{"id":68932,"date":"2021-11-02T08:20:36","date_gmt":"2021-11-02T06:20:36","guid":{"rendered":"https:\/\/joblistsouthafrica.com\/?p=68932"},"modified":"2021-11-02T20:54:39","modified_gmt":"2021-11-02T18:54:39","slug":"sincephetelo-motor-vehicle-accident-fund-ekuphileni-clinic-ongoing-job-vacancy","status":"publish","type":"post","link":"https:\/\/joblistsouthafrica.com\/sincephetelo-motor-vehicle-accident-fund-ekuphileni-clinic-ongoing-job-vacancy.html","title":{"rendered":"Sincephetelo Motor Vehicle Accident Fund\/Ekuphileni Clinic Ongoing Job Vacancy"},"content":{"rendered":"

The Case Management Officer is responsible for ensuring the best possible health care outcome for the patient at the most cost effective rate.<\/p>\n

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Job Title: Case Management Officer<\/strong>
\nLocation:<\/strong> Mbabane, Hhohho, Eswatini
\nReference #:<\/strong> Ekuphileni Clinic
\nContract Type:<\/strong> Permanent
\nSalary:<\/strong> Market Related<\/p>\n

Job Summary:<\/strong>
\nFinancial Management:<\/strong>
\n\u2022Audit claims and quotations submitted to health insurers\/fundersRespond telephonically to clinicians to answer questions or attain details relating to treatments
\n\u2022Monitor and oversee billing processes and procedures for the clinic
\n\u2022Health education regarding screening tests being performed
\n\u2022Reporting of any anomalies detected.<\/p>\n

Patient Care:<\/strong>
\n\u2022Obtain pre-authorizations from health insurers for the patient to access services at the clinic
\n\u2022Educate patients, family members or caretakers on care techniques required to enhance the recovery of a patient.
\n\u2022Assist patients with the interpretation of medical documents.
\n\u2022Discuss patient\u2019s treatment modality with physicians, surgeons, and healthcare team
\n\u2022Ensure tests administered to patients are appropriate and necessary
\n\u2022Schedule follow-up treatments for patients
\n\u2022Monitor patient response and progress of treatment to recommend adjustments where necessary
\n\u2022Monitor the quality of health care provided to patients to ensure they are up to acceptable standard
\n\u2022Help patient\u2019s access government health aid and community health organization\/social service benefits
\n\u2022Prepare and implement patient discharge plan that allows for continued treatment after hospital discharge
\n\u2022Ensure patients have the necessary utilities and amenities required for complete convalescenceAdministration
\n\u2022Liaise between the Clinic, clients and health insurers\/funders.
\n\u2022Ensure appropriate coding of billing invoices according to the International Classification of Diseases (ICD-11).
\n\u2022Maintain records of client treatment and progress of recovery while ensuring confidentiality
\n\u2022Keeping accurate patient statistics
\n\u2022Develop, maintain, and oversee weekly\/monthly reports
\n\u2022Reporting of any anomalies or concerns.<\/p>\n

Stakeholder Management:<\/strong>
\n\u2022Oversee the coordination and integration of health and case management functions in order to achieve a common goal
\n\u2022Establish good working relationship with physicians to ensure timely and effective patient recovery
\n\u2022Assess a patient\u2019s health insurance cover and work with the insurer and multiple providers to ensure the best care is delivered with the least financial burden<\/p>\n

Requirements:<\/strong>
\nKey Performance Indicators
\n\u2022Accurate patient billing
\n\u2022Liaison with health care stakeholders
\n\u2022Administration
\n\u2022Reporting<\/p>\n

Key Interfaces:<\/strong>
\n\u2022Patients
\n\u2022Other health care workers
\n\u2022Medical aid companies
\n\u2022Family members<\/p>\n

Qualifications:<\/strong>
\n\u2022Diploma in General Nursing, or Bachelor of Nursing or Bachelor of Science (Majoring in Nursing) .
\n\u2022Registered as a Professional Nurse with the Eswatini Nursing Council
\n\u20225 years experience in a General Hospital offering the entire spectrum of medical specialties<\/p>\n

To Apply:<\/strong><\/p>\n

Click Here!<\/strong><\/a><\/p>\n

Application Deadline:<\/strong> 09\/11\/2021<\/p>\n","protected":false},"excerpt":{"rendered":"

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