General Case Manager Job at Life Healthcare in Tshwane

 Introduction:    
An exciting opportunity has arisen in the Life Eugene Marais Hospital, for a Case Manager General reporting to the Patient Services Manager.

Be apart of a professional team that is continuously striving for the highest standards of quality in healthcare.


Critical Outputs:    

Effective and efficient management of the case management team.
Responsible for the integrity of case management, from admission through to discharge.
Ensure that all authorizations required have been received or motivated for prior to submission of patient account.
Ensure the accuracy of the CPT4 and ICD10 Coding.
Monitoring of RSRT gains and losses and investigate and report reasons for contract losses to management.
Monitoring of the internal days and ensure internal days are in line with the head office budget.
Timeous follow up on short payments arising from case management related issues.
Developing sound relationships with medical practitioners, patients, doctors and other customers i.e. medical funds.
Release and submit patient accounts once all billing checks have been completed.

Requirements:    

Applicants required to be a Registered Nurse with SANC & with PC literacy.

Knowledge of hospital billing and tariffs as well as IMEDS would be an advantage.

The position requires an enthusiastic, self motivated and deadline driven leader who possesses excellent interpersonal and supervisory skills.

A strong customer focus, quality and performance is essential with the emphasis on delivering an efficient and professional service to the Hospital and both internal and external customers via a teamwork ethic across the hospital.

 Previous Case management is essential as well as Coding and a good knowledge of Risk Sharing modules, especially DRG’s.


Note:

Function:     Patient Services
Facility:     Life Eugene Marais Hospital, Tshwane
Job Title:     General Case Manager
Deadline Date: 19.02.2014
How to Apply:

Competencies:    

Contact:     Alan Howard
Patient Services Manager
Tel: + 27 12 334 2590
Fax: 086 6827333
Email: Alan.Howard@lifehealthcare.co.za