|
|
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.
|
|
|
|
Case Manager
|
|
Employment Type: Permanent
|
|
Reference No: GRD52/2020
|
|
Riversdale Hospital, Hessequa Sub-district
|
| |
|
| Valid (Code B/EB) drivers licence. | | | |
| A health-related qualification registerable with the Health Professionals Council of South Africa (HPCSA) or South African Nursing Council (SANC). | | | |
| Appropriate experience in Case Management/Medical Aid environment and Revenue Generation. | | | |
| Good knowledge of the Uniform Patient Fees Schedule (UPFS), Management Healthcare or Hospital Information Systems and EDI (Electronic Data Interchange). Ability to link patient diagnoses with procedure codes and to analyse and implement policies in respect of UPFS, ICD 10 codes, diagnostic codes, Medical Aid Act 131 of 1998 (e.g. section on Prescribed Minimum Benefits). Sound communication skills, with internal and external clients (verbal and written), numerical skills and the ability to maintain confidentiality in two of the three official languages of the Western Cape. Computer literate (MS Word, Excel, Outlook, SharePoint and Clinicom). | | | |
| Mr H Crous, tel no. (028) 713-8642 | | | |
| Supervision of admission staff. Conduct clinical audits of patient accounts inclusive of medical aids, state departments, RAF and COIDA to ensure accuracy of invoices with regard to ICD-10 codes, UPFS procedure codes and resource utilisation and to provide support in terms of Hospital account queries and assist with the follow up of outstanding medical scheme and state department balances (Medikredit EDI Reports), account queries and provide quotations to H2, H3 and foreign patients. Manage and implement Case Management policies, protocols and procedures in the Hospital, including the necessary on-site skills development and training of all relevant role players. Assist with the assignment of ICD-10 codes when required and identification of PMB conditions. Perform Case Management functions, i.e. assisting with authorisations, concurrent, retrospective review, discharge planning and liaison with various role players and third parties to monitor utilisation. | | | |
| This post does not form part of any Occupational Specific Dispensation. | | |
| |
| |
| |
|
Remuneration:
|
|
R 316 791 - R 373 167 per annum Annual salary plus service benefits (13th cheque, employer's contribution to the pension fund, housing and medical aid allowance).
|
| |
|
Starting Date:
|
|
11/6/2020 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: 11/27/2020 12:00:00 AM
|
| |
|
FOR YOU
|
|
S-CUBED © 2024