Pharmacy Case Manager

2 weeks ago


Johannesburg, South Africa LetsLink Recruitment Full time

Key Responsibilities:

- Provide appropriate clinical information to medical aids
- Code all patients with ICD10 and CPT4 codes
- Accompany Managed Care Organisation Case Managers on ward rounds
- Assist with final authorization of patient files
- Control costs for patients
- Consult with all service suppliers regarding treatment and phone for patients
- Facilitate with transfer of patients to Rehab or step-down facilities
- Update all relevant details on Adclin Info
- Supply all details regarding patient's history, etc. to clinical partners
- Assist with case management of all medical aid patients
- Daily liaison and communication with Medical Schemes, Hospital Nursing staff, and medical practitioners

**Requirements**:

- Diploma or Degree in Nursing and registered with the SANC
- Grade 12/Matric
- Experience in ICD 10 and CPT 4 coding
- Intensive Care Nursing experience is an advantage
- Hospital Case Management is an advantage
- Minimum 3 years nursing experience in a multidisciplinary hospital environment
- Knowledge of Managed Healthcare policies and procedures
- General administrative skills
- Computer literate

Please view our website: letslink dot co dot za and contact Gary.

Closing date of 28.04.2023.


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