North West: 2 x Case Manager posted by Immploy Recruitment Agency
Posted on 2025-06-18 00:00:00
| Employer | Immploy Recruitment Agency |
|---|---|
| Category | Nursing |
| Location | North West / North West |
Job Summary
- Accurately manage pre-admission and pre-authorisation processes in line with hospital and funder protocols
- Perform clinical coding in accordance with CPT/CCSA and ICD standards
- Conduct daily ward rounds for clinical updates and coordinate with medical aids for timely authorization
- Monitor and maintain patient clinical status updates to align with funder requirements throughout hospitalization
- Manage financial risk by ensuring patients are informed and accounts are accurate throughout the hospital stay
- Ensure proper electronic submission of accounts and follow up on short payments related to case management
- Maintain clear and compliant patient admission records and discharge information
- Promote compliance with funder regulations and hospital coding procedures
- Keep up-to-date with relevant healthcare legislation, funder rules, and administrative protocols
- Build and maintain effective relationships with internal and external stakeholders
Minimum Requirements:
- Registered Nurse (RN) or Enrolled Nurse (EN) with SANC registration and Case Management experience/qualification
OR - Non-clinical professionals with a Case Management qualification and experience
- Matric certificate
- 3–5 years’ experience in private hospital case management, clinical coding, and medical aid processes
- Solid understanding of hospital billing, funder contracts, and medical tariffs is advantageous
- Proficient in Microsoft Office (Word, Excel) and general computer systems
- Excellent negotiation, communication, and stakeholder engagement skills
- Ability to work with tact, diplomacy, and a strong customer service focus
Core Competencies:
- Strong interpersonal and relationship-building skills
- Analytical thinking and sound judgment
- Resilience and adaptability
- Effective verbal and written communication
- Cultural awareness and diversity engagement
- High ethical standards and integrity
- Organisational awareness and service excellence
- Ability to influence and negotiate effectively
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