Current jobs related to Clinical Case Manager - Johannesburg, Gauteng - Ultra Personnel
-
Clinical Case Manager
4 weeks ago
Johannesburg, Gauteng, South Africa Edge Executives Full timeJob SummaryWe are seeking a highly skilled Clinical Case Manager to join our team at Edge Executives. As a key member of our healthcare operations team, you will be responsible for managing hospital admissions, conducting clinical assessments, and coordinating with healthcare providers to ensure the most efficient and cost-effective care is delivered to...
-
Clinical Case Manager
3 weeks ago
Johannesburg, Gauteng, South Africa Edge Executives Full timeJob SummaryEdge Executives is seeking a highly skilled Clinical Case Manager to join our team. As a key member of our healthcare team, you will be responsible for managing hospital admissions, conducting clinical assessments, and coordinating with healthcare providers to ensure the most efficient and cost-effective care is delivered to patients.Key...
-
Clinical Case Manager
1 month ago
Johannesburg, Gauteng, South Africa Palesa Mbali Group Full timeJob Title: Clinical Case ManagerWe are seeking a highly skilled Clinical Case Manager to join our team at Palesa Mbali Group.Job Summary:The Clinical Case Manager will be responsible for ensuring the clinical appropriateness of care at the lowest possible cost without compromising quality of care. This will involve using appropriate tools such as Burden of...
-
Clinical Case Manager
3 weeks ago
Johannesburg, Gauteng, South Africa Palesa Mbali Group Full timeJob Title: Clinical Case ManagerJob Summary:We are seeking a skilled Clinical Case Manager to join our team at Palesa Mbali Group. As a Clinical Case Manager, you will be responsible for ensuring the clinical appropriateness of care at the lowest possible cost without compromising quality of care.Key Responsibilities:Assess the quality of information...
-
Clinical Case Manager
1 week ago
Johannesburg, Gauteng, South Africa Palesa Mbali Group Full timeJob Title: Clinical Case ManagerJob Summary: We seek an experienced Clinical Case Manager to oversee the clinical appropriateness of care at the lowest possible cost without compromising quality of care.Key Responsibilities:Ensure clinical approval of authorized treatment plans.Manage the risk to the client by assessing the quality of information received...
-
Clinical Case Manager
4 weeks ago
Johannesburg, Gauteng, South Africa Palesa Mbali Group Full timeJob Title: Case ManagerJob Summary:We are seeking a highly skilled Case Manager to join our team at Palesa Mbali Group. As a Case Manager, you will be responsible for ensuring the clinical appropriateness of care at the lowest possible cost without compromising quality of care.Key Responsibilities:Assess the quality of information received and sent out and...
-
Clinical Case Manager
4 weeks ago
Johannesburg, Gauteng, South Africa Edge Executive Search Full timeCase ManagerOur client is seeking a dedicated and experienced Case Manager to join their team and manage the spending of member funds through clinical interventions and the application of managed care protocols.Key Qualifications:Nursing Degree/DiplomaProfessional Registered Nursing Sister with a valid and up-to-date registration with the South African...
-
Case Manager
2 months ago
Johannesburg, Gauteng, South Africa Palesa Mbali Group Full timeJob SummaryWe are seeking a highly skilled and experienced Case Manager to join our team at Palesa Mbali Group. As a Case Manager, you will play a critical role in ensuring the clinical appropriateness of care while minimizing costs without compromising quality.Key ResponsibilitiesClinical Decision Making: Utilize clinical expertise to assess the quality of...
-
Case Manager
4 weeks ago
Johannesburg, Gauteng, South Africa Edge Executives Full timeJob SummaryEdge Executives seeks a skilled Case Manager to join our team. As a key member of our healthcare team, you will be responsible for managing hospital admissions, conducting clinical assessments, and coordinating care with healthcare providers.Key ResponsibilitiesCase ManagementReview hospital admissions to ensure clinical appropriateness and align...
-
Case Management Professional
2 months ago
Johannesburg, Gauteng, South Africa Edge Executive Search Full timeEdge Executive Search is seeking a dedicated and experienced Case Management Professional to join their team. The ideal candidate will have a strong background in clinical interventions and managed care protocols. Key responsibilities include managing member funds, developing and implementing care plans, and collaborating with multidisciplinary teams. The...
-
Clinical Manager
1 month ago
Johannesburg, Gauteng, South Africa Edge Executive Search Full timeJob Title: Case ManagerWe are seeking a dedicated and experienced Case Manager to join our team at Edge Executive Search. As a Case Manager, you will play a critical role in managing the spending of member funds through clinical interventions and the application of managed care protocols.Key Responsibilities:Develop and implement effective case management...
-
Case Management Professional
2 months ago
Johannesburg, Gauteng, South Africa Edge Executive Search Full timeEdge Executive Search is seeking a dedicated and experienced Case Management Professional to join their team. The ideal candidate will have a strong background in clinical interventions and managed care protocols. Key responsibilities include managing member funds, developing and implementing care plans, and collaborating with multidisciplinary teams. The...
