hospital group requires a Case Manager who is a REGISTERED NURSE and 2 years Case Management experience care operations will secure 2-3' experience as a Case Manager within a medical aid entity or hospital Receptionist for authorisations Ensure compliance to case management procedures, standards and protocols Plan Funders Ensure accurate and timeous finalisation of cases to facilitate reimbursement by Funders Minimise stakeholder queries and complaints and take ownership of case management and reimbursement related issues Manage
operations will secure
ESSENTIAL
You will plan, coordinate and execute case management work at hospital level.
The incumbent
Receptionist for authorisations
Ensure compliance to case management procedures, standards and protocols
Ensure accurate and timeous finalisation of cases to facilitate reimbursement by Funders
Minimise
stakeholder queries and complaints and take ownership of case management and reimbursement related issues
Ensure
medical aid to cash patients
Ensure financial and case management documentation is maintained to support
Position for an Internal Case Manager Communicate on several platforms with a multi-disciplinary team regarding treatment and phone for patients. Assist with case management of all medical aid patients. Daily liaison procedures 3 years hosptial or medical faclility case management experience R450k - R500k p/a
Position for an Internal Case Manager Communicate on several platforms with a multi-disciplinary team regarding treatment and phone for patients. Assist with case management of all medical aid patients. Daily liaison procedures 3 years hosptial or medical faclility case management experience R450k - R500k p/a
hospital group requires a Case Manager who is a REGISTERED NURSE and 2 years Case Management experience care operations will secure 2-3' experience as a Case Manager within a medical aid entity or hospital Receptionist for authorisations Ensure compliance to case management procedures, standards and protocols Plan Funders Ensure accurate and timeous finalisation of cases to facilitate reimbursement by Funders Minimise stakeholder queries and complaints and take ownership of case management and reimbursement related issues Manage
knowledge of "Court-On-Line" and "Case-On-Line" platforms?
external) Logging cases / tickets for customers (internal and external) on the Case Management System System (CMS) and manage the relevant cases / tickets within the SLA Accepting ownership for effectively solving keeping customers updated on the progress of the cases where applicable Performing First Line Troubleshooting ensuring First Call Resolution (FCR) Escalating cases to other departments if FCR cannot be done during vendors – logging cases, ensuring timely feedback and escalating outstanding cases to vendor / internal
external) Logging cases / tickets for customers (internal and external) on the Case Management System System (CMS) and manage the relevant cases / tickets within the SLA Accepting ownership for effectively solving keeping customers updated on the progress of the cases where applicable Performing First Line Troubleshooting ensuring First Call Resolution (FCR) Escalating cases to other departments if FCR cannot be done during vendors – logging cases, ensuring timely feedback and escalating outstanding cases to vendor / internal
requirements into test case scenarios, defining test data requirements, managing test case creation, devising documents Plan and create test cases Review requirements and test cases Escalate any issue that could