Lambano Sanctuary New Job Opportunity

Lambano Sanctuary is a Christian NPO that responded to the HIV crises in 2001 by taking in Orphaned HIV plus children to live permanently in our facilities. In 2009 Lambano opened a Paediatric Medical Step-down Facility / Hospice to care for children with life-limiting and life-threatening illnesses. The NPO works in collaboration with the Public and Private Medical fraternity.

Job Title: Hospital Intake / Case Manager
Job Location: Germiston, Johannesburg

Responsibilities:

• Carry out clinical coding in accordance with CPT and ICD requirements
• Ensure authorisation information is accurate and in accordance with hospital procedures
• Provide complete and accurate updates and discharge information of all accounts
• Keep patients and doctors informed
• 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
• Keep well informed on legislation pertaining to related care matters
• Visits relevant hospitals and doctors to speak about Lambano services
• Attend meetings with Hospitals relating to case management
• Initiate conversations with potential intake patients
• Facilitate conversations with medical aids on behalf of Lambano
• Meet monthly targets of patient in-takes per month
• Follow up on billing from patients and medical Aid companies
• Strict in following up patients and meeting deadlines

Requirements:

• Diploma/Degree in Nursing
• Registered with the South African Nursing Council as a Registered Nurse
• ICD10 and CPT coding experience
• Valid driver’s licence with acceptable driving record
• Ability to drive different company vehicles and a driving record that demonstrates safe driving practices
• Minimum three years’ experience of Medical Aid administration procedures and Hospital Case
• Management
• Knowledge of the rules and regulations regarding medical aid schemes is required
• Knowledge of patient administration systems, policies and procedures will be an advantage
• Knowledge of hospital billing and tariffs
• Intermediate knowledge of Microsoft Suite
• Medical report writing skills
• Communication skills and the ability to build strong partnerships
• Negotiation skills and the ability to interact with tact diplomacy
• Independent problem solving and decision-making skills
• Ability to function well in a team
• Accuracy and attention to detail skills to maintain high standards of work
• Understands the inter-relationships between business processes
• Experience in a managed healthcare environment will be a strong recommendation
• Maintain a customer-focused mindset that acknowledges the value of the customer
• A wealth of knowledge regarding patient intake procedures
• Ability to market Lambano Sanctuary and bring in patients to the facility
• Must show passion for working with under privileged children
• Creative and innovative
• Organisational and time management skills
• Stress tolerance with the ability to work under pressure and meet tight deadlines
• Ability to work in a team but also independently
• Flexible, adaptable, results-oriented and goal achiever
• Out-going personality
• Professional business acumen

To apply, submit a CV, and a motivational letter, to [email protected] put “Hospital Case Manager”  in the subject line.

Only shortlisted candidates will be contacted.

No calls will be accepted.

Application Deadline: 28th Feb, 2019