Case Manager

Assess patient conditions and needs to develop appropriate care plans Interact with patients and medical aid schemes Resolve patient and medical aid scheme queries Update all information timeously and accurately CPT and ICD coding Obtain doctors letters, motivations, and justifications in all appropriate cases under managed care of where medical aids request them from their hospitals as part of their assessing process Monitor patient admissions and identify those who have limitations, restrictions, place by their managed care/ medical aid structures e.g. length of stay, cost restrictions, fixed fees, per diem and other limiting fees or drugs and/ or formularies Maintain a control system that ensures the systematic monitoring of managed care patients Handling patient queries Update hospital information