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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.

Experience:
Case Manager
Employment Type: Permanent
Reference No: WCD51/2023
Vredenburg Hospital, West Coast District

Appropriate experience in Case Management/Medical Aid Environment or Revenue Generation.

Requirements Minimum educational qualification:
Appropriate three-year health related National Diploma/Degree or equivalent registrable with the Health Professions Council of South Africa (HPCSA) or South African Nursing Council (SANC).

Duties (key result areas/outputs):
Co-ordinate the workflow processes between clinical and admin personnel by liaising, guiding, and supporting the fees department and the relevant hospital staff with the identification of prescribed minimum benefits. Efficiently and effectively communicate and update clinical information for externally funded clients. Control the correctness of the hospital bills, medical aids, road accident fund and privately funded patients by the efficient and effective interpretation and implementation of Case Management policies, protocols, and procedures within the hospital. Assist with the implementation of departmental case management policies and procedures by providing onsite skills development and training of relevant role players in matters relating to Case management. Provide quotations to privately funded and foreign patients.

Competencies (Knowledge/skills):
Good knowledge of the Uniform Patient Fees Schedule (UPFS)and or other tariff structures, Managed Health Care or Hospital Information Systems and EDI (Electronic Data Interchange). Knowledge of the Medical Schemes Act 131 of 1998 and the application of Prescribed Minimum Benefit (PMB) legislation i.e., the Chronic Disease List (CDL) and Diagnostic Treatment Pairs (DTP). Experience in ICD-10 Code assignment and the ability to link patient diagnosis with procedural codes. Ability to work with Excel spread sheets, Microsoft Word, and web-based programs (medical aids).

Enquiries:
ME Van Vuuren, tel. no. (022) 709-7213

Note:
No payment of any kind is required when applying for this post. This post will not be linked to any of the Occupational Specific Dispensations.

Inherent requirements of the job:
Willingness to travel and spend long periods away from the office. A valid (Code B/EB) driver’s licence.




Remuneration:
R 359 517 - R 420 402 per annum Annual salary plus service benefits (13th cheque, employer's contribution to the pension fund, housing and medical aid allowance).

Starting Date:
9/8/2023 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: 9/29/2023 12:00:00 AM

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