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Clinical Case Coordinator, East London

2 months ago

East London, Eastern Cape, South Africa Sheldon Recruitment and Selection Full time

Key Qualifications:
  • Completion of Grade 12 and SANC Registration as a Registered Nurse (RN) or Enrolled Nurse (EN) with relevant Case Management credentials or experience.
  • Experience in nonclinical case management with a focus on Case Management qualifications.
  • A minimum of 3 to 5 years of experience in clinical coding, private hospital case management, and Medical Aid administration processes.
  • Familiarity with hospital billing, funder contracts, and tariff structures is advantageous.
  • Proficient in MS Office applications.
Responsibilities:
  • Verify the accuracy of pre-admission and pre-authorisation information.
  • Conduct clinical coding tasks.
  • Perform daily ward rounds to ensure effective clinical updates.
  • Monitor and maintain the clinical status of patients.
  • Update and manage discharge information for all accounts.
  • Oversee the accounts for all patient admissions.
  • Manage patient files efficiently.
  • Submit accounts electronically.
  • Ensure compliance with funder regulations and coding standards.

Compensation: Competitive and aligned with market standards.