Clinical Case Manager (Hospital) - Durban
Key Responsibilities:
Qualifications and Experience:
- Stakeholder Liaison: Maintain effective communication with a network of internal and external stakeholders to ensure comprehensive managed care for patients.
- Cost Management: Monitor and manage costs associated with Managed Care Organization patients.
- Stay Confirmation: Confirm and document the length of stay for all patients under Managed Care Organizations.
- Ward Rounds: Accompany Managed Care Organization Case Managers during ward rounds within the hospital.
- Authorization Assistance: Support the final authorization process for Managed Care patient files.
- Accurate Coding: Ensure accurate coding for all Managed Care Organization patients.
- Patient History: Provide detailed patient history information to clinical partners.
- Benchmark Management: Ensure DNYB and in-patients are managed within the Group's benchmarks.
Qualifications and Experience:
- Nursing diploma/degree OR Enrolled Nurse certificate.
- Current registration with SANC.
- A minimum of 3 years of nursing experience in a multi-disciplinary hospital.
- At least 2 years of general or ICU case management experience.
- Preferably intermediate training in CPT and ICD 10.
- Proficiency in computer literacy, particularly with MS Excel.
- Effective communication skills.
- Excellent time management skills and the ability to meet deadlines.
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