Applications are invited from suitably qualified individuals who meet the job requirements as set out below.JOB TITLE:CASE MANAGERREPORTING TO:Patient Administration ManagerSERVICE GROUP/UNIT:FinanceKey Responsibilities:· Patient Case Management· Responsible for the case management process within the hospital.· Interacts with medical schemes to ensure that authorizations are provided timeously.· ICD 10 and CPT clinical coding as per policies of specialized wards criteria.· Provides support for the management of alternative fee structures.· Liaison with doctors on funder requirement when necessary.· Continuous performance and quality management· Interpretation and implementation of Scheme benefit rules.· Optimizing of billing processes.· Audit patient files for accurate accounts submission.· Account release as per NHN billing guidelines, medical aid rules and contracted agreements.· Daily report utilization and management.Communication:· Liaise with Doctors regarding patient progress.· Liaise with nurses in the wards and pharmacy staff.· Liaise with Case Managers of managed care organization regarding pre-Authorizations, length of stay, level of care and other additional cases.Minimum Qualifications & Experience:· Matric/Grade 12 Certificate.· Registered with South African Nursing Council as an Enrolled Nurse or Professional Nurse will be a recommendation.· Must have ICD10 coding and CPT coding qualification.· Must have at least 2 years of relevant work experience in private healthcare environment.· Knowledge and experience with account billing and ARM agreements.· Proven Computer Literacy Skills (MS Office Package)· Knowledge and Experience in administering medical and managed care processes.· Good interpersonal and communication skills.Application criteria:Applications can be submitted to the HR office or via email at: hr@kiaathospital.com / recruitment@kiaathospital.com.For Hand Deliveries: 1 Kiaat Ridge BoulevardRequired documents: Application letter, CV, recently certified copies of academic certificates, ID and valid SANC certificate (if applicable).No late applications will be accepted.Closing date:Friday, 19 April 2024 Time: 16h00Enquiries:Please direct all your enquiries to Charles Shiba, Human Resources Manager at 013492 0390.#J-18808-Ljbffr