Senior Hospital Case Manager

Mediclinic
South Africa
Workplace: OnsiteFull timeFunction: Solutions Engineering & Sales EngineeringExperience: 3+ yearsSkills: ["Communication","Leadership"]

Coordinate the hospital case management process to ensure accurate, timeous clinical information flows between all role players. Manage patient stays to minimise financial risk, ensure compliance with case management procedures, contracts, and legal requirements, and finalise cases to support reimbursements from funders. Communicate consistently with funders through case management channels and ensure Level 3 clinical coding standards are followed while leading the Case Management team (if applicable).

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FursaFursa
Mediclinic
Mediclinic
18 hours ago

Senior Hospital Case Manager

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Last checked: 18 hours agoStatus: Live

Job Summary

Coordinate the hospital case management process to ensure accurate, timeous clinical information flows between all role players. Manage patient stays to minimise financial risk, ensure compliance with case management procedures, contracts, and legal requirements, and finalise cases to support reimbursements from funders. Communicate consistently with funders through case management channels and ensure Level 3 clinical coding standards are followed while leading the Case Management team (if applicable).
Location: South Africa
Workplace: Onsite
Employment Type: Full time
Job Function: Solutions Engineering & Sales Engineering
Seniority: Manager level

Key Responsibilities

  • •Coordinate the hospital case management process and facilitate communication between all role players using accurate, timeous clinical information.
  • •Minimise financial risk by managing patient stay effectively.
  • •Ensure compliance with case management procedures, contracts, and legal aspects using available resources and systems.
  • •Ensure correct and timeous finalisation of cases to facilitate reimbursements from funders, including consistent communication through the relevant case management channels.
  • •Ensure clinical coding standards are adhered to (Level 3) and lead and manage the Case Management team (if applicable).

Key Requirements

  • •Clinical qualification.
  • •Minimum 3 years in a clinical role.
  • •Registered Nurse / Professional Nurse or qualified Paramedic.
  • •Experience in Theatre and/or ICU, or a medical aid background; experience in a private healthcare environment, or ILS/ALS Paramedic experience.
  • •Ability to apply clinical coding standards (Level 3) and finalise applications, authorisations, and lengths of stay accurately.
Experience:3+ yearsPrivate healthcare environmentICUTheatreMedical aid
Skills:CommunicationLeadership
Tech Stack:AS400Microsoft Office

Company Brief

Mediclinic
Part of Mediclinic International, Mediclinic Middle East operates hospitals and clinics across the UAE, delivering specialist acute care, outpatient services and multi-disciplinary treatment across Dubai, Abu Dhabi, Al Ain and Al Dhafra.
Industry: Hospitals & Clinics
Company Size: Enterprise (1,001+ employees)
Growth: Established Company
Funding: Private Equity Backed
Headquarters: Dubai, United Arab Emirates
Founded: 1983
Glassdoor
Glassdoor: 3.9
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