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Clinical Services Manager

3 weeks ago


Port Elizabeth, Eastern Cape, South Africa Hire Resolve Full time

Job Description

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Hire Resolve seeks a highly skilled Hospital Case Manager to lead patient care coordination efforts. The ideal candidate will have extensive experience in hospital case management, a strong understanding of medical aid processes, and excellent communication skills.

Key Responsibilities:

  • Assess and manage patient cases to ensure efficient hospital care.
  • Obtain authorization for hospital admissions and liaise with medical aids.
  • Ensure accurate ICD-10 and CPT coding for billing purposes.
  • Monitor length of stay, treatment plans, and resource utilization.
  • Work closely with doctors, nurses, and medical aid schemes.

Requirements:

  • Diploma/Degree in Nursing or a related healthcare field.
  • At least 23 years of experience in hospital case management.
  • Knowledge of ICD-10 & CPT Coding.
  • Excellent communication and negotiation skills.