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Clinix Health Group
Mahikeng, North-West
Job Description: As Enrolled Nurse, to take responsibility for both direct and indirect nursing care of a patient or group of patients, and to function under the direct and/ or indirect supervision of a Registered Nurse, according to the scope of practise of an Enrolled Nurse. (ads1) Job Responsibilities: Drive quality of care adhering to work sta
Job Source: Clinix Health GroupClinix Health Group
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Job Source: Clinix Health GroupLancet Laboratories
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Job Source: Absa Group LimitedNorth-west University
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Job Source: North-west UniversityMahikeng, North-West
R 300000 ZA Per annum
Job Description:
The Case Manager will accept full responsibility and accountability to render effective case management processes and facilitate the communication process between all role players by providing accurate and timeous clinical information in order in order to minimize the financial risk for the Company.
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Job Responsibilities:
Conduct daily case management rounds in allocated units to obtain updated clinical information from patient files. Comply with case management procedures, Medical Scheme contracts and legal aspects by utilizing available resources and systems (specifically the Case Manager Workstation on SAP).
Obtain Doctors’ letters of motivation in support of all cases where Medical Schemes request these from the hospital as part of their assessing process.
Communicate consistently and timeously with the Medical Schemes as contractually agreed through the relevant case management channels.
Minimize financial risk by effectively managing patient stay
Ensure authorizations on admissions (daily) is accurate as per SAP system.
Job Requirements:
Grade 12.
Certificate in Coding (advantageous).
3 – 5 years’ experience in a private hospital or Medical Scheme environment, in a case management capacity.
Working knowledge of ICD-10 and CPT codes.
Computer proficiency – SAP system or similar.
Registered Nurse currently registered with SA Nursing Council (SANC).
Job Details:
Company: Clinix Health Group
Vacancy Type: Full Time
Job Location: Mafikeng
Application Deadline: N/A
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Clinix vacancies mafikeng – case manager jobs in Mahikeng, North-West
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