Hospital Case Manager

Important NoticeMediclinic wants to alert candidates that third parties are from time to time fraudulently advertising vacancies at Mediclinic and / or offering employment contracts with subsequent payment instructions to accounts linked to the fraudulent activity. Please note that Mediclinic will never request payment for an application or offer made. All official vacancies are advertised on the Mediclinic career website and candidates are advised to visit the site to confirm the validity of vacancies. Hospital Case ManagerApply now » Start applying with LinkedIn Choose how often (in days) you want to receive a notification:

Apply Now Choose how often (in days) you want to receive a notification: Please wait. . . Search Jobs by Keyword | Search Jobs by Location | Back to Southern AfricaShare this JobChoose how often (in days) you want to receive a notification: Mediclinic Worcester | Worcester | South Africa Closing date: 27/07/2025Number of positions: 1Recruiter name: Liezel AlbertsReference number: 61879Workplace Type:

On-sitePermanentPlease note if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profileMAIN PURPOSE OF JOBTo coordinate the hospital case management process and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimise the financial risk for the organisationKEY RESPONSIBILITY AREASMinimise financial risk by effectively managing patient stayEnsure compliance to case management procedures, contracts and legal aspects by utilising available resources and systemsEnsure correct and timeous finalisation of cases to facilitate reimbursements from funders of claimsConsistently and timeously communicate with Funders as contractually agreed through the relevant case management channelsEnsure clinical coding standards are adhered to as per Level 3 coding guidelineLead and manage the people in the Case Management team (if applicable)Required EducationESSENTIAL EDUCATION:

Clinical qualificationDESIRED EDUCATION: Registered Nurse / Professional Nurse or qualified ParamedicRequired ExperienceESSENTIAL MINIMUM EXPERIENCE: Minimum of 3 years in a clinical roleDESIRED EXPERIENCE: Experience in Theatre and or ICU; Medical aid background; Experience in private healthcare environment or experience as an ILS/ALS ParamedicRequired Job Skills And KnowledgeUnderstanding of anatomy; physiology and medical terminologyFunder Contracts; Medical aid requirements/narrationsScientific nursing principles and processAuthorisation and motivation of Level of Care; Length of Stay; Clinical Coding, high-cost stock, Short Payments etc. Use of electronic systems (i. e.

B2B or Funder portals) for the purposes of requesting authorisations, performing case management updates and for troubleshooting)Computer literacy (Microsoft Office, hospital/practice management systems)Relevant aspects of applicable statutory acts (e. g. Consumer Protection Act; PMB; etc. )Patient Administration policies and procedures (e. g. Patient Confidentiality; Visitation of external case managers; etc.

)Daily workflow; managing deviances; clinical coding; and case management processesApplication of clinical codes and finalisation thereofAll applicants will be considered, with the understanding that preference will be given in accordance with the Employment Equity Plan of Mediclinic Southern Africa, as well as internal applicants/employees that meet the minimum requirements. Please note if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profileApply now » Start applying with LinkedIn Choose how often (in days) you want to receive a notification:

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