Akeso Case Manager

Role Summary

The Case Manager utilises clinical knowledge and expertise to mitigate financial risk through comprehensive, accurate coding of hospital events and to justify hospitalization regarding level of care and length of stay. The Case Manager is responsible for managing medical aid and private accounts and for coordinating and managing the care of patients to ensure optimal health outcomes and efficient resource utilisation within Netcare Hospitals (Pty) Limited.

Responsibilities

• Develop, implement, and review patient care plans in collaboration with healthcare teams.
• Monitor patient progress, assess needs, and facilitate appropriate interventions and services.
• Coordinate patient admissions, discharges, and transfers, ensuring seamless transitions of care.
• Manage medical records efficiently, ensuring accuracy, completeness, and confidentiality.
• Oversee medical billing and coding processes to en...