacity Planning and staffing plans for the process based on medium term business forecast. Negotiating and finalizing SLA's with the Client Establishing a review/reporting mechanism with the Client Developing and approving incentive plan Develop case studies, show case the business and participate in business acquisition Review progress of...