Hospital Case Manager: Care Coordination & Coding

Joint Medical Holdings; KwaZulu-Natal; In loco; ZAR 300.000 - 460.000; Tempo pieno

Descrizione del lavoro

Joint Medical Holdings Isipingo Hospital seeks a Case Manager to advocate for patients, streamline processes, and optimize healthcare resources for better outcomes.

Must hold a nursing qualification with SANC registration. Experience with ICD-10/CCSA coding is required; billing experience is advantageous. Liaising with medical aids, doctors and patients is essential to support a multidisciplinary hospital team.

Competenze

• Registered with SANC as a nurse.
• Experience with ICD-10 and CCSA coding is required.
• Billing/auditing experience will be advantageous.
• Experience in a multidisciplinary hospital environment.
• Experience liaising with medical aids, doctors and patients.

Mansioni

• Adhere to policy and SLA for clinical updates and turnaround times.
• Ensure precise ICD-10/CCSA coding and accurate billing.
• Communicate with medical schemes and healthcare providers.
• Manage DSO and optimize related tools.
• Oversee Care Risk Management procedures and protocols.
• Resolve case management rejections and promote teamwork.
• Stay updated on industry trends and relevant guidelines.

Conoscenze

Attention to detail

Computer skills

Teamwork

Under pressure

Formazione

Nursing qualification - SANC registered

Strumenti

ICD-10 coding

CCSA coding

Billing tools

Descrizione del lavoro

Joint Medical Holdings Isipingo Hospital seeks a Case Manager to advocate for patients, streamline processes, and optimize healthcare resources for better outcomes.

Must hold a nursing qualification with SANC registration. Experience with ICD-10/CCSA coding is required; billing experience is advantageous. Liaising with medical aids, doctors and patients is essential to support a multidisciplinary hospital team.