Case Manager - Clinical Risk Management (PE)

Position: Case Manager (Clinical Risk Management)
Equity Requirement: Strictly EE
Location: Port Elizabeth
REF: CM/PE
 
Large Managed Care Organisation seeks to offer a suitably qualified Professional Nurse a Case Management opportunity within their team.
 
Responsibilities:
  • Review of in-hospital cases for accurate review of clinical care, length of stay
  • Discharge planning
  • Liaison with Medical Advisor on complex cases
  • Co-ordinating in and post hospital care where necessary
  • Educate members with regard to healthcare and their benefits
  • Management of exclusions
  • Adhere to all policies and clinical protocols
  • Liaison with Service Providers to improve cost effectiveness of health care delivery
  • Meet and exceed terms within SLA agreements
Requirements:
  • Matric
  • Nursing Diploma or Degree, current registration with SANC
  • Minimum of 2 years clinical experience within private healthcare sector
  • Excellent understanding of Hospital Case Management and Clinical Risk
  • Minimum 2 years working experience as In-Hospital Case Manager or Case Manager within Managed Care
  • Clinical Coding Knowledge: ICD, CPT, NRPL (will be tested)
Apply to response@mvgrecruitment.co.za, REF: CM/PE
 
Supporting Documents:
- Comprehensive Word CV
- Copy of Matric
- Copy of Degree
- Copy of SANC Registration