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Description
A vacancy of a Case Manager (General) exists
at Eden Gardens Private Hospital,
reporting to the Finance Manager. The successful candidate will be
responsible efficient patient case management and the delivery of an efficient
and professional service to the internal and external customers.
Key Responsibilities
·
Carry out clinical
coding in accordance with CPT and ICD requirements.
·
Ensure that pre-admission and pre-authorisation information is accurate and in accordance with hospital and funder procedures.
·
Maintain patients’ clinical
status in accordance with funder approval
requirements for the duration of
hospitalization: keeping
patients informed and managing the entire hospital
stays’ financial risk.
·
Provide complete and accurate updates
and discharge information of all accounts.
·
Maintaining accurate accounts
of all admissions.
·
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.
·
Ensure the adherence of hospital staff to funder
rules and coding
procedures.
·
Keep well informed
on legislation pertaining to funders and related Health
Care matters.
Minimum Requirements
·
SANC registration as a Registered Nurse or an Enrolled Nurse.
·
5 years’ experience as a case manager either
at hospital level or with the Medical
Schemes (preferably case management experience at hospital
level)
·
Experience with Medical
Aid administration procedures (ICD10, CPT 4 Procedure Codes
and Per Diems).
·
Knowledge of hospital
billing and tariffs
and Hospital Information System will be advantageous.
·
Ability to build good relations with various internal
and external stakeholders.
·
Computer proficiency.
Closing date: 17th of May 2024
Interested candidates who meet the minimum requirements are invited to apply by forwarding a comprehensive CV by
close of business on to email: Recruitment@edengph.co.za: Tel: 0338154600
Eden Gardens
Private Hospital is an equal opportunity employer, external candidates will
also be considered. Only shortlisted candidates will be contacted, should you not receive any communication after
2 weeks of closing date kindly
consider your application as unsuccessful.
18h
1
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Product Manager FMCG - CPT
International Retailer in FMCG is seeking to employ a Product Manager to join their diverse and growing team.
The primary objective of this role is to develop plans and execute projects to support both the short and long-term marketing strategy for a dedicated brand portfolio.
Key Responsibilities, but not limited to:
1. Brand planning and execution in conjunction with line manager
1. Management of product P&L’s in conjunction with line manager
1. Leadership
• Work and lead within a highly motivated Marketing Team and in cross-functional teams to leverage business potential and to help improve processes for the organization
Requirements:
• Completed relevant Bachelor / Master Degree or equivalent
• 2-3 years of brand marketing experience in a junior position in a leading FMCG company
• Team player with drive and effective communication skills who is willing to learn and grow into a senior position
• Very good analytical, logical and conceptual capabilities
• Fluent in English (Written and spoken)
• Entrepreneurial spirit with good communication, negotiation and project management skills
• Confident, assertive self-starter with a drive for results and highly motivated to deliver over expectations
• Ability to work under pressure and meet tight deadlines with attention to detail
• Ideas and solutions driven
• Strategic thinking ability and sharp analytic and data interpretation skills
• Solid financial and commercial/sales acumen
• Organized and with attention to accuracy. Ability to plan, manage and lead multiple projects simultaneously
• Strong formal presentation skills
• Ability to work independently and within a team to foster collaboration in a fast-paced environment
• Knowledge of and proficiency in Microsoft Office and relevant software applications used (IRI/Nielsen)
Salary negotiable depending on experience
Please send your CV + Salary Requirements + Recent Picture to sales@servicesolutions.co.za
Salary: RBasic + Benefits
18h
1
Our progressive company is seeking an experienced, passionate, and professional Safari Experience Sales and Customer Service Agent to join our team. As a Safari Experience Sales and Customer Service Agent, you will be responsible for responding to customer enquiries and providing exceptional customer service in English and German-speaking markets. You will use your excellent communication and written skills to provide engaging and persuasive descriptions of our safari experiences to attract and retain customers.
