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Hospital Case Manager at Joint Medical Holdings

, KwaZulu-Natal, South Africa -

Full Time

Start Date

Immediate

Expiry Date

18 Oct, 26

Salary

0.0

Posted On

20 Jul, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case Management, ICD 10 Coding, CCSA Coding, Patient Advocacy, Medical Billing, Auditing, Healthcare Resource Optimization, Care Risk Management, Stakeholder Communication, Clinical Documentation

Industry

Hospitals and Health Care

Description

PURPOSE OF POSITION As a Case Manager, you will advocate for patients, optimize healthcare resources, and promote positive outcomes. Your expertise will streamline processes, enhance patient satisfaction, and contribute to the overall effectiveness of JMH healthcare delivery system. KEY PERFORMANCE AREAS Adhering to JMH policy regarding clinical updates within specified turnaround times and service level agreements. Ensuring precise and comprehensive ICD 10/CCSA coding. Meeting month-end deadlines. Verifying accurate and complete billing. Communicating adequate and pertinent information to medical schemes. Managing internal DSO and optimizing utilized tools. Overseeing the complete rollout and adherence to Care Risk Management Procedures and Protocols. Effectively resolving rejections related to case management. Cultivating a collaborative and supportive workplace atmosphere, encouraging teamwork, communication, and professional growth among team members. Keeping abreast of industry trends, regulations, and best practices in case management, ensuring compliance with relevant standards and guidelines. COMPETENCIES (The following will be advantageous) MINIMUM REQUIREMENTS (Educational Qualifications & Experience) Relevant Nursing Qualification with Registration with the SANC Must be computer literate. Must have Billing / Auditing experience will be advantageous. Experience in a multidisciplinary hospital environment. ICD 10 and CCSA coding experience is a requirement. Must have experience in liaising with medical aids, doctors, and patients.

Responsibilities

The Case Manager advocates for patients and optimizes healthcare resources to improve outcomes and patient satisfaction. Key duties include managing ICD 10/CCSA coding, overseeing billing accuracy, and coordinating with medical schemes and healthcare providers.