Careers at Melomed Private Hospitals

Careers Opportunities at Melomed Tokai


Important Notice



Administration Posts


Melomed Tokai has the following posts available:

MELOMED TOKAI - CASE MANAGER

Requirements:
 Qualified Registered Nurse
 A qualified EN with relevant experience would be considered
 Both need to registered with SANC and proof of indemnity cover
 Minimum 3 years nursing experience in a multidisciplinary hospital.
 Experience and exposure in Theatre and/or ICU would be advantageous
 Hospital or Medical Aid scheme case management would be an advantage.
 Experience in ICD 10 and CPT coding is essential
 Knowledge of Prescribed Minimum Benefits (PMB) Scheme rules and policies
 Excellent communication skills (written and spoken)
 Excellent analytical and problem-solving skills
 Excellent MS Office computer skills, i.e. Outlook, Word, Excel, Kronos, Clinic Manager, etc.
 Attention to detail
 Ability to cope well under pressure

Key Outputs:

 Assess patient conditions and needs to develop appropriate care plans
 Interact with patients and medical aid schemes
 Resolve patient and medical aid scheme queries
 Update all information timeously and accurately
 CPT and ICD coding
 Obtain doctors letters, motivations, and justifications in all appropriate cases under managed care of
where medical aids request them from their hospitals as part of their assessing process
 Monitor patient admissions and identify those who have limitations, restrictions, place by their managed
care/ medical aid structures e.g. length of stay, cost restrictions, fixed fees, per diem and other limiting
fees or drugs and/ or formularies
 Maintain a control system that ensures the systematic monitoring of managed care patients
 Handling patient queries
 Update hospital information

Interested applicants are requested to submit their applications via the email address:
careers@melomed.co.za by the 11 August 2023. 
Please quote reference #MT Case Manager in the subject line. 
Melomed is an equal opportunity employer. Only short-listed persons will be contacted.
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