Key Responsibilities:
Respond to customer enquiries and provide exceptional customer service via phone, email, and other channelsProvide customers with accurate and detailed information about our safari experiences, including pricing, availability, and itinerary detailsAssist customers in making reservations and booking their safari experiencesMaintain accurate records of customer interactions and transactions, including booking and payment informationCollaborate with other team members to ensure smooth operations and effective customer communicationFollow up with customers post-safari to ensure their satisfaction and encourage them to provide feedbackProvide input and feedback to the marketing team on customer preferences and trends to help improve marketing efforts
Requirements:
At least 3 years of experience in sales or customer service, with a good knowledge of safaris in Southern AfricaNative or fluent in English and German, with excellent written and verbal communication skills in both languagesPassionate about wildlife and safari experiences, with a deep understanding of the target markets and customer preferencesStrong organizational skills and attention to detailAbility to work in a fast-paced, dynamic environment and handle multiple tasks simultaneouslyWillingness to travel to different locations to experience our safari offerings and effectively communicate them to customers
If you meet these requirements and are excited about the opportunity to join our dynamic team, please submit your resume and cover letter for consideration.
Work Place:
Wynberg, CPT - We believe it is important to be in the office to maintain company culture, a sense of belonging, keep up to speed on happenings, and to feel connected. You will however, be measured on performance / KPI’s and not on your hours in the office.
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS8xMzY1NTA2NjQ/c291cmNlPWd1bXRyZWU=&jid=1514290&xid=136550664
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The suitable candidate must have solid recruitment experience through placing a variety of profiles. This is an ultimate generalist role requiring the recruitment and selection of entry level, junior, mid-level to senior positions. The successful incumbent must be exposed to challenging environment, managing mass recruitment, multiple vacancies at a time, track and report accordingly on all filled roles
· Deal with internal and external stakeholders to ensure effective delivery campaign order base.
· Proactively source top level candidates in diversity of positions from specialized scarce skills to bulk recruitment drives.
· Manage the full candidate recruitment cycle and onboarding.
· Continuously improve candidate experience and engagement, be a brand ambassador.
· Min 2-4 years recruitment experience.
· Contact Centre /BPO Recruitment experience a strong advantage.
· Knowledge and experience in best practice recruitment processes and diverse candidate selection
Soft skills you need:
· Understanding of recruitment processes and candidate selection methods
· Outstanding organizational and time management skills
· Excellent communications and interpersonal skills
· Ability to multitask and prioritize daily workload
· Creative thinker and proactive problem solver
· Ability to work autonomously and within larger team
· Professional level of English
https://www.ditto.jobs/job/gumtree/1983490191?source=gumtree
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International Outbound Sales Consultants
USA based client is looking for dynamic outbound agents to call trial and/or recently lapsed trial customers to get them to become paid subscribers to satellite and online entertainment services on the night shift.
This is a no cold calling center with more of a hot lead based on Customers using the free subscription for 3 month, with a future work from home.
Successful candidates will receive full product and systems training.
Education and Experience:
MatricEnglish language proficiencyMinimum 1 year outbound sales experience within an International center is required Typing speed of minimum 35 wpm
Key Competencies and Skills:
Excellent communication skillspersuasivenessnegotiation skills
Salary: Per productive hour, shift and travel allowance provided and incentives.
Working hours: Mon - Sun rotational days
Rotational shifts from 15h00pm – 04h00am
https://www.ditto.jobs/job/gumtree/3698831142?source=gumtree
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Job Purpose: The purpose of this position is to grow sales in the Western Cape region by implementing strategic sales initiatives to ensure sustainable growth and build customer relations.
