RPO Recruitment's client is looking for a Case Manager to join their team in Mitchells Plain, Cape Town.
The successful candidate will be responsible for managing and improving patient billing outcomes, coding, and coordinating medical aid-related processes within a healthcare facility.

Responsibilities:

• Assess patient conditions and develop appropriate care plans

• Communicate with patients and medical aid schemes

• Resolve queries from patients and medical aid schemes

• Ensure timely and accurate updates of patient information

• Perform CPT and ICD coding

• Obtain doctors’ letters, motivations, and justifications for managed care cases

• Monitor patient admissions and identify restrictions placed by medical aid structures

• Maintain a systematic monitoring control system for managed care patients

• Handle patient queries

• Update hospital records and information systems

Requirements:

• Qualified Registered Nurse or Enrolled Nurse with relevant experience, registered with SANC

• Minimum 3 years of nursing experience in a multidisciplinary hospital environment

• Knowledge and experience in ICD-10 and CPT coding

• Experience in case management within a hospital or medical aid environment

• Knowledge of Prescribed Minimum Benefits (PMB) and scheme policies

• Strong communication, analytical, and computer skills (MS Office, hospital systems)

Benefits

• Salary: negotiable

Contact RPO Recruitment for your next career opportunity.

• Our client is offering a highly competitive salary for this role based on experience.
• Apply for this role today, contact Jarad Pentz at RPO Recruitment or on LinkedIn.
• You can also visit the RPO Recruitment website: rporecruitment.us or email us your
  CV: [email protected]

We will contact you telephonically in 3 days should you be suitable for this vacancy. If you are not suitable, we will put your CV on file and contact you regarding any future vacancies that arise.