drjobs Case Manager - Hospital

Case Manager - Hospital

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1 Vacancy
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Job Location drjobs

Cape Town - South Africa

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Description

RPOs client is actively seeking a dedicated and detailoriented Case Manager to join their team at a reputable private hospital. This is an exciting opportunity for a Registered Nurse with strong administrative and clinical insight into managed care processes. The successful candidate will ensure that patient treatment aligns with managed care requirements hospital standards and cost targets. This is a fulltime onsite position.

Responsibilities:

  • Assess patient conditions and develop appropriate care plans.
  • Engage with patients and medical aid schemes to resolve queries.
  • Manage CPT and ICD10 coding accurately and timeously.
  • Obtain doctors letters motivations and justifications where required.
  • Monitor patient admissions and identify medical aid restrictions (e.g. length of stay cost limits drug formularies).
  • Maintain control systems for the systematic tracking of managed care patients.
  • Handle patientrelated administrative tasks and update hospital systems accordingly.

Requirements:

  • Qualified Registered Nurse (ENs with relevant experience may also be considered).
  • Registered with SANC and possess proof of indemnity cover.
  • Minimum of 3 years nursing experience in a multidisciplinary hospital environment.
  • Previous exposure to Theatre and/or ICU advantageous.
  • Experience in hospital or medical aid case management is highly desirable.
  • Proficient in ICD10 and CPT coding.
  • Strong knowledge of Prescribed Minimum Benefits (PMBs) and scheme rules.
  • Excellent verbal and written communication skills.
  • Skilled in MS Office (Outlook Word Excel) Clinic Manager Kronos etc.
  • High attention to detail and ability to perform under pressure.

You can also contact RPO Recruitment for your next careerchanging move.

Visit the RPO Recruitment website: or email your CV to:

You can also apply for this role today by contacting Joshua Murphy at
or on LinkedIn.

We will contact you telephonically within 3 days should you be suitable for this vacancy. If you are not suitable we will keep your CV on file and contact you for future opportunities.


Required Experience:

Manager

Employment Type

Full-Time

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