Clinical Risk Manager

2 days ago


Pretoria, Gauteng, South Africa Oasis Healthservices Full time

Oasis Healthservices is seeking a skilled Clinical Risk Manager to join our team. As a key member of our staff, you will be responsible for managing the financial and clinical risks associated with patient care in our general ward.

Key Responsibilities
  • Ensure accurate coding and clinical updates to maximize revenue
  • Monitor and adhere to patient services policies and procedures
  • Manage relationships with internal and external stakeholders, including doctors, insurance companies, and patients
  • Investigate internal and external stakeholder complaints and implement corrective measures
  • Ensure operational excellence by monitoring and submitting accurate accounts to funders
Requirements
  • Nursing qualification with at least three to five years' experience
  • Current SANC registration
  • Knowledge of hospital patient services and case management processes
  • Knowledge and understanding of CPT & ICD coding, Funder contracts, scheme rules, exclusions, and benefits

The estimated salary for this position is R250,000 - R350,000 per annum, depending on experience and qualifications.


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