Case Manager - KZN Shifa
Shifa, KwaZulu Natal
Posted more than 30 days ago
- Company:
- Oasis Healthservices
- Company Description:
- We offer an alternative to institutional care. *Elderly Care - providing a safe and caring environment during working hours. *Caregiver Skills Training - educating students in the art of Caregiving. *Healthcare Recruitment - National & International.
- Contract Type:
- Full Time
- Experience Required:
- 3 to 4 years
- Education Level:
- Bachelor
- Gender:
- Any
- Number of vacancies:
- 1
Job Description
* Monitor and action risk related to medical aid benefits an Hospitalization.
* Ensure accurate clinical Coding
* Timeous, effective communication and follow-up with Medical Aids.
* Review Authorization aspects
* Liaise with Network of internal and external stakeholders regarding patient treatment
* Adhere to NHN Managed Healthcare Rules
* Compliance with legislative acts, regulations and circulars.
Requirements:
**Registered Nurse or Case Management Qualification
**Clinical nursing experience
**3 Years Case Management experience with Specialized Units - ICU
**ICD 10 / CPT Coding qualification or Experience
**SAP IS-H experience - Advantageous
**Proficiency of Microsoft Office Products