Job Description

MHR 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 rates

• Flexible payment options

• Placement opportunities at various clients across South Africa

• Complimentary indemnity cover at specified clients

Requirements

• Must be available immediately
• Registered with the South African Nursing Council as a Registered Nurse or with the HPCSA as a qualified paramedic
• Experience 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 essential
• Experience in private healthcare environment
• Knowledge of the Scientific Nursing Process and associated procedures
• Knowledge of the rules and regulations regarding medical aid schemes
• Knowledge of clinical codes and coding policies
• Knowledge of patient administration systems, policies and procedures
• Proficient in Microsoft Office (Word, Excel and Outlook)
• Independent problem-solving and decision-making skills
• Good accuracy and attention to detail skills in order to maintain high standards of work output

Key Outputs

• Responsible for the case management processes
• Interacts with medical schemes to ensure that authorisations are provided timeously
• Verification of clinical coding as per policies and procedures
• Ensures accurate application and interpretation of specialised wards criteria
• Provides support for the management of alternative fee structures
• Liaison with doctors on funder requirements when necessary
• Continuous performance and quality management
• Interpretation and implementation of scheme benefit rules
• Maintains client service principles to ensure client expectations are met

Other InformationIf you are interested in this opportunity and meet the requirements, apply directly by clicking on Apply. Kindly ensure that your profile is complete and up to date. For any online support, please contact our Career Centre:

• Free State, KwaZulu-Natal, Northern and Western Cape: T 0219436270 / talent@mhr.co.za
• Gauteng, Limpopo, Mpumalanga and North West: T 0219436269 / careers@mhr.co.za

Anti-fraud NoticeMHR alerts applicants of third parties who may publish fraudulent MHR employment vacancies. Please note that MHR will never request payment for an employment application or offer made. All applicable employment opportunities are advertised on the MHR careers website and contracted job boards.

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