Case Manager

• Assess patient conditions and needs to develop appropriate care plans


• Interact with patients and medical aid schemes


• Resolve patient and medical aid scheme queries


• Update all information timeously and accurately


• CPT and ICD coding


• Obtain doctors letters, motivations, and justifications in all appropriate cases under managed care of where medical aids request them from their hospitals as part of their assessing process


• Monitor patient admissions and identify those who have limitations, restrictions, place by their managed care/ medical aid structures e.g. length of stay, cost restrictions, fixed fees, per diem and other limiting fees or drugs and/ or formularies


• Maintain a control system that ens...

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