The Case Manager will be responsible for the liaison between the patient and medical aids 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 the patient care treatment.
- Assist with the transfer of patients to Rehab Hospital or step-down facilities.
- Liaise network of internal and external stakeholders to ensure that managed care of patients is maintained.
- Work effectively and co-operatively with others to establish and maintain good working
relationships that are mutually beneficial.
