Job Overview
We are seeking a seasoned professional to oversee hospital case management, ensuring timely and accurate clinical information to mitigate financial risk. This role requires exceptional leadership skills, strategic thinking, and attention to detail to drive results.
Key Responsibilities
* Critical analysis of patient stays to minimize financial exposure
* Effective management of case procedures, contracts, and legal compliance
* Timely resolution of cases for reimbursement purposes
* Strategic communication with funders to ensure contractual agreements are met
* Adherence to clinical coding standards (Level 3 guideline)
* Leadership and management of the Case Management team (if applicable)
Requirements
* Clinical qualification is essential
* Registered Nurse/Professional Nurse or qualified Paramedic is preferred
* A minimum of 3 years in a clinical role is required
* Theatre and/or ICU experience, medical aid background, or private healthcare environment experience is desired