What will you do? Position purpose To manage the spending of member funds by means of clinical interventions and managed care protocols. Duties & Responsibilities Accountabilities Manage Care Service Requests : - Service all key stakeholders in the moment across all servicing channels as required until the clinical service request has been resolved. - Educate stakeholders on self help...
Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our...
Structural Information Job number: Job title: Manager: Business Case Management Job grade: M5 Group/ BU: Openserve Division: Openserve Span of control: 5-10 Reports to: Senior Management Core Description Responsible to manage/ deliver Business Case outputs as defined and in support of the Business Plan applicable to Openserve. Job Responsibilities - Responsible for the integration and...
*Structural Information Job number: * Job title: Manager: Business Case Management Job grade: M5 Group/ BU: Openserve Division: Openserve Span of control: 5-10 Reports to: Senior Management *Core Description * Responsible to manage/ deliver Business Case outputs as defined and in support of the Business Plan applicable to Openserve. *Job Responsibilities * - Responsible for the...
???????Identification of issues in dispute in terms of Section 39 of the CSOS Act.???????Prepare Notice 43 and 44 in terms of the CSOS Act.???????Facilitate submissions received from various interested parties in terms of Section 44 of the CSOS Act.???????Set the matter down for a Conciliation hearing in terms of Section 47 of the CSOS Act.???????Prepare file for Conciliation...
Function Patient services Facility Position Case Manager | General Ward Introduction A vacancy exists for a Case Manager General Ward based at Life Wilgers Hospital, reporting to the Patient Services Manager. The successful candidate will be responsible for managing the financial and clinical risks of the patient in a general ward by ensuring accurate coding, clinical updates and accounts...
ISTA Personnel Solutions South Africa is a global BPO partnering with a USA-based healthcare client providing services within Skilled Nursing Facilities (SNFs), post-acute care, and revenue cycle management. We are seeking a Clinical Case Manager with healthcare experience in SNFs, inpatient authorizations, clinical review, and medical billing. This remote role requires a detail-oriented...
- Introduction Momentum Health Solutions (MHS), an entity of Momentum Metropolitan Holdings; delivers sustainable, integrated health and wellness solutions that meet the needs of clients in the different segments and maximises lifetime client value. We build and maintain a culture of innovation and create value through unique insights of how to achieve specific outcomes by using a defined set of...
Case Manager / Claim Specialist (based in Australia)- Our Australia client is looking for Case Manager to be based onsite in New South Wales, Australia.- Working hours: Monday to Friday, normal office hours- Salary: Negotiable - according to Australia pay band- Others: Assistance with visa processing Job description: - Provide early, timely and personal customer focused and empathetic service...
Introduction Momentum Health Solutions (MHS), an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health and wellness solutions that meet the needs of clients in the different segments and maximize lifetime client value. We build and maintain a culture of innovation and create value through unique insights of how to achieve specific outcomes by using a defined set of...
AristoSourcing LLC is an Outsourcing company highly focused on the Digital Marketing Industry. Our company has been in the industry for more than 7 years. We hired and referred skilled and experienced Virtual Assistants to work and collaborate directly with our respective clients from different parts of the globe that offer 100% remote work for talented and qualified individuals SALARY - $ 1500...
Our client, specializing in the labour relations industry, is seeking a Case Manager/Office Supervisor to be based in Pretoria. You will manage the overall case management function, nationally, as well as be responsible for the direct administration of cases for various areas (currently, Gauteng-Pretoria, Mpumalanga, Northwest, Limpopo, Eastern Cape (PE/East London) and Free State. Your primary...
To plan, coordinate and execute case management work at hospital level. The incumbent utilises clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding of patient care. Minimum Requirements: - Diploma in Nursing - 5 years’ experience as a hospital Case Manager - Technical Knowledge of ICD-10 and CPT Coding - Advance Certification in...
Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our...
IMPORTANT WATCH THIS QUICK LOOM VIDEO ON HOW TO GET HIRED: https://www.loom.com/share/345f776084e642ba99c24aabe40a67a0 C1 ENGLISH LEVEL IS REQUIRED, THE SELECTED CANDIDATE WILL BE SPEAKING STRICTLY IN ENGLISH DURING THEIR WHOLE SHIFT. " PLEASE SUBMIT YOUR RESUME AND AUDIO RECORDING IN ENGLISH" JOB TITLE Case Manager (Sales Closer) JOB ID ROBTIA5 (8 FTE) INDUSTRY Holistic Health Care...
The key responsibility will be liaison between the patients and medical aid companies, ensure that correct coding (ICD & CPT) is used, authority received for LOS and monitoring of patients costs to ensure the hospital receive payment for services rendered. Requirements:General Nursing Diploma and SANC registeredMinimum of 3 years working experience as General Case ManagerGood knowledge of ICD...
Who are we? SOLEVO is a leading distributor of chemicals and inputs for specific industrial and agricultural segments in Africa. SOLEVO assists African farmers and Industries succeed by providing them with a full range of fertilizers, seeds, crop protection products and industrial chemicals they need with a guaranteed quality and good value. With over 75 years at the frontier of economic growth...
Function Nursing Facility Position Case Manager | General Ward Introduction A vacancy exists for a Case Manager General Ward based at Life Springs Parkland Hospital, reporting to Marilyn Daswa, Patient Service Manager. The successful candidate will be responsible for managing the financial and clinical risks of the patient in a general ward by ensuring accurate coding, clinical updates and...
Location: Clinix Naledi Nkanyezi Private Hospital (Sebokeng).Reports to: Patient Services Manager. Job Summary:To plan, coordinate and execute case management work at hospital level. The incumbent utilities clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding of patient care. Minimum Requirements: - Diploma in General Nursing. -...
AristoSourcing LLC is an Outsourcing company highly focused on the Digital Marketing Industry. Our company has been in the industry for more than 7 years. We hired and referred skilled and experienced Virtual Assistants to work and collaborate directly with our respective clients from different parts of the globe that offer 100% remote work for talented and qualified individuals SALARY - $ 1500...