KEY PERFORMANCE AREASWork with billing departments to achieve clinical coding excellence on all patient files. Application of clinical and coding knowledge to effectively assign and sequence all ICD 10 and CPT codes for services rendered for each patient event.Read and analyse records from all available digital and other resources for accurate and appropriate coding that reflects the relevant med...
Case Manager - Mitchells PlainFull job descriptionRequirements: Qualified Registered Nurse Both need to registered with SANC and proof of indemnity cover Minimum 3 years nursing experience in a multidisciplinary hospital. Experience and exposure in Theatre and/or ICU would be advantageous Hospital or Medical Aid scheme case management would be an advantage. Experience in ICD 10 and CPT coding is ...
Closing Date2023/03/17Reference NumberMMH230112-4Job TitleWellness CoachPosition TypePermanentRole FamilyMedicalClusterHealth SolutionsRemote OpportunityNone of the timeLocation - CountrySouth AfricaLocation - ProvinceKwaZulu-NatalLocation - Town / CityCornubia, DurbanIntroductionMomentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutio...
Reference: CPT002492-CDJ-1 Our client based in Cape Town, is seeking a Clinical Specialist to join their team. The Impact You'll Make in this Role: As a Clinical Specialist, you will have the opportunity to put your curiosity to good use and collaborate with some of the most innovative and diverse people in the world. Here's how to make an impact: Develops and delivers account level strategy for ...
Requirements: Relevant Nursing Qualification Registered Nurse 3-5 years' experience in a similar role in private healthcare Bachelor's Degree with Anatomy and Physiology qualifications experience Knowledge Required: Hospital Operations Coding standards and protocols Revenue cycle management Working knowledge of OT and ICU Knowledge of private health care operations Technical Skills: Computer lite...
Requirements: Relevant Nursing Qualification Registered Nurse 3-5 years' experience in a similar role in private healthcare Bachelor's Degree with Anatomy and Physiology qualifications experience Knowledge Required: Hospital Operations Coding standards and protocols Revenue cycle management Working knowledge of OT and ICU Knowledge of private health care operations Technical Skills: Computer lite...
These jobs were popular with other job seekers Reference: CT004237-HS-1Our Client, a leader in the Private Healthcare Sector, is looking for a Billings and Accounts Manager, Duties & Responsibilities The Billings and Accounts Manager will be responsible for the overall management of the Billings team and work in collaboration with Case Management, Nursing, Pharmacy and Credit Control teams. The i...
These jobs were popular with other job seekersJoin our team in Pretoria as we collaborate with our valued client to seek a Clinical Pre-Authorisation Consultant (Registered Nurse). We are looking for an ideal candidate who holds a Registered Nurse qualification, backed by a degree or diploma and is registered with the South African Nursing Council (SANC). Additionally, the candidate should bring ...
Overview St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and comprehensive network of medic...
Job Description:The Case Manager will accept full responsibility and accountability to render effective case management processes and facilitate the communication process between all role players by providing accurate and timeous clinical information in order in order to minimize the financial risk for the Company.(ads1)Job Responsibilities:Conduct daily case management rounds in allocated units ...
These jobs were popular with other job seekers The Case Manager utilizing clinical knowledge and expertise, mitigates financial risk through comprehensive and accurate coding of hospital events, communication with funders on justification for hospitalization level of care and length of stay. Duties & Responsibilities RESPONSIBILITIES INCLUDE: Responsible for application of clinical knowledge in j...
Hospital Case Manager - JhbFull job descriptionCompany DescriptionAbout KaeloKaelo provides essential healthcare solutions ensuring the physical and psychosocial well-being of all South Africans towards lasting social change.Insurance products with limited medical benefit need close supervision for casualty and admission cases.Job DescriptionThe role is responsible for the authorising casualty ca...
Job Description The role is responsible for the authorising casualty cases with benefits telephonically or per email. Load all hospital related cases for casualty treatment and admission into hospital. Communicate with the clients on the benefit availability and limitation. Review the correct level of care for admitted clients. Negotiate with Health Care providers for clinical information. Discha...
