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...
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...
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...
A Medical Insurance Company based in Benoni is looking for a Pre-Authorisation Nurse who will assess the authenticity and legitimacy of requests for medical services or treatment by members or service providers in a timely, effective, efficient, equitable and client centred manner. Key Performance Areas Authorise or Decline Medical Services or Treatment Mitigate Waste or Abuse of Benefits Underta...
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...
Case Manager (Hospital Group) - GautengFull Time Gauteng, Lenasia January 9, 2024 - February 9, 2024 Management - Medical NursingJob OverviewRequirements:Nursing or Case Management qualification/experienceClinical Nursing/ Managed Healthcare experienceICD-10 / CPT Coding qualification or experienceSAP IS-H experience advantageousProficiency in Microsoft Office productsCase Management experience:H...
Professional Nurse/Facility Manager- GermistonLambano Sanctuary - Germiston, GautengWe are a patient and family-centred medical step-down facility for children and adolescents, who have been referred from hospitals and other facilities. We admit patients to our facility for further medical, palliative, rehabilitative and psychosocial care.We are based in Wychwood, Germiston, Gauteng and have been...
Case Manager x1 - BellvilleRequirements:Qualified Registered NurseA qualified EN with relevant experience would be consideredMust be with registered with SANC and proof of indeminity coverMinimum 3 years nursing experience in a multidisciplinary hospitalExperience & Exposure in Theatre and ICU would be advantageousHospital / Medical aid scheme case management would be advantageExperience in ICD 1...
A leading medical aid scheme company is seeking a Case Manager. The purpose of this role is to actively manage the clinical appropriateness and risk (both financial and clinical) of all hospital events and associated healthcare services in accordance with the relevant scheme rules, clinical protocols, and funding guidelines. To participate in the clinical review of exceptional cases and to engage...
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...
Job Description Do you have an eye for detail? Knowledgeable of managed Healthcare policies and procedures and ICD10 Cpt 4 coding? Then this might be for you because a hospital in Alberton is looking for a Case Manager, check out the requirements!Requirements:ICD 10 CPT 4 CodingIntensive Care Nursing Experience can be an advantage3 years of Nursing experienceHospital or Medical Scheme Case Manage...
Job Description MSP is currently assisting a private hospital in Durban, who seeks to employ a highly knowledgeable Patient Services Manager!We are looking for an experienced Patient Services Manager who will be responsible for the management and coordination of patient services, resources and operations. You will also be responsible for the overall management of the administration area.The follo...
Job Description MSP is currently assisting a private hospital in Durban, who seeks to employ a highly knowledgeable Patient Services Manager!We are looking for an experienced Patient Services Manager who will be responsible for the management and coordination of patient services, resources and operations. You will also be responsible for the overall management of the administration area.The follo...
Job Description MSP is currently assisting a private hospital in East London, who seeks to employ a highly knowledgeable Patient Services Manager. We are looking for an experienced Patient Services Manager who will be responsible for the management and coordination of patient services, resources and operations. The following requirements are a prerequisite to be considered for the position: Regis...
Job Description Exciting new position opened in a private hospital for a clinical coder who prides themselves in accuracy and consistency in order to deliver the safest care for patients, while working alongside the case management team, to effectively measure patient response to treatment. This position requires a Nursing qualification or NQF 4 equivalent, Matric. Have an ability to effectively ...
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