Sep 14, 2018

Hospital Case Manager

  • Lambano Sanctuary
  • Johannesburg, South Africa
Full time Health Care

Job Description

Lambano seeks to appoint a Hospital Case Manager, to be based in Germiston, Johannesburg.


Carry out clinical coding in accordance with CPT and ICD requirements
Ensure authorisation information is accurate and in accordance with hospital procedures
Provide complete and accurate updates and discharge information of all accounts
Keep patients and doctors informed
Handle patient files in accordance with hospital procedures
Timeous electronic submission of accounts and follow up on short payments arising from case management related issues
Keep well informed on legislation pertaining to related care matters
Visits relevant hospitals and doctors to speak about Lambano services
Attend meetings with Hospitals relating to case management
Initiate conversations with potential intake patients
Facilitate conversations with medical aids on behalf of Lambano

Diploma in Nursing
Registered with the South African Nursing Council as a Registered Nurse
ICD10 and CPT coding experience
Valid driver’s licence with acceptable driving record
Ability to drive different company vehicles and a driving record that demonstrates safe driving practices
Minimum of three years’ experience of Medical Aid administration procedures and Hospital Case
Knowledge of the rules and regulations regarding medical aid schemes is required
Knowledge of patient administration systems, policies and procedures will be an advantage
Knowledge of hospital billing and tariffs
knowledge of Microsoft Suite
Medical report writing skills
Communication skills and the ability to build strong partnerships
Negotiation skills and the ability to interact with tact diplomacy
Independent problem solving and decision-making skills
Ability to function well in a team
Accuracy and attention to detail skills in order to maintain high standards of work output
Understands the inter-relationships between business processes
Experience in a managed healthcare environment will be a strong recommendation
Maintain a customer-focused mindset that acknowledges the value of the customer
Must show passion for working with under privileged children
Creative and innovative
Organisational and time management skills
High stress tolerance with the ability to work under pressure and meet tight deadlines
Ability to work in a team but also independently
Flexible, Adaptable, results oriented and goal achiever
Out-going personality
Professional business acumen

To apply, submit a CV, and a motivational letter, State “Hospital Case Manager” in the subject line.

Please quote the source of this advertisement in your application

Only shortlisted candidates will be contacted.

No calls will be accepted.

Lambano Sanctuary is a Christian NPO that responded to the HIV crises in 2001 by taking in Orphaned HIV plus children to live permanently in our facilities. In 2009 Lambano opened a Paediatric Medical Step-down Facility / Hospice to care for children with life limiting and life-threatening illnesses. The NPO works in collaboration with the Public and Private Medical fraternity.

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