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:21st April,2026