-
Case Management Team Lead
4 weeks ago
Johannesburg, Gauteng, South Africa Edge Executive Search Full timeCase Manager OpportunityOur client is seeking a dedicated and experienced case manager to join their team and manage the allocation of member funds through evidence-based clinical interventions and the application of managed care protocols.Key Responsibilities:Develop and implement effective case management plans to optimize member outcomes.Collaborate with...
-
Clinical Manager
4 weeks ago
Johannesburg, Gauteng, South Africa Edge Executive Search Full timeJob Title: Case ManagerWe are seeking a dedicated and experienced Case Manager to join our team at Edge Executive Search. As a Case Manager, you will play a critical role in managing the spending of member funds through clinical interventions and the application of managed care protocols.Key Responsibilities:Develop and implement effective case management...
-
Case Management Specialist
2 weeks ago
Johannesburg, Gauteng, South Africa Edge Executive Search Full timeKey QualificationsWe are seeking a dedicated and experienced Case Manager to join our client's team and manage the spending of member funds through clinical interventions and the application of managed care protocols.Key ResponsibilitiesMinimum of 5 years of general medical and surgical nursing experience in the private sector.ICU training and/or at least 1...
-
Case Management Team Lead
1 month ago
Johannesburg, Gauteng, South Africa Edge Executive Search Full timeJob Title: Team Leader – Case ManagementOur client, a leading healthcare organization, is seeking an experienced Case Management Team Lead to join their team. As a key member of the clinical team, you will be responsible for managing the spending of member funds through clinical interventions and the application of managed care protocols.Key...
-
Nurse Case Manager
4 weeks ago
Johannesburg, Gauteng, South Africa Talent Evolution (Pty) Ltd Full timeNurse Case Manager Job DescriptionTalent Evolution (Pty) Ltd is seeking a skilled and compassionate Nurse Case Manager to join our team. As a key member of our healthcare team, you will provide comprehensive and professional telephonic health advisory services to patients, ensuring they receive the best possible care and support.Key Responsibilities:Provide...
-
Case Management Team Lead
2 months ago
Johannesburg, Gauteng, South Africa Edge Executive Search Full timeJob Title: Team Leader – Case ManagementOur client, a reputable healthcare organization, is seeking an experienced Case Management Team Lead to join their team. As a key member of the healthcare team, you will be responsible for managing the spending of member funds through clinical interventions and the application of managed care protocols.Key...
-
Medical Case Manager
2 weeks ago
Johannesburg, Gauteng, South Africa Edge Executive Search Full timeEdge Executive Search is seeking a highly skilled Medical Case Manager to join their team. The ideal candidate will possess a Nursing Degree/Diploma and be a Registered Nursing Sister with a valid and up-to-date registration with the South African Nursing Council.This is a challenging and rewarding role that requires strong clinical assessment and...
-
Nurse Case Manager
1 month ago
Johannesburg, Gauteng, South Africa Talent Evolution Full timeJob Title: Nurse Case ManagerWe are seeking a skilled and compassionate Nurse Case Manager to join our team at Talent Evolution. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and guidance to individuals in need.Key Responsibilities:Assess and Address Patient Needs: Accurately assess patient needs and...
Clinical Case Manager
2 months ago
Ultra Personnel is seeking a highly skilled Clinical Case Manager to join our team. As a Clinical Case Manager, you will be responsible for ensuring that healthcare services rendered are accurately accounted for and that patients receive the best possible care.
Key Responsibilities:- Liaise with Receptionist for authorisations and ensure compliance to case management procedures, standards and protocols.
- Plan, coordinate and execute Clinical coding in accordance with relevant CHG standards and protocols.
- Ensure accurate, appropriate and complete diagnostic and procedural coding of all patient records in the hospital.
- Timeously and consistently communicate and follow up with Funders (Medical Aids, COID, Government, RAF, DOL, etc.)
- Provide appropriate clinical information to Funders in order to update Length of Stay, Level of Care, formulary utilisation, assistive devices / Prosthesis, diagnostic interventions, therapy intervention and procedural interventions and required change in the facility.
- Consult daily with all relevant health care providers with regards to patient treatment.
- Ensure the maintenance of patients clinical status (subsequent interventions and treatments) in accordance to Funder requirements for the duration of hospitalisation.
- Ensure the correct categorisation and management of different patient accounts to facilitate reimbursement by Funders.
- Ensure accurate and timeous finalisation of cases to facilitate reimbursement by Funders.
- Minimise financial risk by the effective management of patient hospitalisation.
- Follow the established and approved escalation processes in the event of a decline of payment by Funders.
- Ensure to remain in the group and facility targets of 3 days for WIP (work in progress) and DNYB (discharged not yet billed).
- Registered Nurse is essential.
- Hospital Operations experience is essential to have.
- Medical Aid Operations experience is an advantage.
- Coding standards and protocols.
- Working knowledge of core specialties in facility.
- Knowledge of private health care operations will secure.
- 2-3 experience as a Case Manager within a hospital environment is essential.
- A dynamic and supportive work environment.
- Opportunities for professional growth and development.
- A competitive salary and benefits package.
