Case Manager - Isipingo
- Location
- Durban, KwaZulu-Natal
- Minimum qualification
- Diploma
- Closing date
First listed . Last checked at source .
In brief
**Overview** This role as a Case Manager at Joint Medical Holdings (JMH) involves advocating for patients, optimizing healthcare resources, and promoting positive patient outcomes. The position contributes to streamlining processes, enhancing patient satisfaction, and improving the overall effectiveness of JMH's healthcare delivery system. **What you will do** * Adhere to JMH policy regarding clinical updates within specified turnaround times and service level agreements. * Ensure precise and comprehensive ICD 10/CCSA coding. * Meet month-end deadlines. * Verify accurate and complete billing. * Communicate adequate and pertinent information to medical schemes. * Manage internal DSO and optimize utilized tools. * Oversee the complete rollout and adherence to Care Risk Management Procedures and Protocols. * Effectively resolve rejections related to case management. * Cultivate a collaborative and supportive workplace atmosphere, encouraging teamwork, communication, and professional growth among team members. * Keep abreast of industry trends, regulations, and best practices in case management, ensuring compliance with relevant standards and guidelines. **Requirements (from the original advert)** * Relevant Nursing Qualification - Registration with the SANC. * Computer literate. * Billing / Auditing experience (will be advantageous). * Experience in a multidisciplinary hospital environment. * ICD 10 and CCSA coding experience. * Experience in liaising with medical aids, doctors, and patients. * Excellent attention to detail. * Excellent computer skills. * Ability to work well within a team. * Ability to work in a pressurised environment. **Who should apply** This role is suitable for a registered nurse with experience in a multidisciplinary hospital setting, specifically with ICD 10 and CCSA coding, and who has experience liaising with medical aids, doctors, and patients. The ideal candidate will be detail-oriented, computer literate, a team player, and able to work effectively in a high-pressure environment, contributing to patient advocacy and healthcare resource optimization. **Deadline** Not specified **Reference** Original posting: https://www.myjobmag.co.za/job/case-manager-isipingo-joint-medical-holdings Source: myjobmag
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Job description
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