Case Manager – Rondebosch Medical Centre

Business Unit: Rondebosch Medical Centre Posted: 2024-07-24, Closing: 2024-08-06 Location: Western Cape, Cape Town DescriptionA vacancy exists for aCase Manager, reporting to the Patient Administration Manager. The position's primary responsibilities include efficient patient case management and the delivery of an efficient and professional service to the internal and external customers. The successful candidate will be goal oriented with strong customer, quality, and performance focus.Critical OutputsCarry out clinical coding in accordance with CPT and ICD requirementsEnsure that pre-admission and pre-authorisation information is accurate and in accordance with hospital and funder procedures.Maintain patients' clinical status in accordance with funder approval requirements for the duration of hospitalization; keeping patients informed and managing the entire hospital stays' financial riskProvide complete and accurate updates and discharge information of all accountsMaintaining accurate accounts of all admissionsHandle patient files in accordance with hospital proceduresTimeous electronic submission of accounts and follow up on short payments arising from case management related issues.Ensure the adherence of hospital staff to funder rules and coding proceduresKeep well informed on legislation pertaining to funders and related Health Care mattersRequirementsSANC registration as an RNHigh school matric certificate3 – 5 years' experience of basic finance and Medical Aid administration procedures will be an advantageKnowledge of hospital billing and tariffs would be an advantage.Have sound computer literacy skills and working knowledge of MS office, word and excel.Excellent communication skills and the ability to form and build strong partnershipsExcellent negotiation skills & the ability to interact with tact and diplomacyCollaboration/ Relationship BuildingAnalytical thinkingProblem-solving, analysis and judgementResilienceVerbal & written communication and presentation skillsNegotiationStrategic agilityPlanningOrganisational awarenessExcellence and quality orientationEthical behaviourTechnical and professional knowledgeChange agentCoachingDecision makingOrganisingDepartmentsAdmin Rondebosch Medical Centre is an equal opportunity employer, external candidates will also be considered. Only shortlisted candidates will be contacted, should you not receive any communication after 2 weeks of closing date kindly consider your application as unsuccessful.
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