Case Manager - KZN Shifa

Shifa, KwaZulu Natal
Posted more than 30 days ago
Logo Oasis Healthservices
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

* Responsible for application of Clinical Knowledge in justifying patient Hospitalization in terms of treatment, length of stay and level of care.
* 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

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