Case Manager

SUMMARY:
Case Manager
Nelspruit/Mbombela, Mpumalanga
Market Related Salary 

Our client in the private healthcare industry is seeking a suitably qualified and dedicated Case Manager to join their team

POSITION INFO:
Minimum requirements:

• Grade 12 or equivalent NQF Level 4 qualification
• Diploma in Nursing (essential)
• Previous Case Management experience will be advantageous
• Knowledge of medical aids
• Intermediate computer skills, particularly Microsoft Excel and Word
• Experience using SAP will be advantageous
• ICD and CPT coding knowledge will be advantageous

• Ensure all relevant patient details on the hospital billing system are accurate and up to date
• Provide patient history information to clinical partners
• Monitor and control costs for managed care patients
• Confirm patient length of stay with medical aid organisations
• Assist with final authorisation of managed care patient files
• Ensure correct coding for managed care patients
• Liaise with relevant service providers regarding patient care and treatment