Clinical Case Manager Durban
Job Location:
Durban - South Africa
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
A well-established medical practice situated in Berea near St Augustines Hospital in Durban is currently looking for an experienced Clinical Case Manager to join their friendly and professional team.
Introduction
The Case Manager utilising clinical knowledge and expertise 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.
Duties & Responsibilities
Responsible for application of clinical knowledge in justifying patient hospitalisation in terms of treatment length of stay and level of care.
Monitor and action risk related to medical aid benefits and hospitalisation.
Ensure accurate specific and comprehensive clinical coding
Timeous effective communication and follow up with medical aids.
Review authorisation aspects approved mitigating financial risk and final releasing the case for billing.
Liaise with a network of internal and external stakeholders regarding patient treatment.
Adhere to the NHN Managed Health Care rules of engagement.
Compliance with all industry relevant legislative acts regulations and circulars
Desired Experience & Qualification
ESSENTIAL QUALIFICATIONS INCLUDE:
- Case Management qualification AN ADDED ADVANTAGE
- Case Management experience
- ICD-10 / CPT Coding Qualification And/or Experience
- Clinic Manager Software experience advantageous
- Proficiency in Microsoft Office products
Required Experience:
Manager
About Company
Ntice provides multiple cost saving recruitment solutions. With a technology driven approach, Ntice drives effiencies and shortens time to hire. Read more here.
