Akeso Case Manager

ROLE SUMMARY

The Case Manager, utilising clinical knowledge and expertise, mitigates financial risk through comprehensive accurate coding of hospital events; as well as the justification of hospitalisation encompassing level of care and length of stay. Responsible for management of medical aid and private accounts.

The Akeso Case Manager is responsible for coordinating and managing the care of patients, ensuring optimal health outcomes and efficient resource utilization within Netcare Hospitals (Pty) Limited.

Responsibilities:

• Develop, implement, and review patient care plans in collaboration with healthcare teams.
• Monitor patient progress, assess needs, and facilitate appropriate interventions and services.
• Coordinate patient admissions, discharges, and transfers, ensuring seamless transitions of care.
• Manage medical records efficiently, ensuring accuracy, completeness, and confidentiality.
• Oversee medical billing and coding processes to ensure compliance and optimize revenue cycle management.
• Provide patient advocacy, education, and support to patients and their families.
• Collaborate with interdisciplinary teams to optimize patient outcomes and resource allocation.
• Maintain up-to-date knowledge of healthcare regulations, policies, and best practices.

Qualifications:

• Proven experience in Case Management.
• Strong understanding of Medical Billing and Coding principles.
• Demonstrated experience in Medical Management.
• Proficiency in Medical Records Management.
• Excellent Patient Care skills, including communication and empathy.
• Relevant professional qualifications and registrations (e.g., Registered Nurse).
• Strong organizational and problem-solving abilities.
• Ability to work effectively in a fast-paced, multidisciplinary environment.

How to Apply:

Join the team committed to providing the best and safest health and care.