Location: Tshwane Metro, Pretoria, Insurance
Secondary Industry: Health, Medical and related
Job Duties:
Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare they are seeking a dedicated and experienced Case Manager to join their team.
Functions
updates of cases on the hospital list.
Automotive industry is looking for an experienced Case Manager
Minimum requirements:
case follow-ups from complainants and the automotive
group requires a Case Manager who is a REGISTERED NURSE and 2 years Case Management experience . Qualification: Registered Nurse is essential Hospital Operations or Medical Aid Operations experience is required Coding standards private health care operations will secure 2-3' experience as a Case Manager within a medical aid entity Receptionist for authorisations Ensure compliance to case management procedures, standards and protocols Plan, coordinate consistently communicate and follow up with Funders (Medical Aids, COID, Government, RAF, DOL, etc.) Provide
Nurse is essential
and secretarial function to the Department of Medical Practice on Missionvale Campus, to ensure the efficient and events, including taking accurate minutes. Manage general office operations within the office of knowledge of professional secretarial and office management tasks.
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You will plan, coordinate and execute case management work at hospital level.
The incumbent
for authorisations
Ensure compliance to case management procedures, standards and protocols
Plan
consistently communicate and follow up with Funders (Medical Aids, COID, Government, RAF, DOL, etc.)
Provide
the facility
Consult daily with all relevant health care providers with regards to patient treatment
Ensure the correct categorisation and management of different patient accounts to facilitate reimbursement
Reference: PTA023099-VS-1 Case Manager - Automotive industry Pretoria-East Area R35 000 CTC (Including Automotive industry is looking for an experienced Case Manager Minimum requirements: Matric Motor vehicle technical telephonic inquiries, requests for advice, and current case follow-ups from complainants and the automotive
and Risk Management company has a permanent vacancy for a Register Professional Nurse with Case Management highly advantageous Experience in a managed care / case management environment would be an advantage. ROLES AND RESPONSIBILITIES: Reporting to the Team Manager performance areas include, but are not limited queries and ensure they are resolved timeously. Manage queries until resolution and update the incident with providers to improve the cost efficiencies of health care delivery. Ensure Service Level Agreements
Position for an Internal Case Manager Communicate on several platforms with a multi-disciplinary team to funders Provide appropriate information to Medical aids. Code all patients Assist with final authorisation with case management of all medical aid patients. Daily liaison and communication with Medical Schemes other medical staff. Must have experience working clinically. Knowledge of ICD 10 coding and medical aid aid tariffs, as well as medical aids authorisation processes EN and registration with SA Knowledge of high-cost