Job Description

Mediclinic Southern Africa Corporate Office | Stellenbosch | South AfricaClosing date: 12/08/2024
Number of positions: 1
Recruiter name: Fiona Simone Anderson
Reference number: 51887
Workplace Type: Hybrid
PermanentPlease note if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profileMAIN PURPOSE OF JOBTo support the hospital in the absence of hospital Case Managers and to facilitate the communication process between all role players by providing accurate and timeous clinical information to minimise the financial risk for the organisation; and to support efficient and effective hospital cash conversionKEY RESPONSIBILITY AREAS

• Minimise financial risk by effectively managing patient stay
• Ensure compliance to case management procedures, contracts and legal aspects by utilising available resources and systems
• Ensure correct and timeous finalisation of cases, and consistently and timeously communicate with Funders to facilitate reimbursement of claims

REQUIRED EDUCATIONESSENTIAL EDUCATION

• Nursing qualification

DESIRED EDUCATION

• Registered Nurse / Professional Nurse

REQUIRED EXPERIENCEESSENTIAL MINIMUM EXPERIENCE

• 3 - 5 years in a nursing role

DESIRED EXPERIENCE

• Experience in Theatre and/ or ICU
• Medical aid background
• Experience in the private healthcare environment

REQUIRED JOB SKILLS AND KNOWLEDGE

• Anatomy; physiology and terminology
• Application and validation of clinical codes (Level 3 coding)
• Authorisation and motivation of Level of Care; Length of Stay; Short Payments etc.
• B2B EMS (Electronic message system: check status of authorisations and use for trouble-shooting)
• Computer literacy (e.g. Outlook and intranet applications)
• Daily Workflow, Managing deviances, Coding, and Case Management processes
• Funder Contracts; Medical aid requirements/narrations
• Patient Administration policies and procedures (Patient Confidentiality, Visitation of external case managers, etc.)
• Proficient all relevant Patient Admin systems and programs
• Relevant aspects of applicable statutory acts (e.g. Consumer Protection Act; PMB, etc.)
• Scientific Nursing Processes and associated procedures

All applicants will be considered, with the understanding that preference will be given in accordance with the Employment Equity Plan of Mediclinic Southern Africa, as well as internal applicants/employees that meet the minimum requirements.Please note if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profileJoin our Talent CommunityBecome a part of our Talent Community and we will get in touch with you as soon as there is a relevant opening that fits your skills, interests and experience.Job Type: AdministrationVideo Token: KDIu6uSOve4Custom Field 1: v1658243237/MCSA_job_advert_header_mbsg7o.jpg

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