Case Manager

5 days ago


Durban, KwaZulu-Natal, South Africa Pathfinders Consulting Pty LTD Full time
Transform Patient Care with Our Client

Our client, a renowned healthcare facility in Durban, is seeking dedicated professionals to contribute to exceptional patient care and operational excellence. If you are passionate about making a difference in healthcare, this role is for you.

Key Responsibilities:
  • Clinical Risk Management: Utilize your clinical expertise to manage patient risks, including Length of Stay, Level of Care, and medical aid benefits.
  • Coding Proficiency: Apply your skills in ICD 10 and CPT 4 coding to patient files.
  • Billing Authorization: Oversee the authorization and final billing of patient files, ensuring accuracy and compliance.
  • Stakeholder Coordination: Engage daily with Medical Schemes, hospital nursing staff, and medical practitioners to ensure seamless patient care.
  • Per Diem Management: Effectively manage Per Diem accounts to optimize patient care and hospital operations.
Requirements and Qualifications:
  • Registered Nurse / Staff Nurse: With at least 4 years of nursing experience in a multidisciplinary hospital environment.
  • Intensive Care Experience: Essential for this role.
  • Case Management Experience: Experience in Hospital or Medical Scheme Case Management is advantageous.
  • Coding Knowledge: Proficiency in ICD 10 and CPT 4 coding.
Skills and Competencies:
  • Excellent Communication: Strong interpersonal skills to effectively interact with patients, staff, and stakeholders.
  • Stress Management: Ability to maintain stable performance under pressure.
  • Customer Focus: Develop and sustain productive customer relationships.
  • Time Management: Prioritize tasks to ensure timely completion of work.
  • Quality Orientation: Produce high-quality work by accurately checking processes and tasks.
  • Administrative Skills: General administrative proficiency with computer literacy being an advantage.
BenefitsWhy Join Our Client

Our client is committed to providing quality care and upholding the highest standards of service. As a Case Manager, you will be a true ambassador of their values, contributing to improved operational performance and patient care experiences.


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