Job Summary:<\/p>\n
\tTo plan, coordinate and execute case management work at hospital level. The incumbent utilises clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding of patient care.<\/p>\n
Minimum Qualifications and Experience:<\/p>\n
\tNursing Diploma
\n\tRegistered Nurse
\n\tICD Code & CPT Coding knowledge
\n\t3-5 years\u2019 experience as a hospital case manager<\/p>\n
Minimum Job Requirements:<\/p>\n
\tLiaise with Receptionist for authorizations.
\n\tEnsure compliance to case management procedures, standards and protocols.
\n\tPlan, coordinate and execute Clinical coding in accordance with relevant CHG standards and protocols.
\n\tEnsure accurate, appropriate and complete diagnostic and procedural coding of all patient records in the hospital.
\n\tTimeously and consistently communicate and follow up with Funders (Medical Aids, COID, Government, RAF, DOL, etc.)
\n\tProvide appropriate clinical information to Funders in order to update Length of Stay, Level of Care, formulary utilization, assistive devices \/ Prosthesis, diagnostic interventions, therapy intervention and procedural interventions and required change in the facility.
\n\tConsult daily with all relevant health care providers with regards to patient treatment
\n\tEnsure the maintenance of patients\u2019 clinical status (subsequent interventions and treatments) in accordance to Funder requirements for the duration of hospitalization
\n\tEnsure the correct categorization and management of different patient accounts to facilitate reimbursement by Funders.
\n\tEnsure accurate and timeous finalization of cases to facilitate reimbursement by Funders.
\n\tMinimize financial risk by the effective management of patient hospitalization.
\n\tFollow the established and approved escalation processes in the event of a decline of payment by Funders.
\n\tEnsure to remain in the group and facility targets of 3 days for WIP (work in progress) and DNYB (discharged not yet billed).<\/p>\n
Closing Date\u00a012 May 2026<\/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":"Clinix Health Group (Pty) Ltd","_company_website":"http:\/\/N%20\/%20A","_company_tagline":"In 1992 the company employed less than 5 people who led our first hospital Botshelong Empilweni Private Hospital to open its doors to the Vosloorus community in 1994. With over 20 years of providing quality healthcare in the communities we operate in, Clinix Health Group owns and manages eight hospi... read moretals and has approximately 2600 individuals that are working in our hospitals on a daily basis. We pride ourselves on attracting passionate and exceptional individuals who will continue to help us enhance patient experience and providing access to affordable and quality healthcare to underserviced communities.","_company_twitter":"","_company_video":"","_filled":0,"_featured":0,"_remote_position":0,"_job_salary":"","_job_salary_currency":"","_job_salary_unit":""},"job_listing_region":[11],"job-types":[12],"class_list":["post-35317","job_listing","type-job_listing","status-expired","hentry","job_listing_region-gauteng","job-type-full-time"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/job-listings\/35317","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=35317"}],"wp:term":[{"taxonomy":"job_listing_region","embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/job_listing_region?post=35317"},{"taxonomy":"job_listing_type","embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/southafrica\/wp-json\/wp\/v2\/job-types?post=35317"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}