Mediclinic Southern Africa Corporate Office | Stellenbosch | South Africa 

Closing date: 10/07/2024  
Number of positions: 1 
Recruiter name: Fiona Simone Anderson  
Reference number: 51887  
 Workplace Type: Hybrid
Permanent

Please note if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profile

MAIN PURPOSE OF JOB

To support the hospital in the absence of hospital Case Managers and to facilitate the communication process between all role players by providing accurate and timeous clinical information to minimise the financial risk for the organisation; and to support efficient and effective hospital cash conversion

KEY RESPONSIBILITY AREAS Minimise financial risk by effectively managing patient stay Ensure compliance to case management procedures, contracts and legal aspects by utilising available resources and systems Ensure correct and timeous finalisation of cases, and consistently and timeously communicate with Funders to facilitate reimbursement of claims REQUIRED EDUCATION

ESSENTIAL EDUCATION

Nursing qualification

DESIRED EDUCATION

Registered Nurse / Professional Nurse REQUIRED EXPERIENCE

ESSENTIAL MINIMUM EXPERIENCE

3 - 5 years in a nursing role

DESIRED EXPERIENCE

Experience in Theatre and/ or ICU Medical aid background Experience in the private healthcare environment REQUIRED JOB SKILLS AND KNOWLEDGE Anatomy; physiology and terminology Application and validation of clinical codes (Level 3 coding) Authorisation and motivation of Level of Care; Length of Stay; Short Payments etc. B2B EMS (Electronic message system: check status of authorisations and use for trouble-shooting) Computer literacy (e.g. Outlook and intranet applications) Daily Workflow, Managing deviances, Coding, and Case Management processes Funder Contracts; Medical aid requirements/narrations Patient Administration policies and procedures (Patient Confidentiality, Visitation of external case managers, etc.) Proficient all relevant Patient Admin systems and programs Relevant aspects of applicable statutory acts (e.g. Consumer Protection Act; PMB, etc.) Scientific Nursing Processes and associated procedures

All applicants will be considered, with the understanding that preference will be given in accordance with the Employment Equity Plan of Mediclinic Southern Africa, as well as internal applicants/employees that meet the minimum requirements.

Please note if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profile