Case Manager

Case Management

Busamed Gateway Private Hospital is looking for a suitably qualified, customer-focussed case manager to provide case management services in accordance with hospital policies and procedures. The position encompasses the daily management of patient accounts whilst working as part of a team.

• Minimizing the financial risk to the hospital by fulfilling the contractual obligation to the funders which includes providing accurate clinical information, timeously requesting of extension of stay or rand amount and obtaining authorization for procedures performed.
• Accurately code the following accounts: In- patient and day cases.
• Accurate and timeous communication and follow up with medical aids
• Compulsory daily ward rounds
• Be a part of the risk team to ensure constant focus on reducing internal days in the organisation
• Manage the daily discharge files via the DNFB report and ensure submissions to medical aids are done within 8 hours of discharge.
• Assume responsibility and accountability for the successful completion of all assigned tasks through management of time and resources to ensure that work is completed efficiently and accurately, considering all areas involved, no matter how small, in all aspects of the job.
• Maintain effective relationships with all internal and external customers, and ensure all actions promote customer service excellence.
• Ensure processes are in line with the working procedures and policies of Busamed Gateway Private Hospital

• Minimum Grade 12 (Matric)
• Registration with the South African Nursing Council as a Registered Nurse.
• Compliance with the SANC code for a Registered Nurse and all applicable health care legislation
• ICD/CPT coding certificate will be an advantage
• 2 - 3 years working experience in private healthcare / hospital environment
• Relevant experience in the nursing discipline would be an advantage
• Preference will be given to applicants with SAP experience
• Customer-oriented with exceptional interpersonal skills

• Computer literate – must be accurate and pay attention to details
• Proactive, organised and able to multitask and work well under pressure
• Participative and able to work as part of the team.
• Flexible