Busamed Careers – Case Manager

Website Busamed

Job Description:

The Case Manager will be responsible for the liaison between the patient and medical aids in order to secure payment for the hospital. NOTE this is a Travel Requirements Position. The incumbent will be required to travel and work at the various regions of Busamed Hospitals where there is critical demand for assistance with case management.

Job Responsibilities:

  • Actively participate as a member of a team to achieve goals
  • Arrange in-service training for relevant staff to meet the needs of the theatre department
  • Supply all details regarding patients’ history to Clinical partners
  • Assist with final authorisation of Managed Care patient files
  • Liaise network of internal and external stakeholders to ensure that managed care of patients is maintained
  • Confirm length of stay for all Managed Care Organisations patients
  • Assist with the transfer of patients to Rehab Hospital or step down facilities
  • Monitor and control costs for Managed Care Organisation patients
  • Consult with the relevant service providers regarding the patient care treatment
  • Ensure correct coding for all Managed Care Organisation patients
  • Accompany Managed Care Organisation Case Managers on ward rounds in the hospital
  • Active involvement in own professional development to maintain a satisfactory level of skill and knowledge

Job Requirements:

  • Previous Case Management experience advantages
  • Intermediate computer skill (Excel and Word)
  • Excellent Interpersonal and communication skills & Knowledge of Medical Aids

Qualification & Experience:

  • Diploma in Nursing Qualification is essential
  • ICD & CPT Coding certificate essential
  • Grade 12 or equivalent NQF level 4 qualification

Job Details:

Company: Busamed

Vacancy Type:  Full Time

Job Location: Durban, KwaZulu-Natal, SA

Application Deadline: N/A

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