Main Focus Areas
The incumbent will be responsible for the liaison between the patient and medical aids in order to secure payment for the hospital.
Key Performance Areas: (include but are not limited to)
Liaise network of internal and external stakeholders to ensure that managed care of patients is maintained Monitor and control costs for Managed Care Organization patients Confirm length of stay for all Managed Care Organizations patients Accompany Managed Care Organization Case Managers on ward rounds in the hospital Assist with final authorization of Managed Care patient files Ensure correct coding for all Managed Care Organization patients Supply all details regarding patients history to Clinical partners
Post Requirements: (include but are not limited to)
Registered or Enrolled Nursing qualification with ICU / HC experience Case Management experience 3 years and above Knowledge of ICD 10 and CPT coding ICD 10 and CPT coding certificate will be an added advantage Advanced Computer skills Knowledge of Case Management, Managed Care policies
Deadline:21st April,2026