Case Manager General Job at Life Flora Clinic in Florida

Function:     Patient Services
Facility:     Life Flora Clinic, Florida
Job Title:     Case Manager General

Introduction:    

A vacancy exists for a Case Manager General based at Life Flora Clinic reporting to the Patient Services Manager, Quintin Van Der Merwe. The successful candidate will be responsible for the financial and clinical administrative risks pertaining to patients and units. This person will be responsible to effectively communicate and deliver an uncompromising quality of service to all internal and external customers by ensuring that all clinical updates and coding are of the highest standard.

Critical Outputs:    

Carrying out Clinical coding in accordance with CPT and ICD requirements
Ensuring that pre-admission and pre-authorisation information is accurate and in accordance with hospital and funder procedures
Maintaining patients’ MHC status in accordance with funder approval requirements for the duration of hospitalisation; keeping patients informed
Providing complete and accurate discharge information
Maintaining accurate accounts of all units
Improving on short payments and losses
Submission of accounts
Handling patient files in accordance with hospital procedures
Ensuring the adherence of hospital staff to funder rules and coding procedures
The successful candidate must be required to work flexi time including weekends and public holidays as required operationally by the business

Requirements:     Matric and 3 – 5 years’ experience in basic finance and Medical Aid administration procedures
Computer literacy
People skills & negotiation skills
Understanding of business principles
Communication skills (verbal and written)
Problem solving including analysis & judgments
Decision making
Influencing (including negotiation skills)
Listening skills
Integrity/Ethics
Interpersonal skills (ability to build relationships)
Change management skills
Stress tolerance
Planning & organising (time management)
Self-management
A registered Nurse- who currently has valid registration at SANC. – Candidates without this qualification will not be considered for this position due to this being a strict requirement.

     
How to Apply:

Patient Services Manager
e-mail: quintin.vandermerwe@lifehealthcare.co.za
Fax: 086 501 6720
Before making application, internal applicants are requested to discuss your application with their line manager.


Closing Date:     Friday, 13 December 2013