Hospital Case Manager

Location: Mediclinic Legae, Mabopane, Pretoria, ZA, Molefe MakCompany: MediclinicMediclinic Legae | Mabopane, Pretoria | South AfricaClosing date: 01/12/2025Number of positions: 1Recruiter name: Kelebogile Rennie LetsholoReference number: 56689Workplace Type: On-sitePermanentMAIN PURPOSE OF JOBKEY RESPONSIBILITY AREASAnatomy; physiology and terminologyFunder Contracts; Medical aid requirements/narrationsScientific nursing principles and processB2B 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 processesApplication of clinical codes and finalisation thereof (Level 3 coding)Patient admin programmes on the AS400 systemAll 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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