Case Manager - General

Recruiter:

Medley Recruitment

Job Ref:

DBN005614/LB

Date posted:

Wednesday, February 9, 2022

Location:

Umtata, South Africa

SUMMARY:
If you are an Enrolled Nurse or Registered Nurse with Case Management experience then we would like to present this opportunity to you.
A Case Manager vacancy is available at a hospital in Mthatha. Applicants must have experience working in this role currently or previously to be considered.

JOB DESCRIPTION:

The main responsibilities includes (not limited to):

Assess patient clinical reports to liaise with Medical aids
Confirm L.O.S and L.O.C for patients
Check all ICD and CPT coding and authorisation numbers
Process all patient updates with Medical aids
Liaise with doctors, patients and nursing staff
Liaise with Debtors department related to any queries
Handle all queries and communication with Medical aid Case Managers
Submit accounts timeously
Constantly monitor patients status and update Medical aids
Ensure adequate record keeping

Requirements:
Enrolled Nurse Certificate OR General Nursing Diploma
SANC registered (essential)
Minimum of 3 yrs previous nursing experience within hospitals
Minimum of 2 yrs working experience as Case Manager (required)
Good knowledge of ICD 10/CPT coding
Good knowledge and understanding of Medical aid contracts, rules and benefit policies

NB! This job is now closed. You can apply for other jobs by uploading your CV.

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