Senior IOD Case Manager
2 days ago
FEM is looking to appoint an IOD Case Manager in Head Office. Reporting to the Medical Services Manager. The overall objective of the position is to oversee other case managers while also liaising with medical service providers to ensure optimum cost-effective treatments without compromising the customer or injured employee. The successful candidate will be responsible for inter alia: Facilitating patient/client care by assessing patient/client needs, evaluating treatment options by frequent engagements within multidisciplinary teams and Health Care Facilities. Improving clinical outcomes, meeting patient/client healthcare requirements, increasing patient/client satisfaction, and promoting cost-effective healthcare for FEM injured workers in acute and subacute facilities. Providing efficient follow up, updating plans and reviewing the progress of cases. Liaising with hospitals and doctors to ensure optimum cost-effective treatment as well as monitoring overservicing without compromising the customer or injured employee through effective case management in compliance with the COID Act This position is aimed at a dynamic and performance driven individual who can deliver administrative outputs whilst working effectively with people. The successful candidate will apply their clinical knowledge in the risk management of patients in terms of length of stay, level of care and other benefits in terms of the COID Act/gazettes and other relevant guidelines. Furthermore, they will monitor high cost and high acumen (ICU/HC) claims of hospital admissions and escalated queries as well as provide pre-authorisation of procedures not covered by the COID Act. The minimum requirements of the position are a relevant B-degree / diploma with active registration as a Registered Nurse with SANC. The candidate must have at least 2 years' experience post qualification experience in ICU or Theatre Techniques, with at least 5 years experience in Managed care and 3 years in COIDA administration. Good functional computer literacy, good literacy and numeracy skills, an excellent performance track record as well as extensive knowledge of hospital billing rules, industry tariffs (including ICD10 Codes, UPFS, CPT4 Coding, SEP, NAP and PMBs). Coupled with the above, a valid drivers license and own transport are part of our minimum requirements. Experience in a private hospital managed healthcare environment and knowledge of the COID Act and workman's compensation will be a distinct advantage. Excellent customer focus, the ability to work in a highly pressurised environment, quality orientation, reliability and excellent communication complete our requirements. We have offices regionally in Cape Town, Durban and Johannesburg. Our Head Office is based in Rosebank Johannesburg. In exchange for the candidates successful services, FEM offers a competitive total cost to company remuneration with good benefits. Candidates are invited to submit a detailed CV by close of business on the 19 January 2025. Applications may not be considered if the minimum criteria of the position are not met. People with disabilities are welcome to apply. FEM promotes the principles of Employment Equity and the appointment of this candidate is at FEM's sole discretion.
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Senior Case Management Officer
1 week ago
Johannesburg, South Africa Hutech Head Office Full time**_Position: Senior Case Management Officer _** **_Industry: Human Resources - Industrial Relations_** **_Location: Johannesburg - Gauteng_** **_Salary: Market Related Salary High Earning_** **Introduction**: The purpose of this position is to manage the Case Management Officers x3 and Administrators x1 for the Dispute Resolution...
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She-q Administrator
7 hours ago
Johannesburg, South Africa Amasiko Group Full time**Qualification** Standard 12; Administration Diploma; SAMTRAC or Equivalent; Thorough knowledge and implementation of the COIDA and General Administrative Regulations and f the Occupational Health and Safety Act*** **Experience** Minimum of 3 years of work experience in the development and implementation of Accident Investigation and Reporting Procedures...
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Case Manager
3 days ago
Johannesburg, South Africa Clinix Health Group (Pty) Ltd Full time**Job Summary**: To deliver an effective case management process and facilitate the communication process between all role-players by providing accurate and timeous clinical information in order to minimize the financial risk for the company. **Minimum Qualifications and Experience**: - Grade 12. - Registered Nurse, currently registered with SANC. -...
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Case Manager
2 days ago
Johannesburg, South Africa Clinix Health Group (Pty) Ltd Full timeTo deliver an effective case management process and facilitate the communication process between all role-players by providing accurate and timeous clinical information in order to minimize the financial risk for the company. **Minimum Qualifications and Experience**: - Grade 12. - Registered Nurse, currently registered with SANC. - Alternatively, an...
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Case Manager
7 months ago
Johannesburg, South Africa Mass Staffing Projects Full time**Job Information** - Location- Johannesburg- Salary- R400k-R300k- Job Type- Permanent- Education- Degree/Diploma in Nursing- Experience- +2 years’ experience in case management- - pharmacy.jobs(at)staffingprojects.co.za- Fax- 0866023398This just in! A vacancy for a case manager at a private hospital in Johannesburg is currently...
