Case Manager – Administration

Location:
Harrismith Private Hospital
Department:
Administration
Closing Date:
1 November 2021
Role Summary

The Case Manager will be responsible for the liaison between the patient and medical aids to secure payment for the hospital.

  • Ensure all the relevant details on Hospital Billing System are updated and are accurate
  • Daily updates and ward rounds of all patients
  • Supply all details regarding patients’ history to Clinical partners
  • Monitor and control costs for Managed Care Organisation patients
  • Confirm length of stay for all Managed Care Organisations patients
  • Accompany Managed Care Organisation Case Managers on ward rounds in the
    hospital
  • Assist with final authorisation of Managed Care patient files
  • Ensure accurate coding for all Managed Care Organisation patients in timeous manner
  • Consult with the relevant service providers regarding the patient care treatment
  • Assist with the transfer of patients to Rehab Hospital or step-down facilities
  • Liaise with network of internal and external stakeholders to ensure that managed care
    of patients is maintained
  • Work effectively and co-operatively with others to establish and maintain good working
    relationships that are mutually beneficial.