Case Manager - Clinical Experience - Kimberly

*CASE MANAGER* *Kimberly, Northern Cape *       *The main purpose of this position:*   The incumbent will be responsible for the liaison between the patient and medical aids in order to secure payment for the hospital     *Requirements:*   * Registered with SANC – as a Registered Nurse / Enrolled Nurse * 4 - 5 years’ working with finance and Medical Aid Administration * Experience working within a Hospital will be an advantage * Advanced Computer Literacy * Clinical coding knowledge * Knowledge of clinical terminology and anatomy, funder rules, co-payments and exclusions     *Duties & Responsibilities:*   * Liaise network of internal and external stakeholders to ensure that managed care of patients is maintained * Monitor and control costs for managed Care Organization patients * Confirm length of stay for full Managed Care Organization patients * Accompany managed Care Organization Case Managers on ward rounds in the hospital * Assist with final authorisation of managed care patient files * Ensure correct coding for all Managed Care Organization patients * Supply all details regarding history to clinical partners