Clinical Case Manager

2 weeks ago


Durban, South Africa Adzuna ZA B C2 Full time
Key Responsibilities:
  • Stakeholder Liaison: Maintain effective communication with a network of internal and external stakeholders to ensure comprehensive managed care for patients.
  • Cost Management: Monitor and manage costs associated with Managed Care Organization patients.
  • Stay Confirmation: Confirm and document the length of stay for all patients under Managed Care Organizations.
  • Ward Rounds: Accompany Managed Care Organization Case Managers during ward rounds within the hospital.
  • Authorization Assistance: Support the final authorization process for Managed Care patient files.
  • Accurate Coding: Ensure accurate coding for all Managed Care Organization patients.
  • Patient History: Provide detailed patient history information to clinical partners.
  • Benchmark Management: Ensure DNYB and in-patients are managed within the Group's benchmarks.

Qualifications and Experience:
  • Nursing diploma/degree OR Enrolled Nurse certificate.
  • Current registration with SANC.
  • A minimum of 3 years of nursing experience in a multi-disciplinary hospital.
  • At least 2 years of general or ICU case management experience.
  • Preferably intermediate training in CPT and ICD 10.
  • Proficiency in computer literacy, particularly with MS Excel.
  • Effective communication skills.
  • Excellent time management skills and the ability to meet deadlines.

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