Case Manager Job at Netcare in Gauteng

Job Title: CASE MANAGER
Location: NETCARE GAUTENG SOUTH WEST
Reporting structure: BILLINGS MANAGER


ROLE SUMMARY
KEY WORK OUTPUT AND ACCOUNTABILITIES
•Ensure all the relevant details on Hospital Billing System are updated and are accurate
•Supply all details regarding patients history to Clinical partners
•Monitor and control costs for Managed Care Organisation patients
•Accompany Manager Care Organisation Case Managers on ward rounds in the hospital
•Assist with final authorisation of Managed Care patient files
•Ensure correct coding for all Managed Care Organisation events
•Consult with the relevant service providers regarding the patient care treatment
•Assist with the transfer of patients to Rehab Hospital or step down facilities
•Liaise network of internal and external stakeholders to ensure that managed care of patients ares maintained
•Actively participate as a member of a team to achieve goals
•Active involvement in own professional development to maintain a satisfactory level of skills and knowledge
•Keep up to date with Netcare’s evolving policies and procedures
•Work effectively and co-operatively with others to establish and maintain good working
relationships that are mutually beneficial
•Develop collaborative relationship to help accomplish work goals
•Assist with Hospital stock take/fincancial half-year and year-end functions

SKILLS PROFILE EDUCATION, WORK EXPERIENCE

•Registered with SANC as a Registered Nurse
•Minimum 3 years experience in a mult
idisciplinary hospital environment
•ICD 10 coding and CPT coding experience essential
•Hospital and Medical Scheme
Case Management an advantage
•General administrative skills
•Computer literacy essential
•Energetic person with accuracy and speed
•Excellent communication and
interpersonal relationship

SKILLS:

Taking Action
Capable of recognising the need for action, considering possible risks and taking responsibility for results.
Decision Making
Capable of making decisions timeously and taking responsibility for the consequences.
Customer Focus and Service Delivery
The capacity to identify and respond to the needs of *internal and external customers.
*Internal and external customers include patients, doctors, colleagues,
suppliers, visitors, vendors and any other person that requires a relationship
Resilience to stress
Appropriately balancing these various pressures to maintain stable performance.
Managing Self Capacity to plan, organise and control own work environment by setting appropriate priorities and achieving set objectives within a given time frame.
Adapting and Responding to Change Capable of supporting and advocating change initiatives and managing own reaction to change.
Teamwork Capacity to cooperate with others to work towards a common goal.
Continuous Improvement
The capacity to improve systems and processes to facilitate continuous improvement.
Technical Knowledge

The capacity to perform a technical function to required standards.

VALUES AND BEHAVIOURS:
Netcare Values:

At Netcare, our core value is care. We care about the dignity of our
patients and all members of the Netcare family. We care about the participation of our people and our partners in everything we do. We care about truth in all our actions. We are passionate about quality
care and professional excellence.

•Care - The basis of our business. The professional, ethical patient care and services we offer at every level of the organisation.
•Truth - The crucial element in building relationships that work. Open communication with honesty and integrity is essential.
•Dignity - An acknowledgement of the uniqueness of individuals.
A commitment to care with the qualities of respect and understanding.
•Passion - The creative, passionate and innovative drive to do things better than before. To develop and implement successful healthcare solutions for all.
•Participation - The willingness and desire to work in productive and creative partnerships with others and the commitment to communicate.
The Netcare Way Netcare is committed to providing quality care. Our basic service standard holds us accountable for the below five behaviours which you

 Deadline Date: 27.03.2014
How to Apply:

APPLICATION PROCESS NETCARE IS AN EQUAL OPPORTUNITY EMPLOYER
The Company's approved Employment Equity plan and targets will be considered as part of the recruitment process aligned to the Group’s Employment Equity strategy. Netcare actively supports the recruitment of people with disabilities.
Interested candidates who meet the above criteria are requested to e-mail a detailed CV to Karen Jansen van Vuuren, at:

Karen.Jansenvanvuuren@netcare.co.za,
alternatively fax application
details to:

086 686 5573.

Please note:
•Please note that in line with the Group recruitment and selection policy,
failure to inform your line manager will automatically disqualify your application. Please refer to the recruitment and selection policy for further details.
•In the event of any physical or psychological limitation that may impair an individual’s ability to
perform the job function, the employee must consult the employer for reasonable accommodation