Clinical Case Consultant

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 Requirements**: - Relevant Nursing qualification. - CM or Billings Clerk with ICD training and anatomy and physiology...

Full Time _Gauteng_, _Johannesburg_ November 16, 2023 - December 16, 2023 Management - Medical Nursing **Job Overview**: **Requirements**: - Relevant Nursing qualification - CM or Billings Clerk with ICD training and anatomy and physiology course certification - IDC and CPO coding - 3-5 years’ experience as a hospital case manager **The main purpose of...

**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...

Our client, a private hospital based in Johannesburg are currently recruiting for a Hospital Clinical Coder who will be responsible, in collaboration with the Hospital Case Management Teams for liaising between the patients, treating clinicians and managed care organisations in order to provide clinical coding that is updated in accordance with the patient...

**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...

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. **Job Description**: Load all hospital related cases for casualty...

**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...

3Sixty Health has a great opportunity for a suitably qualified individual to fulfil the advertised position and join their team. 3Sixty Health is a black owned and managed, reputable and a major player in driving South African economy by investing **3SIXTY HEALTH **in ‘’black excellence’’3Sixty Health is 100% black owned and black managed...

Position:Case Manager In HospitalPosition 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 cost-effective...

To ensure clinical appropriateness of care at lowest possible cost without compromising quality of care. To use appropriate tools such as Burden of Care Criteria in the application of discharge planning. To manage the risk to the client by assessing the quality of information received and sent out and anticipating the cost for the scheme. To recognize the...

To ensure clinical appropriateness of care at lowest possible cost without compromising quality of care. To use appropriate tools such as Burden of Care Criteria in the application of discharge planning. To manage the risk to the client by assessing the quality of information received and sent out and anticipating the cost for the scheme. To recognize the...

Our client is seeking dedicated and experienced case managers to join their team and manage the spending of member funds through clinical interventions and the application of managed care protocols. Qualifications: Nursing Degree/Diploma. Professional Registered Nursing Sister with a valid and up-to-date registration with the South African Nursing...

**Position**: Clinical Call Centre Agent **Position Purpose**: To provide professional customer service to Business unit members and brokers by ensuring that all call centre queries are handled to set performance standards at all times and ensuring prompt resolution of clinical queries within the Non-Clinical Authorisations queue. **Experience**: 2 - 3...

Position:Clinical Call Centre AgentPosition Purpose:To provide professional customer service to Business unit members and brokers by ensuring that all call centre queries are handled to set performance standards at all times and ensuring prompt resolution of clinical queries within the Non-Clinical Authorisations queue.Experience:2 - 3 years clinical call...

Position:Clinical Call Centre AgentPosition Purpose:To provide professional customer service to Business unit members and brokers by ensuring that all call centre queries are handled to set performance standards at all times and ensuring prompt resolution of clinical queries within the Non-Clinical Authorisations queue.Experience:2 - 3 years clinical call...

Duties:· Provide patient-focused care and guidance on the phone or online, including accurately assessing needs, delivering or directing to the appropriate level of care, identifying potential health problems and influencing people to make better health decisions.· Providing a comprehensive and professional telephonic health advisory service according to...

**Job Advert Summary**: Our client, a leader in the private healthcare industry, is urgently looking for an experienced **Clinical Care Coordinator **to work at their **medical emergency service contact centre **in **Rivonia** in** Johannesburg**. This is a** **fixed-shifts** **opportunity, **starting ASAP**. **Minimum Requirements**: - Qualified...

**What will you do?** - Santam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia. Our success is rooted in our passion for our clients and everything we do...

Your role will be critical in optimising patient care and ensuring efficient resource allocation. **Qualifications**: - Nursing Degree/Diploma. - Professional Registered Nursing Sister with a valid and up-to-date registration with the South African Nursing Council. **Qualities and Skills**: - Excellent clinical assessment and decision-making skills. -...

A Medical Insurance Company based in Benoni is looking for a Registered Nurse who will consult with members via relevant platforms to diagnosis and provide treatment plans for members according to Primary Healthcare Guidelines. Ensuring best clinical practice and quality is always provided to members. Handling of calls within Service level agreements. **Key...