Netcare Vacancies 2023 – Case Manager

Website Netcare

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:

  • Compliance with all industry relevant legislative acts, regulations and circulars
  • Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually beneficial.
  • Liaise with a network of internal and external stakeholders.
  • Accompany managed Care Organisation Case Managers on ward rounds in the hospital, if required.
  • Effective communication to medical schemes by utilising the rules of engagement published in the Netcare Tariff and Billing Guidelines.
  • Monitor and action risk related to medical aid benefits and hospitalisation.
  • Application of clinical knowledge in the risk management of patients in terms of length of stay, level of care and medical aid benefits available.
  • Provide clinical data to substantiate length of stay and level of care.
  • Ensure correct clinical coding for all patients.
  • Ensure appropriate, complete and relevant diagnostic and procedural coding of all patient records within the hospital.

Job Requirements:

  • Develop case management skills and expertise.
  • Nursing and pharmacy policies and procedures.
  • 3 years professional healthcare experience.
  • Ability to develop and maintain clinical knowledge.

Qualification & Experience:

  • Qualification in associated Healthcare sciences or Managed care/ Case management.
  • B Degree/Diploma Nursing qualification or equivalent NQF level 6.
  • Registered nursing qualification with registration at South African Nursing Council

Job Details:

Company: Netcare

Vacancy Type:  Full Time

Job Location: Boksburg, Gauteng, SA

Application Deadline: N/A

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