Customer Service
Maintain an effective hours call and professional service to all customersKeeping informed of market trends and the changing needs of the customerDevelop a call schedule to adequately cover territory and a weekly report backEnsuring deliveries take place on time to all customersTerritory coverage (Brand Distribution Maps), regular customer visits regardless of locationPrioritize and satisfy customer enquiries and requests in a timely manner
Sales
Meetings to be set upon a seasonal basis to review new ranges and ensure new ranges are delivered on time.Achieving and exceeding sales and GP % sales targetsCompilation of sales reports as and when required
Merchandising / Marketing
Work with customer to negotiate best brand exposure and VM at face of retail marketing to create brand awarenessWork with marketing on POS representing our brand in retailEnsuring that the client is aware of new productsIdentify brand opportunities and maximize instore space allocationsEnsure all marketing material is used inside correctly and is current/relevantUpdate and remove old marketing materialsAttend road show and showcase new products to clients / customers
Comparisons
Keep up to date with competitors’ products and salesUnderstanding of brands and competitors by customers to ensure growth opportunities are maximized
Minimum Requirements:• Matric• Diploma / Degree in Marketing, Sales, or relevant qualifications (desirable)• Minimum 3 years Sales and Brand management experience• Strong Footwear / Apparel sales background (desirable)• Advanced analytical skills• Valid driver’s License with own vehicle (compulsory)• Must be able to work independently and strive for excellence• Excellent communication skills• Negotiation skills• Honesty, integrity, and good work ethic• Dependability• Be self-motivated• High energy levels
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS8zNDk2MDU1MzI4P3NvdXJjZT1ndW10cmVl&jid=1228479&xid=3496055328
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Our client is seeking to employ an Administration Manager. The successful candidate will be responsible for the overall management of the Administration area in the hospital. The incumbent will also be responsible for ensuring admissions and discharge of patients is done in a professional, friendly, and timeous manner as well as creating and maintaining a goodwill with doctors and liaison with nursing staff regarding bed bookings.
Minimum Requirements to apply:
Education:
Grade 12 or equivalent NQF level 4 qualificationsA tertiary qualification in Administration or Office Management or related.Enrolled Nurse or Registered Nurse qualification and advantageICD10 / CPT coding qualification an advantage
Work Experience:
Minimum of 3 to 4 years’ relevant experience managerial position would be advantageousPrivate Hospital experience essentialCase Management experienceICD10 / CPT coding experience
Knowledge:
Ensure staff admit patients in a professional, orderly manner and appropriate information is recordedEnsure staff collect deposits and surcharges where applicableLiaise with doctors and related departments regarding Theatre List and diagnosisLiaise with nursing staff regarding bed bookingsEnsure confirmations is obtained regularlyCompliance with Group Admin Policy and ProceduresEnsure staff discharge patients in a professional, orderly mannerEnsure staff collect outstanding monies due by private patients and co-payments for medical aid or insurer patients where applicableEnsure correct procedures are always followed by staffOversee and streamline billing and collections processesMonth-end closing of the billing group information, billing planning and implementationEnsure adequate turn-around times are maintainedEnsure DNFB report is maintained and at an acceptable levelPlan and implement quality assurance for all processesPersonnel development and staff meetingsKnowledge of Medical Aids and the NHN Billing and Tariff GuidelineStaffing discussions and planning/interviewsAssist with the implementation of a new billing systemOversee the case management functionManage the hospital private and foreign credit control processManage the Workmen Compensation Fund and Road Accident Fund document control processEnsure cases are updated, appropriated as per agreements with medical aidOversee the management of the driversActively participate as a member of a team to achieve goalsWork with management and staff in other department to achieve company goals and streamline processesActive inv...
https://www.ditto.jobs/job/gumtree/3964800187?source=gumtree
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Hospital Clinical Coder
Location: Cape Town South Africa
A private hospital based in Cape Town and Johannesburg is seeking to employ a Hospital Advanced Clinical Coder. The core purpose of the role is to ensure the accurate clinical coding of patient accounts.
Key responsibilities:
Liaison with patients, medical doctors, and medical schemes to provide updated clinical coding in relation to the patient response to treatment to receive appropriate fund reimbursement from the medical schemes.Assessment of patient clinical statements and the conversion of the information to ICD 10 and CPT coding on the patient account.
Key requirements:
Registered Nursing Diploma with current SANC RegistrationAdvanced Certificate in ICD-10 Coding (Essential)Advanced Certificate in Complete CPT preferredThorough understanding of CPT and ICD 10 coding standardsMinimum of 3 years’ experience within Clinical Coding in a private hospital or managed care environmentIntermediate to Advanced PC Literacy
Interested candidates who meet the above criteria are requested to e-mail a detailed CV to vacancy @ letslink.co.za or to contact Gary on +27(0)110261907
Correspondence will only be conducted with short listed candidates. Should you not hear from us within 7 days, please consider your application unsuccessful.
Please view our website: www. letslink .co.za
By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes (Should you be successful). Please note that your information will be processed for recruitment purposes only or for such purposes relating to assessing the establishment of the employment relationship with yourself, and this will be done in accordance with the applicable data protection and privacy legislation. We confirm that such information will not be used for any other purpose without your prior consent.
