Case Manger

Transform Patient Care with Our Client

Our client a renowned healthcare facility in Durban is seeking dedicated Case Managers to join their team. This is a unique opportunity to contribute to a toptier hospital known for its exceptional patient care and operational excellence. If you are passionate about making a difference in healthcare this role is for you.

Key Responsibilities:

• Clinical Risk Management: Utilize your clinical expertise to manage patient risks including Length of Stay Level of Care and medical aid benefits.
  
• Coding Proficiency: Apply your skills in ICD 10 and CPT 4 coding to patient files.
  
• Billing Authorization: Oversee the authorization and final billing of patient files ensuring accuracy and compliance.
  
• Stakeholder Coordination: Engage daily with Medical Schemes hospital nursing staff and medical practitioners to ensure seamless patient care.
  
• Per Diem Management: Effectively manage Per Diem accounts to optimize patient care and hospital operations.
  

Requirements

Qualifications:

• Registered Nurse / Staff Nurse: With at least 4 years of nursing experience in a multidisciplinary hospital environment.
  
• Intensive Care Experience: Essential for this role.
  
• Case Management Experience: Experience in Hospital or Medical Scheme Case Management is advantageous.
  
• Coding Knowledge: Proficiency in ICD 10 and CPT 4 coding.
  

Skills and Competencies:

• Excellent Communication: Strong interpersonal skills to effectively interact with patients staff and stakeholders.
  
• Stress Management: Ability to maintain stable performance under pressure.
  
• Customer Focus: Develop and sustain productive customer relationships.
  
• Time Management: Prioritize tasks to ensure timely completion of work.
  
• Quality Orientation: Produce highquality work by accurately checking processes and tasks.
  
• Administrative Skills: General administrative proficiency with computer literacy being an advantage.
  

Benefits