Lambano Recent Available Employment Vacancy - South Africa
Lambano Sanctuary is a Christian NPO that responded to the HIV crises in 2001 by taking in Orphaned HIV children to live permanently in our facilities. In 2009 we opened a Paediatric Medical Step-down Facility/Hospice to care for children with life limiting and life-threatening illnesses. The admission age is 0-18 years, the patients are cared for in a 16-bed facility until they are well enough to be discharged back to their families. We work in collaboration with the Public and Private Medical fraternity. Lambano seeks to appoint a Case/Liaison Coordinator, based in Germiston, Gauteng. Start Date 06 January 2020. Job Title: Case/Liaison Coordinator Location: Germiston, Gauteng Start Date: 06 January 2020 Required: Diploma/Degree in Nursing Registered with the South African Nursing Council as a Registered Nurse ICD10 and CPT coding experience. Valid Driver’s Licence –Valid driver’s licence with acceptable driving record. Ability to drive different company vehicles and a driving record that demonstrates safe driving practices. Minimum 3 years’ experience of Medical Aid administration procedures and Hospital Case Management Knowledge of the rules and regulations regarding medical aid schemes is required Knowledge of patient administration systems, policies and procedures will be an advantage Knowledge of hospital billing and tariffs Existing relationships with Hospitals and Medical Aids an advantage. Intermediate knowledge of Microsoft Suite Medical report writing skills Excellent communication skills and the ability to build strong partnerships Excellent negotiation skills and the ability to interact with tact diplomacy Independent problem solving and decision-making skills Ability to function well in a team Good accuracy and attention to detail skills to maintain high standards of work output Understands the inter-relationships between business processes Experience in a managed healthcare environment will be a strong recommendation Maintain a customer-focused mindset that acknowledges the value of the customer A wealth of knowledge regarding patient intake procedures Ability to market Lambano Sanctuary and bring in patients to the facility Negotiating Rates with Medical Aids Work Output: Carry out clinical coding in accordance with CPT and ICD requirements Ensure authorisation information is accurate and in accordance with hospital procedures Provide complete and accurate updates and discharge information of all accounts Keep patients and doctors informed Handle patient files in accordance with hospital procedures Timeous electronic submission of accounts and follow up on short payments arising from case management related issues Keep well informed on legislation pertaining to related care matters Visits relevant hospitals and doctors to speak about Lambano services Attend meetings with Hospitals relating to case management Initiate conversations with potential intake patients Facilitate conversations with medical aids on behalf of Lambano. Meet monthly targets of patient in-takes per month Follow up on billing from patients and medical Aid companies Strict in following up patients and meeting deadlines Competencies Required: Must show passion for working with under privileged children; Creative and innovative; Good organisational and time management skills; High stress tolerance with the ability to work under pressure and meet tight deadlines; Ability to work in a team but also independently; Flexible; Adaptable; results oriented, goal achiever, Out-going personality Professional business acumen To apply Submit a CV, and a motivational letter, to executiveassistantlambano.org.za please put Case Manager” in the subject line. Only short-listed candidates will be contacted. No phone calls will be accepted. Application Deadline: Saturday, 23 November, 2019
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