If your application is not successful, we retain your CV and other information provided for a period of 24 months after which it will be destroyed in a secure manner. If you object to your information being used in accordance with the aforementioned clauses, please indicate your objection and we will immediately destroy your personal information in a secure manner.
https://www.ditto.jobs/job/gumtree/3728582013?source=gumtree
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LetsLink Recruitment is assisting a Medical Doctor in private practice to employ a Receptionist/Administrator.
The doctor is a specialist Psychiatrist. The private practice is situated in a psychiatric clinic that is based in the Randburg area. The successful candidate will have dealings with both patients that are booked into the clinic and patients that are not. The successful candidate must have a good track record of being able to provide excellent patient care, good organisational skills, good attention to detail, be efficient and have excellent communication skills in both written and verbal English. The successful candidate must have 3 or more years of relevant experience.
Minimum requirements:
Matric (Grade 12) qualification essentialGood Verbal and written English language skills.Own transport is preferable.3 to 5 years relevant experience is essential.Good understanding of the clinical and medical environment in private practice.ICD 10 and CPT coding experience is essential.Healthbridge Medical Billing software experience is essential.Experience in working with medical aid companies.Work flexible hours especially in the case of an emergency.
Closing date: 7 February 2023
Salary range: Market related.
Interested candidates who meet the above criteria are requested to e-mail a detailed CV to vacancy (at sign) letslink. co. za or to contact Colleen on +27(0)110261907.
Please view our website: www.letslink. co. za
By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes (Should you be successful). Please note that your information will be processed for recruitment purposes only or for such purposes relating to assessing the establishment of the employment relationship with yourself, and this will be done in accordance with the applicable data protection and privacy legislation. We confirm that such information will not be used for any other purpose without your prior consent.
If your application is not successful, we retain your CV and other information provided for a period of 24 months after which it will be destroyed in a secure manner. If you object to your information being used in accordance with the aforementioned clauses, please indicate so and your information will be immediately destroyed in a secure manner.
https://www.ditto.jobs/job/gumtree/3282766811?source=gumtree
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Case manager
LetsLink recruitment is currently seeking a highly motivated and experienced Case Manager to work for a private hospital in Cape Town. As the Case Manager, you will be responsible for liaising between patients, treating clinicians, and medical aids to ensure accurate and comprehensive documentation of patients hospital stays. Your role will also involve applying clinical knowledge to manage patient risk in terms of length of stay, level of care, and medical aid benefits.
Key Responsibilities:
Apply clinical knowledge to manage patient riskProvide appropriate clinical information to medical aidsCode all patients with ICD10 and CPT4 codesAccompany Managed Care Organisation Case Managers on ward roundsAssist with final authorization of patient filesControl costs for patientsConsult with all service suppliers regarding treatment and phone for patientsFacilitate with transfer of patients to Rehab or step-down facilitiesUpdate all relevant details on Adclin InfoSupply all details regarding patients history, etc. to clinical partnersAssist with case management of all medical aid patientsDaily liaison and communication with Medical Schemes, Hospital Nursing staff, and medical practitioners
Requirements:
Diploma or Degree in Nursing and registered with the SANCGrade 12/MatricExperience in ICD 10 and CPT 4 codingIntensive Care Nursing experience is an advantageHospital Case Management is an advantageMinimum 3 years nursing experience in a multidisciplinary hospital environmentKnowledge of Managed Healthcare policies and proceduresGeneral administrative skillsComputer literate
If you meet the qualifications and are interested in this exciting opportunity, please submit your application today to vacancy at letslink dot co dot za or contact Gary on 011 0261907
Please view our website: letslink dot co dot za and contact Gary.
By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes (Should you be successful). Please note that your information will be processed for recruitment purposes only or for such purposes relating to assessing the establishment of the employment relationship with yourself, and this will be done in accordance with the applicable data protection and privacy legislation. We confirm that such information will not be used for any other purpose without your prior consent.
If your application is not successful, we retain your CV and other information provided for a period of 24 months after which it will be destroyed in a secure manner. If you object to y...
https://www.ditto.jobs/job/gumtree/140594068?source=gumtree
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LetsLink is assisting a Private Hospital based in Centurion to employ a Billings Manager.
