Job Description: The Case Manager utilising clinical knowledge and expertise, mitigates financial risk through comprehensive accurate coding of hospital events; as well as the justification of hospitalisation encompassing level of care and length of stay Job Responsibilities: Control costs for patients. Supply all details regarding patient’s history, etc. to clinical partners. Assist with case management of all medical aid patients Consult with all service suppliers regarding treatment and phone for patients. Accompany Managed Care Organisation Case Managers on ward rounds. Facilitate with transfer of patients to Rehab or step down facilities. Assist with final authorisation of patient files. Provide appropriate clinical information to Medical aids. Code all patients with ICD10 and CPT4 codes. Update all relevant details on Adclin Info. Job Requirements: Intensive Care Nursing experience an advantage Experience in ICD 10 and CPT 4 coding General administrative skills Computer literate Hospital or Medical Scheme Case Management an advantage Minimum 3 years nursing experience in a multidisciplinary hospital environment Qualification & Experience: B Degree/Diploma Nursing qualification or equivalent NQF level 6. Qualification in associated Healthcare sciences or Managed care/ Case management. Enrolled nursing qualification or equivalent NQF level 4. Job Details: Company: Netcare Vacancy Type: Full Time Job Location: Sandton, Gauteng, SA Application Deadline: N/A Apply Here Vacancieshut.com
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