Case Co-ordinator

Role Title

Case Co-ordinator

Location

Johannesburg

Rewards

Competitive salary and comprehensive benefits on offer

Summary

At Smith+Nephew, we believe in our products. We believe that through innovation, development and supporting our customers and patients we can help others achieve a Life Unlimited!

An excellent opportunity has arisen within our Market Access Division for a Case Co-ordinator in Gauteng. The incumbent is responsible for the process of obtaining re-imbursement for Negative Pressure Wound Therapy in the Private Sector.

This will be conducted in alignment with marketing and sales strategies to ensure short, medium- and long-term profitability of the Market Access products.

Sound Exciting? We believe so!

Essential Job Functions

Key Functions:

• To manage and monitor the process to facilitate re-imbursement through completed pre-authorization and ongoing progress report forms per patient.
• To work, closely with the sales team by ensuring the NPWT cases are submitted timeously in order to receive authorisations from medical funders.

Case Management

Manages and monitors the pre-authorization process by facilitating re-imbursement of NPWT by ensuring completed:

• Motivation forms
• Progress reports
• Appeal of decline cases

Participates in weekly Clinical Support meetings to ensure that their allocated region cases are tracking per ePATs

Submits monthly reports as required by management, which include:

• Decline Report
• WCA Report
• RAF Report
• Claims Management Report

Develops and maintains a key contact database

• Medical Funder Contacts
• Private Nurse Practitioners

Provides feedback on daily work allocation

Provides a weekly tracker report

Requirements

Education:

• Matriculation
• Clinical Background/Medical degree
• Administration diploma/degree

Experience:

• Proven experience in an administrative role, preferably in a medical aid or clinical environment
• Previous nursing experience
• Knowledge of the medical aid and wound care industry
• Customers Service experience
• Fully computer literate
• Good numeracy skills

Applications:

If you share our passion for groundbreaking innovation and can demonstrate how you meet the criteria outlined, we would love to hear from you.

We continue to actively build an environment where every individual can fulfil their potential and be proud ambassadors for Smith & Nephew, our customers and their patients.

We value the diversity of our people and welcome applications from everyone.

It's more than business at Smith+Nephew - it's personal. What we do every day, changes lives every day.

Healthcare is in Smith+Nephew's DNA. From a single pharmacy in Hull, UK to a presence in