Job Description

Hospital Case Manager - Cape TownFull job descriptionJob Advert SummaryMHR is urgently looking for an experienced Hospital Case Manager (Registered Nurse or Paramedic) to work at a private hospital in the Northern Suburbs in Cape TownThis is an opportunity to work daily shifts for starting asap until 31 August 2024Join our dynamic team today to take advantage of the range of benefits we offer as a leading healthcare recruitment agency:Competitive pay ratesFlexible payment optionsPlacement opportunities at various clients across South AfricaComplimentary indemnity cover at specified clientsMinimum RequirementsMust be available immediatelyRegistered with the South African Nursing Council as a Registered Nurse or with the HPCSA as a qualified paramedicExperience in Theatre and or ICU serves as an advantage (Enrolled and Professional Nurse)Experience as an ALS Paramedic is essential (Paramedic)Case management experience is essentialExperience in private healthcare environmentKnowledge of the Scientific Nursing Process and associated proceduresKnowledge of the rules and regulations regarding medical aid schemesKnowledge of clinical codes and coding policiesKnowledge of patient administration systems, policies and proceduresProficient in Microsoft Office (Word, Excel and Outlook)Independent problem-solving and decision-making skillsGood accuracy and attention to detail skills in order to maintain high standards of work outputDuties and ResponsibilitiesResponsible for the case management processesInteracts with medical schemes to ensure that authorisations are provided timeouslyVerification of clinical coding as per policies and proceduresEnsures accurate application and interpretation of specialised wards criteriaProvides support for the management of alternative fee structuresLiaison with doctors on funder requirements when necessaryContinuous performance and quality managementInterpretation and implementation of scheme benefit rulesMaintains client service principles to ensure client expectations are met

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