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Vacancy Details

		A job opportunity

A job opportunity exists for the right candidate in Western Cape

The Department of Health and Wellness is guided by the principles of Employment Equity. Candidates with disabilities are encouraged to apply and an indication in the regard will be appreciated. Note: No payment of any kind is required when applying for any of the positions advertised by the Western Cape Government.

Requirements
Case Manager
Employment Type: Permanent
Reference No: RHS57/2022
Paarl Hospital

A health-related qualification (or equivalent) registerable with the Health Professionals Council of South Africa (HPCSA) or South African Nursing Council (SANC).

Experience:
Appropriate experience in ICD10 diagnostic and procedural code assignment. Appropriate experience in Hospital Case management and or a Managed health organisation with revenue generation focus.

Competencies (knowledge/skills):
Knowledge of using Uniform patient fees structures. Computer literacy (MS Word and Excel) including web based Programmes ( medical aids) Knowledge of Medical Aid Act 131 of 1998 and application of Prescribed Minimum Benefits (PMB) inclusive of Chronic disease list. Knowledge of RAF and other state departments. Proficiency in at least two of the three official languages of the Western Cape. Ability to analyse, prioritize, and solve problems, this includes implementing an improvement process. Strong sense of responsibility with good supervisory, interpersonal and communication skills. Knowledge of staff performance, and disciplinary processes.

Enquiries:
Ms M Frieslaar, tel. no. (021) 860 2591

Duties (key result areas/outputs):
Responsible for the management and implementation of Case Management policies, protocol and procedures in the hospital. Perform operational Case Management functions inclusive of pre-authorisation and clinical review to ensure compliance with Case Management policies and procedures. Conduct clinical audits of patient accounts to ensure accuracy of invoices for submission to medical aids and state departments. Provide support to the hospital Fees Department in terms of follow-up of outstanding medical scheme and state department balances and account queries. Assist with EDI rejections to ensure timeous submission of medical scheme invoices. Provide quotations to H2, H3 and Foreign patients. Supervision of staff and liaison with relevant role players in matters relating to Case management. Assist Hospital Management in the distribution of Quality Client Care. Compile statistical reports.

Note:
This post will not be linked to any Occupational Specific Dispensation.

Inherent requirement of the job:
Valid (Code B/EB) drivers licence.




Remuneration:
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).

Starting Date:
7/22/2022 12:00:00 AM

NOTICE TO ALL
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.
Closing date: 8/15/2022 12:00:00 AM

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