Hospital Case Manager

Location: Mediclinic Legae, Mabopane, Pretoria, ZA, Molefe Mak
Company: Mediclinic
Mediclinic Legae| Mabopane, Pretoria | South Africa
Closing date: 01/12/2025Number of positions: 1Recruiter name: Kelebogile Rennie LetsholoReference number: 56689Workplace Type: On-sitePermanent
MAIN PURPOSE OF JOB
KEY RESPONSIBILITY AREAS
REQUIRED EDUCATION
REQUIRED EXPERIENCE

Anatomy; physiology and terminology
Funder Contracts; Medical aid requirements/narrations
Scientific nursing principles and process
B2B EMS (electronic message system: check status of authorisations and use for troubleshooting)
Authorisation and motivation of Level of Care; Length of Stay; Short Payments etc.
Relevant aspects of applicable statutory acts (e.g.
Consumer Protection Act; PMB; etc.)
Patient Administration policies and procedures (e.g.
Patient Confidentiality; Visitation of external case managers; etc.)
Daily workflow; managing deviances; coding; and case management processes
Application of clinical codes and finalisation thereof (Level 3 coding)
Patient admin programmes on the AS400 system

All applicants will be considered, with the understanding that preference will be given in accordance with the Employment Equity Plan of Mediclinic Southern Africa, as well as internal applicants/employees that meet the minimum requirements.
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