Senior Hospital Case Manager: Care Coordination

A prominent healthcare organization in South Africa is seeking a Senior Officer: Hospital Case Management to oversee the coordination of care for motor vehicle accident patients. Key responsibilities include patient assessment, facilitating timely transfers, and ensuring accurate invoicing. Applicants must hold a relevant bachelor's degree and possess four...

Overview The Road Accident Fund’s mission is to provide appropriate cover to all road users within the borders of South Africa; to rehabilitate and compensate persons injured as a result of motor vehicle accidents in a timely and caring manner; and to actively promote safe use of our roads. Purpose of the job: The Senior Officer: Hospital Case Management...

**Company Description** About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial well-being of all South Africans towards lasting social change. Insurance products with limited medical benefit need close supervision for casualty and admission cases. Load all hospital related cases for casualty treatment and...

Liaise with Receptionist for authorizations. Ensure compliance to case management procedures, standards and protocols. Plan, coordinate and execute Clinical coding in accordance with relevant CHG standards and protocols. Ensure accurate, appropriate and complete diagnostic and procedural coding of all patient records in the hospital. Timeously and...

Choose how often (in days) you want to receive a notification : Mediclinic Sandton| Bryanston, Johannesburg | South Africa Closing date : 17 / 11 / Number of positions : 1 Recruiter name : Nomsa Rachel Somzila Reference number : Workplace Type : On-site Permanent Please note if you are an internal employee on a fixed term contract please apply using an...

Case Manager is responsible for developing and implementing intensive multifaceted risk management interventions on a patient-specific basis with the purpose of preventing or reducing the medical schemes’ exposure to potentially high-cost members (in/out of hospital) who have been identified and risk stratified through claims analyses and clinical...

Ensure compliance to case management procedures, standards and protocols.Plan, coordinate and execute Clinical coding in accordance with relevant company standards and protocols.Timeously and consistently communicate and follow up with Funders (Medical Aids, COID, Government, RAF, DOL, etc.)Provide appropriate clinical information to Funders in order to...

Open vacancy in Gauteng! Looking for a someone that will be responsible for the liaison between the patients and managed healthcare. **Requirements**: - B Degree Nursing Qualification or equivalent NQF level 6 - Hospital case manager experience advantageous - 3 years’ experience in patient care - SAP experience preferrable

**Case Manager** 1. **Qualifications**: - Matric - Registered Nursing diploma - Valid membership of SANC - Claims and Forensic Risk management certification - Registration with the Association of Certified Fraud Examiners (ACFE SA) 2. **Skills and Experience**: - At least 2-3 years’ experience in a similar role. - MIP Application System experience...

Main Focus Areas To ensure effective Implementation management and sustainability of clinical programs (e.g. cardiac stroke and trauma) aligned to international best practice and / or accreditation requirements. This is done in conjunction with the relevant Hospital Group Managers. This role is also responsible for facilitating communication and engagement...