Case Manager

The purpose of the position is to to coordinate the care of the patient between all members of the multi-disciplinary team and the funder from pre-admission to discharge.

CRITICAL OUTPUTS

• Contact patients and families before admission and at key stages to explain funder requirements, length of stay, authorisation, and discharge planning.
• Ensure that patient processes are efficient and promote satisfaction throughout their stay.
• Coordinate with funders, referring doctors, and other parties regarding patient transfer, authorisation, and benefit management.
• Participate in family and multi-disciplinary team meetings to provide clinical updates and assist with authorisation and care coordination.
• Perform thorough pre-admission assessments to ensure patients meet criteria and that admissions are appropriate.
• Assist with procurement of discharge equipment, oxygen, and provide detailed discharge reports to doctors and funders.
• Monitor and manage the patient's entire case from admission to discharge, ensuring all information is updated for admin staff and funders.
• Build and maintain productive relationships with doctors, funders, and other stakeholders through regular communication and feedback.
• Monitor occupancy levels, identify risks such as infection control concerns, and work toward achieving budgetary and operational targets.
• Create awareness of the facility among key stakeholders and showcase the hospital when needed to encourage referrals and admissions.

REQUIREMENTS

• Registered with SANC as a Professional Nurse / Enrolled Nurse.
• 4 Years in a hospital or medical scheme environment; 2 - 3 years case management experience recommended.
• High-level understanding of operations, funder rules, and case coordination; medium knowledge of risk management, billing systems, information systems, and marketing.
• Strong rule-application, attention to detail, intermediate proficiency with words, numbers, and memory.
• Willingness to travel regionally; computer literacy essential.

Pay: R34 000,00 - R47 000,00 per month

Application Question(s):

• What is your current CTC? (Gross salary BEFORE deductions)
• What is your expected CTC? (Gross salary BEFORE deductions)

License/Certification:

• SANC registration as RN/EN (Required)

Location:

• Somerset West, Western Cape (Required)

Work Location: In person