Hospital Case Manager Pretoria - Pretoria
Glasshouse Recruiting
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 admin programmes on the AS400 system Scientific nursing principles and process Computer literate (Microsoft Office) Authorisation and motivation of Level of Care; Length of Stay; Short Payments etc. Relevant aspects of applicable statutory acts (e.g. Consumer Protection Act; PMB; etc.) Patient Administration policies and procedures (e.g. Patient Confidentiality; Visitation of external case managers; etc.) Daily workflow; managing deviances; coding; and case management processes Application of clinical codes and finalisation thereof (Level 3 coding)
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