Case Manager Jobs at Netcare in South Africa at Netcare in Gauteng

  Job Title: CASE MANAGER

LOCATION: Gauteng South West (Gauteng and surrounding areas)

KEY RESPONSIBILITIES
 Application of clinical knowledge in the risk management of patients in terms of length of stay, level of
care and medical aid benefits available.
 Provide appropriate clinical information to Medical aids.
 Code all patients with ICD10 and CPT4 codes.
 Accompany Managed Care Organisation Case Managers on ward rounds.
 Assist with final authorisation of patient files.
 Control costs for patients.
 Consult with all service suppliers regarding treatment and phone for patients.
 Facilitate with transfer of patients to Rehab or step down facilities.
 Update all relevant details on Adclin Info.
 Supply all details regarding patient’s history, etc. to clinical partners.
 Assist with case management of all medical aid patients.
 Daily liaison and communication with Medical Schemes, Hospital Nursing staff and medical
practitioners.

QUALIFICATIONS AND EXPERIENCE
 Registered Nurse and registered with the SANC
 Minimum 3 years nursing experience in a multidisciplinary hospital environment
 Intensive Care Nursing experience an advantage
 Hospital or Medical Scheme Case Management an advantage
 Experience in ICD 10 and CPT 4 coding
 General administrative skills
 Computer Literate

NON-MANAGERIAL COMPETENCIES

 Managing work: Managing ones time and resources to ensure that work is completed efficiently.
 Building Customer Loyalty: Effectively meeting customer needs, building productive customer
relationships, taking responsibility for customer satisfaction and loyalty.
 Adaptability: Maintaining effectiveness when experiencing major changes in work tasks or the work
environment.
 Quality Orientation: Originating action to improve existing work processes and conditions for improved
quality of outputs.
 Work Standards: Setting high standards of performance for self and others, self imposing standards of
excellence.

To Apply:


NETCARE IS AN EQUAL OPPORTUNITY EMPLOYER
The Company's approved Employment Equity plan and targets will be considered as part of the recruitment
process aligned to the Group’s Employment Equity strategy. Netcare actively supports the recruitment of
people living with disabilities.
 Interested candidates who meet the above criteria are requested to email their CV to
Karen Jansen van Vuuren at Karen.JansenvanVuuren@netcare.co.za or alternatively fax application
details to 086 686 5573
 Please note that it is the applicant’s responsibility to inform their manager of their intention to apply for
the position.

Deadline: 31st August 2012