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Lenmed invites suitably qualified candidates to apply for the following position

Case Manager - Re-advertised

DEPARTMENT

Case Management

JOB TITLE

Case Manager

CLOSING DATE

2024/10/04

HOSPITAL

Shifa Private Hospital

WORK ADDRESS

Shifa Private Hospital - 482 Randles Road, Durban, 4091

Main Focus Areas

The Case Manager utilizing clinical knowledge and expertise, mitigates financial risk through comprehensive and accurate coding of hospital events, communication with funders on justification for hospitalization level of care and length of stay.

Key Performance Areas: (include but are not limited to)

  • Responsible for application of clinical knowledge in justifying patient hospitalisation in terms of treatment, length of stay and level of care.
  • Monitor and action risk related to medical aid benefits and hospitalisation.
  • Ensure accurate, specific and comprehensive clinical coding
  • Timeous, effective communication and follow up with medical aids.
  • Review authorisation aspects approved, mitigating financial risk and final releasing the case for billing.
  • Liaise with a network of internal and external stakeholders regarding patient treatment.
  • Adhere to the NHN Managed Health Care rules of engagement.
  • Compliance with all industry relevant legislative acts, regulations and circulars

Post Requirements: (include but are not limited to)

  • B Degree/Diploma Nursing qualification and/or Case Management qualification
  • Diverse clinical nursing experience
  • Case Management experience for specialized wards
  • ICD-10 / CPT Coding Qualification or Experience
  • SAP IS-H experience advantageous
  • Proficiency in Microsoft Office products

Please Note:

Candidates must ensure that their contact details are correct and that they can be contacted during office hours. If candidates are not contacted within thirty (30) days after the closing date, they should consider their applications as being unsuccessful. Late, incomplete and applications not indicating the applicable position will not be considered. The right to fill the position within the Operational requirements of the Company is reserved. By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes(should you be successful). Please note that your information will be processed for recruitment purposes only or for such purposes relating to assessing the establishment of an employment relationship with yourself, and this will be in accordance with the applicable data protection and privacy legislation. We confirm that such information will not be used for any other purpose without obtaining your prior consent. If your application is not successful, we retain your CV and other information provided of 6 months after which it will be destroyed in a secure manner. If you object to your information being used in accordance with the aforementioned clauses, please indicate your objection and we will immediately destroy your personal information in a secure manner. Equal opportunity is supported by the Employer.

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