Description<\/p>\n
\tA vacancy exists for a Case Managers, reporting to the Patient Administration Manager. The position\u2019s primary responsibilities include efficient patient case management and the delivery of an efficient and professional service to the internal and external customers.
\n\tThe successful candidates will be goal oriented with strong customer, quality, and performance focus<\/p>\n
Critical Outputs<\/p>\n
\tEnsure that pre-admission and pre-authorization information is accurate and in accordance with hospital and funder procedures.
\n\tCarry out clinical coding in accordance with CPT\/CCSA and ICD requirements.
\n\tDaily ward rounds for effective clinical update communication and timeous follow up with medical aids.
\n\tMaintain patients\u2019 clinical status in accordance with funder approval requirements for the duration of hospitalization; keeping patients informed and managing the entire hospital stays\u2019 financial risk.
\n\tProvide complete and accurate updates and discharge information of all accounts.
\n\tMaintaining accurate accounts of all admissions Handle patient files in accordance with hospital procedures.
\n\tTimeous electronic submission of accounts and follow up on short payments arising from case management related issues.
\n\tEnsure the adherence of hospital staff to funder rules and coding procedures.
\n\tKeep well informed on legislation pertaining to funders and related Health Care matters..<\/p>\n
Requirements<\/p>\n
\tNursing: SANC registration RN or EN, with Case Management qualification\/experience
\n\tNonclinical case managers with Case Management qualification\/experience
\n\tHigh school matric certificate.
\n\t3 \u2013 5 years\u2019 experience in clinical coding, private hospital case management and Medical Aid administration procedures.
\n\tKnowledge of hospital billing, funder contracts and tariffs would be an advantage.
\n\tHave sound computer literacy skills and working knowledge of MS office, word and excel.
\n\tExcellent communication skills and the ability to form and build strong relationships & partnerships with internal & external stakeholders.
\n\tExcellent negotiation skills & the ability to interact with tact and diplomacy<\/p>\n
Competencies<\/p>\n
\tCollaboration\/ Relationship Building
\n\tResilience
\n\tEngaging diversity
\n\tVerbal & written communication and presentation skills
\n\tInfluencing
\n\tCustomer responsiveness
\n\tOrganisational awareness
\n\tExcellence and quality orientation
\n\tEthical behaviour<\/p>\n
Closing: 2025-10-29<\/p>\n
go to method of application \u00bb<\/p>\n
Apply via company website ( N \/ A ) or<\/p>\n
<\/p>\n","protected":false},"author":2,"featured_media":0,"template":"","meta":{"_promoted":"","_job_location":"","_application":"","_company_name":"Africa Health Care","_company_website":"http:\/\/N%20\/%20A","_company_tagline":"Africa Health Care (AHC) is a healthcare operator specialising in hospital management and related healthcare services. Our goal is to ensure that affordable quality healthcare services are made available to all. AHC was established in 2014 and in 2017 the company became a wholly owned subsidiary ... read moreof RH Bophelo The AHC portfolio consists of 2 Africa Health Care owned Acute Hospitals, 9 managed Acute Hospitals and 2 managed Mental Health Facilities, 1 Public Private Partnership Sub-Acute Hospital and 1 managed Rehabilitation centre.","_company_twitter":"","_company_video":"","_filled":0,"_featured":0,"_remote_position":0,"_job_salary":"","_job_salary_currency":"","_job_salary_unit":""},"job_listing_region":[16],"job-types":[12],"class_list":["post-21630","job_listing","type-job_listing","status-expired","hentry","job_listing_region-kwazulu-natal","job-type-full-time"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/job-listings\/21630","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/job-listings"}],"about":[{"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/types\/job_listing"}],"author":[{"embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/users\/2"}],"wp:attachment":[{"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/media?parent=21630"}],"wp:term":[{"taxonomy":"job_listing_region","embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/job_listing_region?post=21630"},{"taxonomy":"job_listing_type","embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/job-types?post=21630"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}