The incumbent will be responsible for the financial risk management of the hospital, by ensuring accurate and timeous billing of all patient accounts. The incumbent will do so by managing the Case Managers, File Assessors and the Confirmations Staff. The Billings Manager will also be responsible for ensuring effective patient liaison and dispute resolution.
Key accountabilities and responsibilities:
Ensure effective patient liaison and dispute resolutionEnsuring daily, weekly and monthly tasks as per Billing Manager level of task documentMonitoring and maintenance of the DNYB and delayed weightingMonitoring and maintenance of PIP casesMonitoring and maintenance of high cost medication as per policyMonitoring and maintenance of claim rejectionsMaintain set targets as indicated on the BSCMonitoring and reporting on MHC varianceMonitoring of ADCLIN system to ensure clinical appropriatenessEnsure accuracy of ICD 10 AND CPT 4 codingAnalysis of billing errors with appropriate action plansManagement of ARS and other contracts and associated reportingEnsuring SOP’s are up to dateEffective management of cancelled casesManage results on all auditsImplement changes effectivelyMotivation of system enhancements and adaptationsManage credit control queries as per communication policyEnsure effective communication and follow through with medical aidsManage associated administrative tasksAssist with any other duties assigned by the Pharmacy Manager from time to timeAssume responsibility for own personal and professional developmentKeep up to date with the hospitals evolving policies and procedures
Skills Required:
Grade 12 or Equivalent NQF Level 4 qualifications Qualified Registered Nurse registered with SANC3-5 years experience in a similar roleAdvanced computer literacy Sound knowledge of Private Hospital Pharmacy business operations Sound knowledge of medical/healthcare billings and tariff guidelinesApplication of clinical knowledge in the risk management of patients
Interested candidates who meet the above criteria are requested to e-mail a detailed CV to vacancy@letslink.co.za or apply directly through this platform. To learn more, please contact Gary on +27(0)110261907
Please view our website: www.letslink.co.za
https://www.ditto.jobs/job/gumtree/3640500707?source=gumtree
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Hospital Clinical Coder
Location: Randburg Johannesburg South Africa
A private hospital based in Randburg is seeking to employ a Hospital Clinical Coder. The core purpose of the role is to ensure the accurate clinical coding of patient accounts.
Key responsibilities:
Liaison with patients, medical doctors, and medical schemes to provide updated clinical coding in relation to the patient response to treatment to receive appropriate fund reimbursement from the medical schemesAssessment of patient clinical statements and the conversion of the information to ICD 10 and CPT coding on the patient account
Key requirements:
Registered Nursing Diploma with current SANC RegistrationAdvanced Certificate in ICD-10 Coding (Essential)Advanced Certificate in Complete CPT preferredThorough understanding of CPT and ICD 10 coding standardsMinimum of 3 years’ experience within Clinical Coding in a private hospital or managed care environmentIntermediate to Advanced PC Literacy
Interested candidates who meet the above criteria are requested to e-mail a detailed CV to vacancy@letslink.co.za or to contact Gary on +27(0)110261907
Correspondence will only be conducted with short listed candidates. Should you not hear from us within 7 days, please consider your application unsuccessful.
LetsLink offers a referral reward of R1000 for any candidate that is referred and placed through LetsLink, terms and conditions apply.
Please view our website: www.letslink.co.za
By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes (Should you be successful). Please note that your information will be processed for recruitment purposes only or for such purposes relating to assessing the establishment of the employment relationship with yourself, and this will be done in accordance with the applicable data protection and privacy legislation. We confirm that such information will not be used for any other purpose without your prior consent.
If your application is not successful, we retain your CV and other information provided for a period of 24 months after which it will be destroyed in a secure manner. If you object to your information being used in accordance with the aforementioned clauses, please indicate your objection and we will immediately destroy your personal information in a secure manner.
https://www.ditto.jobs/job/gumtree/1881291136?source=gumtree
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Claims Administrator - Johannesburg (Part time)
LetsLink Medical Recruitment Agency is assisting one of the leading health insurance product providers to recruit 4 part time Claims Administrators.
