Case Manager (Hospital Group) - Kimberley, Northern Cape

Glasshouse Recruiting

Kimberley

Introduction

Requirements:
• Nursing or Case Management qualification / experience
• Case Management experience – Hospital / Funder
• Clinical Nursing / managed healthcare experience
• ICD-10 / CPT coding qualification or experience
• SAP IS-H experience advantageous
• Proficiency in Microsoft Office

The main purpose of this position:

The Case Manager utilising clinical knowledge, experience and patient acuity scoring tools, mitigates financial risk through comprehensive and accurate coding of hospital events

Communication with funders on justification for hospitalisation level of care and length of stay in hospital

Duties & Responsibilities:
• Conducting ward rounds on identified patients to obtain clinical information from the patient files
• Liaising with Nursing staff, Doctors and Fund Case Managers
• Responsible for substantiating patient hospitalisation in terms of treatment, length of stay and level of care
• Monitor and action risk related to medical aid benefits and... More Detail

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