Reference: CPT002492-CDJ-1 Our client based in Cape Town, is seeking a Clinical Specialist to join their team. The Impact You'll Make in this Role: As a Clinical Specialist, you will have the opportunity to put your curiosity to good use and collaborate with some of the most innovative and diverse people in the world. Here's how to make an impact: Develops and delivers account level strategy for ...
CASE MANAGER REQUIREMENTS: Qualified Registered Nurse A qualified EN with relevant experience would be considered Both need to registered with SANC and proof of indemnity cover Minimum 3 years nursing experience in a multidisciplinary hospital. Experience and exposure in Theatre and/or ICU would be advantageous Hospital or Medical Aid scheme case management would be an advantage. Experience in IC...
Join our team in Pretoria as we collaborate with our valued client to seek a Clinical Pre-Authorisation Consultant (Registered Nurse). We are looking for an ideal candidate who holds a registered nurse qualification, backed by a degree or diploma and is registered with the South African Nursing Council (SANC). Additionally, the candidate should bring a minimum of two years of experience in Manage...
Requirements: B degree/diploma nursing qualification and/or Case Management qualification Diverse clinical nursing experience Case Management experience ICD- / CPT coding qualification or experience SAP IS-H experience Proficiency in Microsoft Office Duties & Responsibilities: Responsible for application of clinical knowledge in justifying patient hospitalisation in terms of treatment, length of ...
Requirements: B degree/diploma nursing qualification and/or Case Management qualification Diverse clinical nursing experience Case Management experience ICD- / CPT coding qualification or experience SAP IS-H experience Proficiency in Microsoft Office Duties & Responsibilities: Responsible for application of clinical knowledge in justifying patient hospitalisation in terms of treatment, length of ...
KEY PERFORMANCE AREAS Work with billing departments to achieve clinical coding excellence on all patient files. Application of clinical and coding knowledge to effectively assign and sequence all ICD 10 and CPT codes for services rendered for each patient event. Read and analyse records from all available digital and other resources for accurate and appropriate coding that reflects the relevant m...
Case Manager - Mitchells Plein Full job description Requirements: Qualified Registered Nurse Both need to registered with SANC and proof of indemnity cover Minimum 3 years nursing experience in a multidisciplinary hospital. Experience and exposure in Theatre and/or ICU would be advantageous Hospital or Medical Aid scheme case management would be an advantage. Experience in ICD 10 and CPT coding i...
Case Manager - Mitchells PlainFull job descriptionRequirements: Qualified Registered Nurse Both need to registered with SANC and proof of indemnity cover Minimum 3 years nursing experience in a multidisciplinary hospital. Experience and exposure in Theatre and/or ICU would be advantageous Hospital or Medical Aid scheme case management would be an advantage. Experience in ICD 10 and CPT coding is ...
Billing and Accounts Manager - Cape TownFull job descriptionRole Summary:The Billings and Accounts Manager will be responsible for the overall management of the Billings team and work in collaboration with Case Management, Nursing, Pharmacy and Credit Control teams. The incumbent will fulfil his/her role by ensuring accurate and timeous billing of records within 3 days, within agreed upon framewo...
Oncology Case Manager - JhbFull job description3Sixty Health has a great opportunity for a suitably qualified individual to fulfil the advertised position and join their team.3Sixty Health is a black owned and managed, reputable and a major player in driving South African economy by investing3SIXTY HEALTH in black excellence 3Sixty Health is 100% black owned and black managed administrator. It is...
Pre-Authorisation Nurse - GautengJob SummaryKey Performance AreasAuthorise or Decline Medical Services or TreatmentMitigate Waste or Abuse of BenefitsUndertake General Administrative DutiesKey TasksAuthorise or Decline Medical Services or TreatmentValidate membership status and available benefits based on plan typeConfirm compliance with policy terms and condition, waiting periods and exclusionsA...
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