Requirements:
MatricRE5 qualification is essentialPrevious Medical Aid Claims experience (Gap Cover Claims an advantage)Start working immediately
Skills and experience:
At least 2 years’ Medial Aid or Gap Cover claims experienceTechnical knowledge on various health insurance products.Knowledge of ICD 10 and CPT Codes, medical procedures, and medical aid schemes.Understanding of PMB legislation in conjunction with Gap Cover.Sound computer skills - Microsoft Office a must.Excellent customer service skills.Takes ownership and responsibility.Ability to work in a team with minimal supervision.Pays attention to detail.Excellent analytical skills.Ability to handle pressure - always remain calm, friendly, courteous, polite, professional, and willing to assist.
Location: Bryanston Johannesburg
Salary: between R12000.00 and R14000.00 per month
Closing date: 18 March 2022
Candidates who meet the relevant requirements must please apply by contacting Gary on 011 0261907 or email a detailed CV to ( vacancy @ letslink. co . za)Please view our website: www. letslink . co . za
https://www.ditto.jobs/job/gumtree/2576237741?source=gumtree
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Our client is looking for the assistance of Freelance/Temporary Medical Aid Claims Administrator.
The successful candidate must meet the following minimum requirements:
Grade 12 or equivalent qualificationThe suitable candidate must have 2 to 3 years medical aid claims experience.Knowledge if clinical codes e.g. ICD, CPT etc.Knowledge of medical aid schemes and medical aid claims procedures and a good understanding of PMB legislation. Gap cover claims experience is an advantage.Have excellent attention to detail, and good analytical skillsHave good verbal and written business English communication skillsSound computer skills MS OfficeRE 5 certificate is an advantage.
Interested candidates are requested to e-mail a detailed CV to ( Vacancy @ letslink. co. za ) or to contact Gary on +27(0)110261907
Please view our website: LetsLink . co . za
By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes (Should you be successful). Please note that your information will be processed for recruitment purposes only or for such purposes relating to assessing the establishment of the employment relationship with yourself, and this will be done in accordance with the applicable data protection and privacy legislation. We confirm that such information will not be used for any other purpose without your prior consent.
If your application is not successful, we retain your CV and other information provided for a period of 24 months after which it will be destroyed in a secure manner. If you object to your information being used in accordance with the aforementioned clauses, please indicate your objection and we will immediately destroy your personal information in a secure manner.
https://www.ditto.jobs/job/gumtree/1923806163?source=gumtree
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Do you have a flair for International Inbound Sales?
Ignition Group is seeking charismatic Sales Experts to work on an International Inbound Sales Campaign. If you feel like you have the talent of talk and conversation, then this new role might be the one for you!
What you get:
Competitive basic salary
Lucrative commission structures
Access to medical aid
Nightshift allowances
Attendance allowances
Paid training.
And so much more!
Move on over to the sweet side!
What you need:
6 Months Sales Experience within a Contact Centre
Excellent communication skills
Computer literacy
The ability to work flexible shifts
If you can talk the talk, we have The Sweetest Deal for you!
If you meet these requirements, apply via this link https://bit.ly/3P4Op2s (you will have to have to copy and paste this into your web browser) or send us a message.
Job Reference : INT-CPT-SALES-2Job Reference #: INT-CPT-SALES-2
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LetsLink recruitment is currently seeking a highly motivated and experienced Pharmacy Case Manager to work for a private hospital in Johannesburg. As the Case Manager, you will be responsible for liaising between patients, treating clinicians, and medical aids to ensure accurate and comprehensive documentation of patients hospital stays. Your role will also involve applying clinical knowledge to manage patient risk in terms of length of stay, level of care, and medical aid benefits.
Key Responsibilities:
Apply clinical knowledge to manage patient riskProvide appropriate clinical information to medical aidsCode all patients with ICD10 and CPT4 codesAccompany Managed Care Organisation Case Managers on ward roundsAssist with final authorization of patient filesControl costs for patientsConsult with all service suppliers regarding treatment and phone for patientsFacilitate with transfer of patients to Rehab or step-down facilitiesUpdate all relevant details on Adclin InfoSupply all details regarding patients history, etc. to clinical partnersAssist with case management of all medical aid patientsDaily liaison and communication with Medical Schemes, Hospital Nursing staff, and medical practitioners
Requirements:
Diploma or Degree in Nursing and registered with the SANCGrade 12/MatricExperience in ICD 10 and CPT 4 codingIntensive Care Nursing experience is an advantageHospital Case Management is an advantageMinimum 3 years nursing experience in a multidisciplinary hospital environmentKnowledge of Managed Healthcare policies and proceduresGeneral administrative skillsComputer literate
If you meet the qualifications and are interested in this exciting opportunity, please submit your application today to vacancy at letslink dot co dot za or contact Gary on 011 0261907
Please view our website: letslink dot co dot za and contact Gary.
