Senior Case Management Officer

Manage calls from Hospital Case Managers regarding authorisations for procedures in hospital, **trauma, casualty**, GP or dental rooms - Case management from issuing a guarantee of payment to final discharge and follow up treatment - Manage clinical risk to decrease claims over utilisation - Pre-authorisation of GP visits per benefit option rules - Classify...

A prominent healthcare organization in South Africa is seeking a Senior Officer: Hospital Case Management to oversee the coordination of care for motor vehicle accident patients. Key responsibilities include patient assessment, facilitating timely transfers, and ensuring accurate invoicing. Applicants must hold a relevant bachelor's degree and possess four...

A prominent healthcare organization in South Africa is seeking an experienced Senior Officer: Hospital Case Management. You will oversee the coordination of care for motor vehicle accident patients, facilitating timely transfers and ensuring accurate invoicing. This role requires a relevant bachelor's degree and at least four years of experience in the...

SEB is looking for a Case Officer for a period of 12 months who will be in the Case Management Unit is to perform administration functions to facilitate the early resolution of member complaints filed by the OPFA. The incumbent will be responsible of managing all incoming complaints and queries, assess completeness of information on the complaint form,...

**Job Summary**: To deliver an effective case management process and facilitate the communication process between all role-players by providing accurate and timeous clinical information in order to minimize the financial risk for the company. **Minimum Qualifications and Experience**: - Grade 12. - Registered Nurse, currently registered with SANC. -...

The Case Manager is responsible for answering inbound or internally transferred calls, assessing the caller's needs, taking ownership of the issue, and coordinating an appropriate solution using internal or external resources. Qualifications Experience Minimum of 2 years’ experience in a call centre environment. Minimum of 1 year experience in Roadside...

**Case Manager** 1. **Qualifications**: - Matric - Registered Nursing diploma - Valid membership of SANC - Claims and Forensic Risk management certification - Registration with the Association of Certified Fraud Examiners (ACFE SA) 2. **Skills and Experience**: - At least 2-3 years’ experience in a similar role. - MIP Application System experience...

Ensure compliance to case management procedures, standards and protocols.Plan, coordinate and execute Clinical coding in accordance with relevant company standards and protocols.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...

Job Summary MIDDLE MANAGER LEVEL 9 (SENIOR CASE MANAGER) Reference Number: refs/  | Directorate: FINANCE (REVENUE MANAGEMENT) | Number of Posts: 2 | Package: R 468 459.00 PER ANNUM (PLUS BENEFITS) Responsibilities Efficient implementation of case management standards, policies, protocols and procedures within the hospital. Coordinate work with...

**Job Advert Summary**: Are you in the market for temporary case manager opportunities at a well-known and dynamic agency? MHR is urgently looking for experienced **Hospital Case Managers** to work **part-time shifts** at a private hospital in **Sandton area** in **Johannesburg**. **Minimum Requirements**: **Requirements**: - Professional Nurse with at...