Job Description
MAIN PURPOSE OF JOB
To coordinate the hospital case management process and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimise the financial risk for the organisation.
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 to facilitate reimbursements from funders of claims
Consistently and timeously communicate with Funders as contractually agreed through the relevant case management channels
Ensure clinical coding standards are adhered to as per Level 3 coding guideline
Lead and manage the people in the Case Management team (if applicable)
REQUIRED EDUCATION
ESSENTIAL E...