Closing date of 28.04.2023.
By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes (Should you be successful). Please note that your information will be processed for recruitment purposes only or for such purposes relating to assessing the establishment of the employment relationship with yourself, and this will be done in accordance with the applicable data protection and privacy legislation. We confirm that such information will not be used for any other purpose without your prior consent.
If your application is not successful, we retain your CV and other information provided for a period of 24 months after which it will be destroyed in a secure...
https://www.ditto.jobs/job/gumtree/2873522087?source=gumtree
3d
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SavedSave
LetsLink recruitment is currently seeking for a Pharmacy Case Manager to work at a private hospital in Gqeberha. The successful candidate will be responsible for liaising between patients and medical aids to ensure payment for hospital services.
Key Responsibilities:
Ensure accurate and up-to-date information is entered into the Hospital Billing SystemProvide patient history details to clinical partnersMonitor and control costs for managed care patientsConfirm length of stay for managed care patientsParticipate in ward rounds to collect clinical information and provide updates to fundersRelease patient filesEnsure correct coding (ICD and CPT) for all managed care patientsAssist the Hospital Clinical Coder with clinical information to ensure accurate codingConsult with relevant service providers regarding patient care treatmentAssist with patient transfers to rehab hospitals or step-down facilitiesLiaise with internal and external stakeholders to maintain managed care for patientsParticipate in in-service training provided by the organizationMaintain a satisfactory level of skill and knowledge through professional developmentWork collaboratively with others to establish and maintain good working relationshipsActively participate as a member of a team to achieve goalsMaintain professional flexibility in working hours while supporting daily business hoursReview accounts for short payments/Debt pack
Requirements:
Registered or Enrolled Nurse qualification or equivalent NQF level 4Computer literacyMust be registered with the SANC or professional bodyPrevious hospital or medical scheme case management experience is advantageousExperience in IDC 10 and CPT coding is advantageousMinimum of 3 to 4 years of experience in a multidisciplinary environmentAbility to develop and maintain clinical knowledgeKnowledge of case management skills and expertiseFamiliarity with nursing and pharmacy policies and proceduresUnderstanding of managed healthcare experienceICD 10 and CCSA coding experience/qualification
If you are passionate about nursing and looking for an opportunity to take on a challenging role in a dynamic and growing organization, we would like to hear from you. Please submit your CV to vacancy at letslink dot co dot za or contact Gary on 011 0261907.
Please view our website: letslink dot co dot za and contact Gary.
Closing date: 20 April 2023
By applying for this position and providing us with your CV and other personal information, you are consenting to the information being used for the specific purpose for which it was provided, which is recruitment purposes and possible appointment purposes (Should you be s...
