Case Manager
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Employment Type: Permanent
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Reference No: TBH87/2021
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Tygerberg Hospital, Parow Valley
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Ms J Jooste, tel. no. (021) 938-4140 |
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Ability to link patient diagnosis (ICD1O Coding) with procedure codes. Knowledge of the Uniform patient Fee Schedule (UPFS) and ability to perform clinical audits of patient accounts. Good verbal and written communication skills in at least two of the three official languages of the Western Cape. Good interpersonal skills and the ability to act independently, objectively and with confidence. Computer literate (Microsoft Office). Ability to work under pressure, handle a high work volume and meet strict deadlines. Knowledge of the Medical Scheme Act 131 of 1998 and relevant PMB Regulations. Clinical background will serve as an advantage. |
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An appropriate three-year health related National Diploma/Degree or equivalent registrable with a health-related qualification (or equivalent) registrable with the Health Professions Council of South Africa (HPCSA) or South African Nursing Council (SANC). |
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Appropriate experience in Case Management or in a clinical environment. |
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Manage the workflow and personnel of the Case Management department. Manage and implement Case Management policies, protocols and procedures in the hospital. Liaise with Funders and Managed care organisations and Administrators with regards to MHC policies, protocols, optimal fund utilisation, clinical information diagnostic and procedural coding. Complete queries/requests of the Medical Scheme follow-up section timeously. Conduct clinical audits of patients accounts and ensure clinical auditing of the account controllers is accurate. Queries will include drafting of motivational letters where possible, obtaining authorisation, concurrent review of patient clinical information, i.e. length of stay, level of care, clinical coding and PMB. Provide Case management statistics on a weekly/monthly basis. Provide quotations to all patient classifications. |
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This post will not be linked to any of Occupation Specific Dispensations. |
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Remuneration:
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R 321 543-R 378 765 per annum Annual salary plus service benefits (13th cheque, employer's contribution to the pension fund, housing and medical aid allowance).
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Starting Date:
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12/3/2021 12:00:00 AM
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NOTICE TO ALL
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Candidates may be subjected to a competency test. No payment of any kind is required when applying for this post. As directed by the Department of Public Service and Administration, applicants must note that further checks will be conducted once they are shortlisted and that their appointment is subject to positive outcomes on these checks, which include security clearance, qualification verification, criminal records and previous employment.
- It will be expected of shortlisted candidates to be:
- available at the venue on the time and date as determined by the Department and
- bring along recently (not older than 6 months) certified copies of your Identity Document (ID), driver’s license (if applicable for the post), qualification and/or proof of registration at relevant statutory body. Failure to adhere to the aforementioned may lead to his/her application being disqualified and not further considered.
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Closing date: 12/28/2021 12:00:00 AM
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FOR YOU
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