Akeso Case Manager

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We are united by a common purpose of providing the best and safest care; and by our shared values of Care, Truth, Participation, Compassion and Dignity.

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ROLE SUMMARY

The Case Manager, utilising clinical knowledge and expertise, mitigates financial risk through comprehensive accurate coding of hospital events; as well as the justification of hospitalisation encompassing level of care and length of stay. Responsible for management of medical aid and private accounts.

Responsibilities:

• Develop, implement, and review patient care plans in collaboration with healthcare teams.
• Monitor patient progress, assess needs, and facilitate appropriate interventions and services.
• Coordinate patient admissions, discharges, and transfers, ensuring seamless transitions of care.
• Manage medical records efficiently, ensuring accuracy, completeness, and confidentiality.
• Oversee medical billing and coding processes to ensure compliance and optimize revenue cycle management.
• Provide patient advocacy, education, and support to patients and their families.
• Collaborate with interdisciplinary teams to optimize patient outcomes and resource allocation.
• Maintain up-to-date knowledge of healthcare regulations, policies, and best practices.

Qualifications:

• Proven experience in Case Management.
• Strong understanding of Medical Billing and Coding principles.
• Demonstrated experience in Medical Management.
• Proficiency in Medical Records Management.
• Excellent Patient Care skills, including communication and empathy.
• Relevant professional qualifications and registrations (e.g., Registered Nurse).
• Strong organizational and problem-solving abilities.
• Ability to work effectively in a fast-paced, multidisciplinary environment.

Join the team committed to providing the best and safest health and care.