https://www.ditto.jobs/job/gumtree/3178728958?source=gumtree
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Description
Project Coordinator
Description
We have a vacancy for a Project Coordinator. Our client is a training and education provider recognized for innovation in design and excellence in delivery. The role involves Reporting, Seta Responsibilities, Assessments, Training Co-ordination and Administration to become part of the delivery teams that are responsible for the successful coordination of learning interventions from registration to graduation.Responsibility:Your key performance areas will include but not be limited to the specifications below:
Reporting:
• Capture relevant information onto LMIS
• Compile and distribute learner feedback reports to relevant stakeholders
• Compile and distribute monthly progress reports to learners
SETA Responsibilities:
• Registration of learners onto the relevant SETA Management Information Systems (MIS)
• Upload credits onto the relevant SETA MIS as and when competency is achieved
• Ensure that learners are terminations or extension are processed when required
Assessments:
• Monitor and track formative and summative learner assessments
• Prepare portfolio of evidence files for moderation
• Ensure that assessment timelines are always adhered to
Training co-ordination:
• Co-ordinate training interventions (online and/or face to face)
• Prepare and collate training material timeously
• Ensure travel arrangements are coordinated in line with the client specifications
Administration
• Prepare learning material (print, bind and courier when applicable)
• Data capturing of intakes into relevant systems
• File and archive portfolios of evidence
• Scan and upload relevant documentation onto the share drive and LMIS
Minimum Requirements:
• Matric / NQF equivalent is essential
• A relevant tertiary qualification in Office Management, Business Administration or Learning and Development would be advantageous
• Previous work experience within an academic environment
• A valid driver’s license and be willing to travel
• Highly systematic and organized
• Ability to plan and schedule detailed projects professionally
• Intermediate MS word and MS Excel Skills
• Ensure that training interventions are coordinated and delivered in line with company objectives
• Ability to work independently and use own initiative
• Manage project expenditure within agreed budget limits
• Ability to work effectively under pressure and meet deadlines
• Build and maintain learner and client relationships and ensure effective communication
• A strong sense of accountability and work ethic
• High level of accuracy and attention to detail
• Excellent communication (written and verbal) and interpersonal skills
• Effective problem solving ability
Salary - Basic Salary will depend on experience
Undertakings - Criminal and Credit Check
Application Process:
Online applications will receive preference, don’t forget to include a head and shoulder photograph, alternatively e-mail CV’s to cape1@workafrica.co.za using “Project Coordinator CPT ” in the subject heading of your application.
If you don’t hear from us within 2 weeks, please consider your application unsuccessful.Job Reference #: PCConsultant Name: Rafeeqah Tofie
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Sales consultant – Rneg (Kempton Park) Logistics
The well known logistics company based in Kempton Park is looking for a well oiled candidate.
The ideal candidate will be:
Travel between JHB, DBN and CPT
Generating leads and turning them into opportunities
Contacting potential customers via telephone, email and face-to-face.
Working on KPI’s and revenue targets as set by the National Sales Manager (New Business Consultant will have to achieve Individual Sales Targets as set out by manager).
Negotiating prices with potential customers and closing sales.
Address queries raised by existing customers and channel communication to relevant teams.
Requirements:
A minimum of 2-3 years working experience in sales within the logistics industry.
Proven ability to drive sales and generate new business.
Computer literate and strong presentation skills.
Strong relationship building and selling skills.
Send your CV to bernadette@prrrecruitment.co.za
If you don’t hear from PRR Recruitment within 2 weeks, please consider your application unsuccessful
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS8yMzU3NTgwNjgyP3NvdXJjZT1ndW10cmVl&jid=1711421&xid=2357580682
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Together with our client in Pretoria, we are recruiting for a Medical Pre-Authorisation Consultant. The ideal candidate must have a completed qualification as an Enrolled Nurse and must be registered with SANC, with at least 2 years experience in Managed Healthcare.
Duties and responsibilities:
Receive applications for all services, which require pre-authorisation and attend to the request.Capture clinical information and verify the information, including the applicable ICD-10 and item codes.Validate and evaluate special pre-authorisation requests.Prepare a summary of the members’ clinical history for the medical advisor.Monitor the flow of documents between the pre-authorisation division and the medical advisor.Approve benefits accurately according to the benefits per benefit options and strictly according to protocols.Escalate identified risks about specific members or providers to seniors.
Skills and Qualifications:
Grade 12Completed qualification as an Enrolled NurseRegistered with SANC2+ years of experience in Managed HealthcareGood verbal and written English communication skills as well as proficiency in understanding Afrikaans spoken and written communication.Computer literate in Ms Office.Customer focus.Must be able to work in a team and handle conflict situations.Knowledge of the following:
Comprehensive knowledge of the Medical Scheme Act;Sound knowledge of CPT-4, ICD-10 and RPL codes;Extensive clinical knowledge;Able to function independently with good decision-making skills; andExceptional work ethic.
Only candidates who meet all the requirements outlined in this advertisement will be considered. If you do not receive feedback from us within 2 weeks of your application, please consider your application unsuccessful.
To apply, please submit your CV and supporting documents to recruitment1@qetello.co.za with the subject line “REF: Pre-Auth.”
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS8zNzAyMjE4MjU2P3NvdXJjZT1ndW10cmVl&jid=1725027&xid=3702218256
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