HPH Case Manager at Lenmed Private Hospitals

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:3rd March,2026