Medical Case Manager jobs

Requirements: Registered with SANC Clinical qualification Registered Nurse / Professional Nurse or qualified Paramedic Minimum of 3 years in a clinical role Experience in Theatre and or ICU; Medical aid background; Experience in private healthcare environment or experience as an ILS/ALS Paramedic Skills: Anatomy (including terminology) Funder Contracts; Medical aid requirements/narrations Patient...

Requirements: Registered with SANC Clinical qualification Registered Nurse / Professional Nurse or qualified Paramedic Minimum of 3 years in a clinical role Experience in Theatre and or ICU; Medical aid background; Experience in private healthcare environment or experience as an ILS/ALS Paramedic Skills: Anatomy (including terminology) Funder Contracts; Medical aid requirements/narrations Patient...

Position Purpose:To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources.Experience:5 years experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working experie...

Functional Title: WorcesterCrisis Response Case Manager Reports To: Program DirectorPosition Summary:The City of Worcester Crisis Response Initiative provides clinical support 7 days per week, 24 hours per day in partnership with the Worcester Public Service, and first responders in the city of Worcester. The initiative serves individuals experiencing a mental health and/or substance use disorder...

Functional Title: WorcesterCrisis Response Case Manager Reports To: Program Director Position Summary: The City of Worcester Crisis Response Initiative provides clinical support 7 days per week, 24 hours per day in partnership with the Worcester Public Service, and first responders in the city of Worcester. The initiative serves individuals experiencing a mental health and/or substance use disord...

Requirements: Nursing or Case Management qualification / experience Case Management experience Hospital / Funder Clinical Nursing / managed healthcare experience ICD-10 / CPT coding qualification or experience SAP IS-H experience advantageous Proficiency in Microsoft Office The main purpose of this position: The Case Manager utilising clinical knowledge, experience and patient acuity scoring tool...

Position Purpose: To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources. Experience: 5 years' experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working exp...

Position Purpose:To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources.Experience:5 years' experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working experi...

The Member Cases and Claims Division is at the forefront of protecting the careers, reputation and financial risk of our members worldwide. The purpose of the role is to support the provision of excellent case handling services for members which is trusted and valued and provides fair treatment and outcomes. The role will do this by managing a case load of files and using expert knowledge and jud...

The Member Cases and Claims Division is at the forefront of protecting the careers, reputation and financial risk of our members worldwide. The purpose of the role is to support the provision of excellent case handling services for members which is trusted and valued and provides fair treatment and outcomes. The role will do this by managing a case load of files and using expert knowledge and jud...

Position Purpose: To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources. Experience: 5 years experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working expe...

Position Purpose:To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources.Experience:5 years' experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working experi...

These jobs were popular with other job seekers Aryxs Health Pty Ltd / The IV Bar Bryanston and The IV Bar BluBird Aryxs Health Pty Ltd / The IV Bar Bryanston and The IV Bar BluBird Communicate on several platforms with a multi-disciplinary team as well as funders externally.Curator for all outgoing reporting to fundersProvide appropriate information to Medical aids.Code all patientsAssist with fi...

Requirements: Nursing or Case Management qualification / experience Case Management experience Hospital, Funder, Non-Clinical or Assistant Case Manager Clinical Nursing / managed healthcare experience ICD-10 / CPT coding qualification or experience SAP IS-H experience advantageous Proficiency in Microsoft Office The main purpose of this position: The Case Manager utilising clinical knowledge, exp...

Faircape Health is extending our subacute care and rehabilitation services to one of our long-term healthcare facilities in Somerset West, Heritage Manor. We are catering to patients in need of short-term, long-term, dementia, respite, and palliative care within a secure and nurturing environment. Our world-class care aims to bridge the gap between hospital and home. Our Multidisciplinary Team (M...

Case Manager Housing Support Services (Maternity Leave Cover) Alice Springs, Alice Springs & Central Australia NT Housing & Homelessness Services (Community Services & Development) Anglicare NT supports people, strengthens communities and advocates for social justice across the Northern Territory. We deliver over 90 diverse services across urban regional and remote areas of the NT. If you want to...

Requirements: Nursing or Case Management qualification / experience Case Management experience Hospital / Funder Clinical Nursing / managed healthcare experience ICD-10 / CPT coding qualification or experience SAP IS-H experience advantageous Proficiency in Microsoft Office The main purpose of this position: The Case Manager utilising clinical knowledge, experience and patient acuity scoring tool...

Job Introduction The Member Cases and Claims Division is at the forefront of protecting the careers, reputation and financial risk of our members worldwide. The purpose of the role is to support the provision of excellent case handling services for members which is trusted and valued and provides fair treatment and outcomes. The role will do this by managing a case load of files and using expert ...

Minimum Education:Nursing Qualification (Nursing Diploma as a registered nurse)Minimum Experience:3 to 5 years (previous pre-authorisation, case management experience in a managed healthcare environment isessential)Duties and Requirements includes but is not limited to the following:Knowledgeable of the Medical Schemes Act and Government Gazette on tariffsConduct telephonic assessment, competency...

Minimum Education: Nursing Qualification (Nursing Diploma as a registered nurse) Minimum Experience: 3 to 5 years (previous pre-authorisation, case management experience in a managed healthcare environment is essential ) Duties and Requirements includes but is not limited to the following: Knowledgeable of the Medical Schemes Act and Government Gazette on tariffs Conduct telephonic assessment, co...

Responsibilities:Assess the medical needs of patients and provide recommendations for cost-effective care.Facilitate patient access to appropriate healthcare services and resources.Monitor and evaluate patient progress and treatment outcomes.Provide support and education to patients and their families.Document case management activities and maintain accurate records.Collaborate with cross-functio...

Position:Case Manager In HospitalPosition Purpose:To coordinate care in allocated facilities, in order to improve health outcomes and manage the cost to the Scheme(/s). The case manager's responsibilities start from patient admission to discharge and they should have an understanding of hospital processes and the importance of making cost-effective decisions. To manage the Scheme risk by doing pa...

About UsAnglicare NT supports people, strengthens communities and advocates for social justice across the Northern Territory. We deliver over 90 diverse services across urban regional and remote areas of the NT. If you want to make a sustainable difference in people's lives through strengths-based approaches and capacity building initiatives; talk to us about meaningful career opportunities.We of...

Responsibilities: Assess the medical needs of patients and provide recommendations for cost-effective care. Facilitate patient access to appropriate healthcare services and resources. Monitor and evaluate patient progress and treatment outcomes. Provide support and education to patients and their families. Document case management activities and maintain accurate records. Collaborate with cross-f...