The Case Manager will be responsible for the liaison between the patient and medical aids in order to secure payment for the hospital.
Responsibilities and Duties:
- Ensure all the relevant details on Hospital Billing System are updated and are accurate
- Supply all details regarding patients’ history to Clinical partners
- Monitor and control costs for Managed Care Organisation patients
- Confirm length of stay for all Managed Care Organisations patients
- Accompany Managed Care Organisation Case Managers on ward rounds in the hospital
- Assist with final authorisation of Managed Care patient files
- Ensure correct coding for all Managed Care Organisation patients
- Consult with the relevant service providers regarding patient care treatment
- Assist with the transfer of patients to Rehab Hospital or step down facilities
- Arrange in-service training for relevant staff to meet the needs of the theatre department
- Liaise network of internal and external stakeholders to ensure that managed care of patients is maintained
- Actively participate as a member of a team to achieve goals
- Active involvement in own professional development to maintain a satisfactory level of skill and knowledge
- Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually beneficial
- Develop collaborative relationships to help accomplish work goals
