Hospital Case Manager

Hire Resolve's client is seeking a skilled and detail-oriented Hospital Case Manager to join their healthcare team in Mthatha, Eastern Cape . The successful candidate will be responsible for coordinating patient care, ensuring accurate medical coding, and optimizing hospital reimbursements while maintaining high-quality patient care standards.

Key Responsibilities

• Patient Case Management: Assess and manage patient cases to ensure efficient hospital care and appropriate medical aid approvals.
• Authorization & Pre-Approvals: Obtain authorization for hospital admissions and liaise with medical aids to ensure timely approvals.
• Clinical Coding: Ensure accurate ICD-10 and CPT coding for billing purposes.
• Utilization Review: Monitor length of stay, treatment plans, and resource utilization to optimize hospital efficiency.
• Collaboration: Work closely with ...