Netcare Careers – Case Manager

Website Netcare

Job Description:

Provide quality patient care aligned to the scope of practise. Promote improved operational performance and patient care experience through quality delivery of services and patient interaction, by subscribing to the highest level of integrity and professionalism. Engage relevant stakeholders to ensure that operational efficiencies are coordinated to improve patient outcomes.

Job Responsibilities:

  • Releasing of final billing of patient files
  • Management of Per Diem accounts
  • Daily liaison and communication with Medical Schemes, Hospital Nursing staff and medical practitioners
  • Effective patient liaison and query resolution
  • Application of clinical knowledge in the risk management (financial and clinical) of patients in terms of Length of Stay, Level of Care and medical aid benefits available.
  • Updating of clinical information as per Netcare policy
  • All reasonable ad hoc duties as requested by the Billing manager
  • Knowledge and application of ARS contract
  • Evaluation of reports at all levels of the administrative process
  • Application of clinical knowledge in accurate ICD 10 and CPT 4 coding of patient accounts

Job Requirements:

  • General administrative skills
  • The ability to produce work of a high quality standard by accurately checking processes and tasks
  • Excellent communication and interpersonal skills
  • The ability to prioritize by managing time and resources to ensure that work is completed effectively and timeously. Able to work overtime as dictated by operational requirements.
  • Computer literacy an advantage
  • The ability to display a good customer- focus by developing and sustaining productive customer relationships

Qualification & Experience:

  • Registration with the SANC
  • Intensive Care nursing experience is an advantage
  • Experience in ICD 10 and CPT 4 coding an advantage
  • Hospital or Medical Scheme Case Management an advantage
  • Nursing qualification necessary – Registered Nurse/Enrolled Nurse
  • Minimum 4 years nursing experience in a multidisciplinary hospital environment

Job Details:

Company: Netcare

Vacancy Type:  Full Time

Job Location: Randburg, Gauteng. SA

Application Deadline: N/A

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