Case Manager X1

4 months ago


Bellville, South Africa Melomed Private Hospitals Full time

Requirements:

- Qualified Registered Nurse
- A qualified EN with relevant experience would be considered
- Must be with registered with SANC and proof of indeminity cover
- Minimum 3 years nursing experience in a multidisciplinary hospital
- Experience & Exposure in Theatre and ICU would be advantageous
- Hospital / Medical aid scheme case management would be advantage
- Experience in ICD 10 and CPT coding is essential
- Knowledge of prescribed minimum benefits scheme rules and policies
- Excellent communication skills ( written and spoken )
- Excellent MS Office computer skills, i.e Outlook, Word, Excel, Clinic Manager etc

Key Outputs:

- Assess patient conditions and needs to develop appropriate care plans
- Interact with patients and medical aid schemes
- Resolve patient and medical aid scheme queries
- Update all information timeously and accurately
- CPT and ICD coding
- Obtaining doctors letters, motivations and justifications in all appropriate cases under managed care of where medical aids request them from their hospitals as part of their assessing process
- Handling patient queries
- Update hospital information



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