Description:
Non-Negotiable Requirements:Registered Enrolled Nurse or Registered Nurse qualification. 2 years within a case management role. Minimum 3 years nursing experience in a hospital. Case Management experience and proficiency in ICD 10 and CPT 4 coding. Computer proficiency. Key Performance Areas:
Ensure daily authorisation of inpatient admissions. Confirm authorisation details and follow up on any outstanding requests. Perform daily ward rounds for patients at length of stay limits and submit clinical updates. Work with the Patient Administration Manager to ensure correct billing and LOC. Coordinate patient transfers and communicate authorisation details. Compile and submit reports, maintaining accurate records of funder communications. Attend meetings and ensure all patient accounts are authorised to avoid non-payment risks. Develop unit-specific SOPs and ensure compliance with relevant legislation. Report incidents and maintain relationships with funders for timely authorisation responses.
05 Feb 2026;
from:
gumtree.co.za