Friday , September 22 2023

Netcare Vacancies in Sandton – 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:

  • 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

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