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case manager jobs in south africa

Case Manager
Melomed Private Hospitals SA —Northern Suburbs, Western Cape
- Full-time
Junior AML Analyst
Sporty Group —Home Based
- Remote
Hospital Case Manager
Joint Medical Holdings —Isipingo, KwaZulu-Natal
Quick Apply
JUNIOR IR MANAGER
Alliance Foods SA (Pty) Ltd. —Port Elizabeth, Eastern Cape
- Full-time
Regional Fundraising Manager
Islamic Relief South Africa —Kwazulu/Natal, KwaZulu-Natal
Quick Apply
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Moniepoint —Home Based
- Remote
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Case Administrator - Isipingo
Joint Medical Holdings —Isipingo, KwaZulu-Natal
Quick Apply
Case Manager - South Africa
Medical Protection Society —Pretoria, Gauteng 0181
Quick Apply
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Momentum Health —Eastern Cape
Healthcare Liaison
Medwell SA —Western Cape
- Up to R25 000 a month
Quick Apply
Employee Relations Coordinator
Tharisa Minerals —North West
- Full-time
12d
CASE MANAGER CITY HOSPITAL
Joint Medical Holdings —Durban, KwaZulu-Natal
Quick Apply
13d
Workflow Manager
Sigma Connected Group —Cape Town, Western Cape 7965
- Full-time
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IQVIA —Bloemfontein, Free State
13d
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EXL Service —Cape Town, Western Cape
- Full-time
Regional Manager - 4ALL Voucher
Lesaka Technologies —Nelspruit, Mpumalanga
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SBV Services (Pty) Ltd. —Houghton Estate, Gauteng
- Full-time
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IR Manager (698)
Teleperformance —Cape Town, Western Cape 7925
- Full-time
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Flash —Western Cape
- Full-time
12d
ESG Specialist
AVBOB —Centurion, Gauteng
- Full-time

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Case Manager

Melomed Private Hospitals SA
Northern Suburbs, Western Cape

Apply Now

Job Details

Full-time

Full Job Description

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

Qualified Registered Nurse
A qualified EN with relevant experience would be considered
Both need to registered with SANC and proof of indemnity cover

Minimum 3 years nursing experience in a multidisciplinary hospital.
Experience and exposure in Theatre and/or ICU would be advantageous
Hospital or Medical Aid scheme case management would be an advantage.
Experience in ICD 10 and CPT coding is essential
Knowledge of Prescribed Minimum Benefits (PMB) Scheme rules and policies
Excellent communication skills (written and spoken)
Excellent analytical and problem-solving skills
Excellent MS Office computer skills, i.e. Outlook, Word, Excel, Kronos, Clinic Manager, etc.
Attention to detail
Ability to cope well under pressure

Apply Now

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