Case Manager Jobs in Netcare uMhlanga Hospital Vacancies 2023 | Apply For Jobs in Umhlanga

• Hiring Organisation: Netcare uMhlanga Hospital Careers
• Vacant Position: Case Manager
• Job Location: Umhlanga, KwaZulu-Natal
• Required Qualification: Degree/Diploma
• Salary: R 420,000.00 Yearly
• Last Date: 09 February 2023

Apply For Vacancies in Netcare uMhlanga Hospital as a Case Manager Job Role Which is Available For Umhlanga, KwaZulu-Natal Location. Netcare uMhlanga Hospital has released a job notification On Their Official Careers website. To Comply with The position candidate need to have the required qualification as mentioned in the description of the official job portal. Apply as soon as possible before the job gets expired. For more government and private job vacancies in across South Africa Click Here.

Job Description:

Role summary
The Case Manager utilising clinical knowledge and expertise, mitigates financial risk through comprehensive accurate coding of hospital events; as well as the justification of hospitalisation encompassing level of care and length of stay.

Key work output and accountabilities
 Ensure appropriate, complete and relevant diagnostic and procedural coding of all patient records within the hospital.
 Application of clinical knowledge in the risk management of patients in terms of length of stay, level of care and medical aid benefits available.
 Monitor and action risk related to medical aid benefits and hospitalisation.
 Provide clinical data to substantiate length of stay and level of care.
 Accompany Managed Care Organisation Case Managers on ward rounds in the hospital, if required.
 Ensure correct clinical coding for all patients.
 Releasing of patient accounts for billing; relating to coding, LOS/LOC to ensure submission of an accurate hospital invoice. Consult with the relevant service providers regarding the patient treatment.
 Compliance with all industry relevant legislative acts, regulations and circulars
 Liaise with a network of internal and external stakeholders.
 Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually beneficial.
 Develop collaborative relationships to help accomplish work goals.
 Effective communication to medical schemes by utilising the rules of engagement published in the Netcare Tariff and Billing Guidelines.
 Identify own training needs and communicate with line manager.
 Identify and ensure informal training for all relevant staff related to manage healthcare subject matter.
 Actively participate as a member of a team to achieve goals.
 Active involvement in own professional development to maintain a satisfactory level of skill and knowledge.
 Keep up to date with Netcare’s evolving policies and procedures.

Essential
 B Degree/Diploma Nursing qualification or equivalent NQF level 6.
 Enrolled nursing qualification or equivalent NQF level 4.
 Qualification in associated Healthcare sciences or Managed care/ Case management.

Work experience
Essential
 3 years professional healthcare experience.

Knowledge
Essential
 Ability to develop and maintain clinical knowledge.
 Develop case management skills and expertise.
 Nursing and pharmacy policies and procedures.

Preferred
 All policies and procedures related to the administrative processes within the hospital.
 Managed health care experience.
 ICD 10 and CCSA coding experience/qualification.