Hospital Case Manager

Responsibilities - To monitor all aspects of patients who are admitted under a Managed Care Limitation and through the co-ordination and liaison with the Doctors, Managed Care Organization and Hospital Nursing staff, ensures that the treatment provided meets the requirements of the Managed Care Organization. - Liaise with Doctors regarding their patients’...

Job Overview:Oasis Healthservices is a leading healthcare provider dedicated to delivering high-quality patient services. We are seeking an experienced Clinical Risk Manager to join our team and contribute to our mission of providing exceptional patient care.Key Responsibilities:Manage financial and clinical risks associated with patient...

Our client, a managed care organisation based in Pretoria is looking for a Case Manager. This is an equal opportunity organisation with various businesses and/ or subsidiaries that service clients in the medical scheme and insurance industries. Position: Case Manager (Member Management) Reporting to: Senior Specialist Clinical Management Location: On-site...

Gauteng, Tshwane (Pretoria) - Monthly Cost To Company (Market related, Negotiable) Our client, who is in the Health Care Industry, has a vacancy for a Case Manager on a Contract Basis, with a possibility of it becoming permanent The Case Manager will have thorough, well-grounded clinical knowledge of hospital admissions, LOS and LOC Excellent knowledge of...

**Case Manager** **About** One of the largest private Medical Aid companies in SA. They have been established for 20 years and are striving to be #1 in SA. **Purpose** Delivering of cost-effective managed healthcare service to accomplish member satisfaction **Duties and responsibilities** Delivering of cost-effective managed healthcare service to...

**Case Manager** **About** One of the largest private Medical Aid companies in SA. They have been established for 20 years and are striving to be #1 in SA. **Purpose** Delivering of cost-effective managed healthcare service to accomplish member satisfaction **Duties and responsibilities** Delivering of cost-effective managed healthcare service to...

Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients. In line with their growth and commitment to excellence, they are seeking a dedicated and experienced Case Manager to join their...

Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients. In line with their growth and commitment to excellence, they are seeking a dedicated and experienced Case Manager to join their...

**Functions**: - Plan and optimise daily tasks to ensure timely updates of cases on the hospital list. - Follow up on long-term and high-cost cases of hospitalised and home care patients. - Identify the need for patient and hospital visits and provide documented feedback. - Adhere to the escalation process for cases requiring input from management or the...

**JOB PURPOSE** The main purpose of this position is to coordinate the hospital pre-authorisations, confirmations, billing and credit control processes and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimize the financial risk for the organisation including its...

The successful candidate will be responsible for managing the financial and clinical risks of the patient in a general ward by ensuring accurate coding, clinical updates and accounts submissions of patient hospitalization to achieve strategic objectives. Critical Outputs  Ensuring the maximisation of revenue by  Ensuring accuracy of coding  Ensuring...

About the job Case Manager (Member Management) 12 Month FTC - Pretoria **Case Manager (Member Management) 12 Month FTC - Pretoria** Our client, focusing on a risk and clinical assessment offering, is requiring a Case Manager (Member Management). **Requirements (but not limited to)** - Perform Clinical coding in accordance with CPT and ICD requirements and...

**Case Manager (Member Management) 12 Month FTC - Pretoria** Our client, focusing on a risk and clinical assessment offering, is requiring a Case Manager (Member Management). **Requirements (but not limited to)** - Perform Clinical coding in accordance with CPT and ICD requirements and as per client standards. - Maintaining patient’s clinical status in...

Job Title: Case Manager for Spinal Management ProgrammeJob Summary:H2R Africa is seeking a highly skilled Case Manager for Spinal Management Programme to join our team. The successful candidate will be responsible for managing the access, clinical appropriateness, and risk of all requests for services pertaining to back and neck pain management, spinal...

Job Introduction The Member Cases and Claims Division is at the forefront of protecting the careers, reputation and financial risk of our members worldwide. The purpose of the role is to support the provision of excellent case handling services for members which is trusted and valued and provides fair treatment and outcomes. The role will do this by...

**Case Manager/Office Supervisor to be based in Pretoria. **You will manage the overall Case Management function, nationally, as well as be responsible for the direct administration of cases for various areas (currently, Gauteng-Pretoria, Mpumalanga, Northwest, Limpopo, Eastern Cape (PE/East London) and Free State. Your primary goal will be to manage the...

Our client in the Healthcare industry is looking for a Case Manager for Spinal Management Program to join their team. This a 12 month contact position with the possibility of becoming permanent. Our client is an accredited managed health organisation that service clients in the medical scheme industry.Purpose of the position: To actively manage the access,...

Our client in the Healthcare industry is looking for a Case Manager for Spinal Management Program to join their team. This a 12 month contact position with the possibility of becoming permanent. Our client is an accredited managed health organisation that service clients in the medical scheme industry. Purpose of the position: To actively manage the...

About Qetello HoldingsQetello Holdings is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. The company is committed to innovation, quality service, and the well-being of its clients.We are seeking an experienced Case Manager to join our team. As a key member of our team, you will be...

A reputable Medical Aid based in Pretoria is seeking a Registered Nurse to join their HBM Case Management team. **Qualifications**: - Grade 12 - B Cur Degree / Diploma in Nursing - SANC Registered **Experience**: - Minimum 5 years experience as a Nursing practitioner - Minimum 1 year experience gained in the Medical Funding industry...