South Africa Job Openings
Solventum
Case Manager (f/m/x)*
FULL TIME
September 4, 2024
- Supporting a team of 4 – 6 Internal Sales Coordinators within the Internal Sales Department.
- Collection, coordination, of all appropriate patient information as required for funding of Vac Therapy with the Medical and Insurance Funders.
- Consolidating documentation and NPWT assessments in accordance with funder requirements obtain direct reimbursement for patient specific VAC Therapy treatment with accurately applying ICD 10 coding.
- Responsible for building and maintaining strong Client Relationships with Case Managers at Medical and Insurance Funders, as well as Private Nurse Practitioners.
- Follow all Company policies and procedures. Investigate and follow-up any queries/issues as requested by the Management team and proficiently respond to such queries.
- Bachelor’s Degree or Diploma in Science / Nursing / Case Management
- Qualifications / experience in Wound Care and/or Field experience in NPWT would be an advantage.
- 3 – 5 years in a Managed Care / Funder environment would be advantageous
- ICD/CPT coding certificate will be an advantage
- Current, valid Driver’s License with own vehicle
- Intermediate Basic Microsoft Office knowledge (Excel, Word, Power Point, Outlook)
- Clear and in-depth understanding of the healthcare industry structure in South Africa
- Knowledge of scheme rules, exclusions and benefits in a Medical Scheme environment. Understanding of the pre-authorization process required by medical schemes in South Africa.
- Telephone etiquette of high standards
- Communication and People Skills. Must be able to communicate with all levels of management, staff, members, and customers.
- Must be a strong team player, assertive, a people person and able to work independently without supervision.
- Proactive, organized and able to multitask and work well under pressure
- Must be compassionate, care-driven professional who believes in facilitating wellness for patients and their families.
- Attention to detail
- Highly motivated and positive attitude
- Honesty, Accuracy, Integrity
- Hybrid Eligible (Job Duties allow for some remote work but require travel to Solventum Head Office, Fourways at least 2-3 days per week)
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