Relief Case Manager

PURPOSE OF POSITION
The incumbent will be responsible for managing risk through application of clinical knowledge, best operating procedures, service level agreements and accurate coding.
EQUITY REQUIREMENTS
Preference will be given to African males or females.
KEY PERFORMANCE AREAS

Following the JMH policy with regards to clinical updating within turnaround times and service level agreements.
Accurate and complete ICD 10/ CCSA coding.
Month end deadlines.
Ensure accurate and complete billing.
Ensure adequate and appropriate information is communicated about the medical schemes.
To manage the internal DSO and ensure optimization of tools used.
Ensure complete rollout and compliance of Care Risk Management Procedures and Protocols.
Ensure effective resolution to rejections relating to case management.

MINIMUM REQUIREMENTS (Educational Qualifications & Experience)

Registration with the SANC as a RN / EN.
Must be computer literate.
Must have Billing / Auditing experience essential.
Experience in a multidisciplinary hospital environment.
ICD 10 and CCSA coding experience is required.
Must have experience in liaising with medical aids, doctors and patients.
Own vehicle essential.
Successful candidate should be available immediately.

SKILLS (Practical & Technical)

Must have excellent telephone skills.
Must possess excellent inter-personal skills.

BEHAVIOURAL ATTRIBUTES (Personality Characteristics)

Professionalism and initiative.
Well-spoken and respectful.
Must be able to adhere to all company rules and policies.

CLOSING NOTES
CV's together with supporting documents should be submitted to: ******
NB: Only short-listed candidates will be contacted.
Finder's Fee Apply.
Closing date for applications is 4 October 2024.
POPIA CLAUSE – HR ADVERTS
Your information is collected and processed in accordance with the Protection of Personal Information Act No 4 of 2013 (POPIA).
By applying to this advert, you consent to JMH (Pty) Ltd collecting and processing your personal information for the purpose of determining your eligibility for the advertised position.
If unsuccessful, your personal information is securely destroyed and is not retained by the company.
Yours faithfully,
Jenny BuxGroup HR Manager
Job Type: Full-time
Application Deadline: 2024/10/04
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