Case Manager
Busamed
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- The Case Manager will be responsible for the liaison between the patient and medical aids to secure payment for the hospital.
Requirements
- Grade 12/Matric
- Diploma in Nursing or B Degree Nursing Qualification is essential
Work Experience
- Three or more years of experience in Private Healthcare
- SAP experience will be advantageous
- Previous experience in case management
- Intermediate computer skill
- ICD & CPT Coding would be advantageous
- Knowledge of Medical Aids
Knowledge
- Ensure all the relevant details on Hospital Billing System are updated and are accurate
- Supply all details regarding patients' history to Clinical partners
- Monitor and control costs for Managed Care Organisation patients
- Confirm length of stay for all Managed Care Organisations patients
- Accompany Managed Care Organisation Case Managers on ward rounds in the hospital
- Assist with final authorisation of Managed Care patient files
- Ensure correct coding for all Managed Care Organisation patients
- Consult with the relevant service providers regarding the patient care treatment
- Assist with the transfer of patients to Rehab Hospital or step-down facilities
- Liaise network of internal and external stakeholders to ensure that managed care of patients is maintained
- Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually beneficial
Deadline:13th October,2026