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Vacancy Details
 
A job opportunity

A job opportunity exists for the right candidate in Western Cape
The Department of Health and Wellness is guided by the principles of Employment Equity. Candidates with disabilities are encouraged to apply and an indication in the regard will be appreciated.

Note: No payment of any kind is required when applying for any of the positions advertised by the Western Cape Government.
 
Case Manager
  Employment Type: Permanent
  Reference No: GSH86/2021
  Groote Schuur Hospital, Observatory
 
Experience:
Appropriate knowledge of UPFS and Clinicom. Appropriate experience in Case Management Functions.
 
Minimum educational qualification:
Appropriate three-year health related National Diploma/Degree or equivalent registrable with the Health Professions Council of South Africa (HPCSA) or South African Nursing Council (SANC).
 
Duties (key result areas/outputs):
Continuous updating of clinical conditions of externally funded patients. Control the correctness of the hospital bills, medical aids and privately funded patients. Update role players involved in Managed Care regarding all policies, protocols and procedures. Ensure a valid and Complete ICD-10 code assigned for pre-authorization, clinical updates and invoice. Control and assessment of clinical records and accounts of externally funded patient’s documents. Facilitate training of relevant staff regarding Managed HealthCare.
 
Competencies (knowledge/skills):
Knowledge of the Medical Schemes Act 131 of 1998 and the application of Prescribed Minimum Benefit (PMB) legislation (i.e. the Chronic Disease List (CDL) and Diagnostic Treatment Pairs (DTP). Experience in ICD-10 Code assignment and the ability to link patient diagnosis with procedural codes. Knowledge and understanding of Case Management Policies and procedures in Public Hospitals. Good knowledge of the Uniform Patient Fees Schedule (UPFS) and Managed Health Care or Hospital. Computer literacy (Word/Excel).
 
Enquiries:
Mr R James, tel. no. (021) 404-2358
 
Note:
Only officials within the Provincial Government: Western Cape will be considered for this post.
 
 
 
 
Remuneration:
R 316 791 - R 373 167 per annum Annual salary plus service benefits (13th cheque, employer's contribution to the pension fund, housing and medical aid allowance).
 
Starting Date:
10/22/2021 12:00:00 AM
 
NOTICE TO ALL
Candidates may be subjected to a competency test. No payment of any kind is required when applying for this post. As directed by the Department of Public Service and Administration, applicants must note that further checks will be conducted once they are shortlisted and that their appointment is subject to positive outcomes on these checks, which include security clearance, qualification verification, criminal records and previous employment.
  • It will be expected of shortlisted candidates to be:
  • available at the venue on the time and date as determined by the Department and
  • bring along recently (not older than 6 months) certified copies of your Identity Document (ID), driver’s license (if applicable for the post), qualification and/or proof of registration at relevant statutory body. Failure to adhere to the aforementioned may lead to his/her application being disqualified and not further considered.
Closing date: 11/12/2021 12:00:00 AM
 
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