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Litigation Case Manager
7 months ago
Johannesburg, South Africa AristoSourcing Inc. Full timeAristoSourcing LLC is an Outsourcing company highly focused on the Digital Marketing Industry. Our company has been in the industry for more than 7 years. We hired and referred skilled and experienced Virtual Assistants to work and collaborate directly with our respective clients from different parts of the globe that offer 100% remote work for talented and...
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Case Manager
7 months ago
Johannesburg, South Africa Medical Placements Full timeCase 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 criteria....
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Case Manager
7 months ago
Johannesburg, South Africa Palesa Mbali Group Full time**Case Manager** **Position**: Case Manager **Department**: General and Specialized Case Management **Grade**: B4M1 **Position Purpose**: **Experience**: 5 years ward experience, 2 years’ experience hospital scheme case management advantageous **Qualifications**: Degree / Diploma in nursing, midwifery, and psychiatry. Current SANC professional nursing...
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Case Manager
7 months ago
Johannesburg, South Africa LetsLink Pty Ltd Full timeRole Title: Case Manager Role Summary: Are you a healthcare professional looking to make a significant impact in patient care and financial risk management? If so, we have an exciting opportunity for you to join the team of a private hospital based in Gauteng as a Case Manager. In this role, you will leverage your clinical knowledge and expertise to ensure...
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Case Manager
7 months ago
Johannesburg, South Africa Clinix Health Group (Pty) Ltd Full timeTo plan, coordinate and execute case management work at hospital level. The incumbent utilities clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding of patient care. **Minimum Requirements**: - Relevant Nursing qualification. - CM or Billings Clerk with ICD training and anatomy and physiology...
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Case Manager
4 months ago
Johannesburg, South Africa Clinix Health Group (Pty) Ltd Full time**Job Summary**: To plan, coordinate and execute case management work at hospital level. The incumbent utilities clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding of patient care. **Minimum Qualifications and Experience*** - Nursing degree / diploma. - Current registration with South African...
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Case Manager
2 days ago
Johannesburg, South Africa Mass Staffing Projects Full time**Requirements**: - Registered with the SANC - Degree/Diploma in Nursing - +3 years’ experience case management - Experience with CPT4 coding and ICD10 coding
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Case Manager
7 days ago
Johannesburg, South Africa Mass Staffing Projects Full timeOpen 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
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Case Manager
7 hours ago
Johannesburg, South Africa Mass Staffing Projects Full timeExciting opportunity 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
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Case Management Officer
7 months ago
Johannesburg, South Africa Motor Industry Bargaining Council Full time**Duties & Responsibilities** - Monitor and account for stationery, consumable levels - Attend to professional drafted correspondence, serving and courier documents - Generate case management Reports when requested - Assist at reception(front office) or other Case Manager’ when required, - Book venues, Interpreters and Panelist for cases with proper notice...
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Case Manager
7 hours ago
Johannesburg, South Africa Mass Staffing Projects Full time**Requirements**: - Registered with the South African Nursing Council (SANC) as a Registered Nurse Degree or Diploma essential. - Minimum of 3 years in a multidisciplinary hospital environment. - Previous/current experience as a Case Manager is advantageous. - ICD-10 and CPT coding experience is essential. - A minimum of 1-2 years in computer literacy is...
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Rehabilitation Case Manager
7 months ago
Johannesburg, South Africa Rand Mutual Assurance Full time**THE JOB AT A GLANCE** To deliver coordinate case management: through the three pillars clinical rehabilitation, vocational rehabilitation, and social reintegration. Track progress of injured COID employees referred to RMA Rehab Team, liaise with therapy team, with the purpose of prevention of complications, and guide the process of restoration to...
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Case Manager
23 hours ago
Johannesburg, South Africa Premier Appointments Full time**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...
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Case Manager in Hospital
7 months ago
Johannesburg, South Africa Palesa Mbali Group Full time**Position**: Case Manager In Hospital **Position Purpose**: To coordinate care in allocated facilities, in order to improve health outcomes and manage the cost to the Scheme(/s). The case manager's responsibilities start from patient admission to discharge and they should have an understanding of hospital processes and the importance of making...
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Clinical Case Manager
3 months ago
Johannesburg, South Africa MHR Full time**Job Advert Summary**: Our client, a leader in the private healthcare industry, is urgently looking for an experienced **Case Manager** for a** **permanent opportunity** **at a private** Emergency Services Contact Centre** in **Rivonia (Johannesburg)**. **BENEFITS** - Pension fund membership and subsidy from the company - Medical aid membership and subsidy...