Case Manager
2 days ago
Job Summary To plan, coordinate and execute case management work at hospital level. The incumbent utilizes clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding of patient care. Minimum Qualifications And Experience Nursing Diploma Registered Nurse ICD Code & CPT Coding knowledge 3-5 years’ experience as a hospital case manager Minimum Job Requirements Liaise with Receptionist for authorizations. Ensure compliance to case management procedures, standards and protocols. Plan, coordinate and execute Clinical coding in accordance with relevant CHG standards and protocols. Ensure accurate, appropriate and complete diagnostic and procedural coding of all patient records in the hospital. Timeously and consistently communicate and follow up with Funders (Medical Aids, COID, Government, RAF, DOL, etc.) Provide appropriate clinical information to Funders in order to update Length of Stay, Level of Care, formulary utilization, assistive devices / Prosthesis, diagnostic interventions, therapy intervention and procedural interventions and required change in the facility. Consult daily with all relevant health care providers with regards to patient treatment Ensure the maintenance of patients’ clinical status (subsequent interventions and treatments) in accordance to Funder requirements for the duration of hospitalization Ensure the correct categorization and management of different patient accounts to facilitate reimbursement by Funders. Ensure accurate and timeous finalization of cases to facilitate reimbursement by Funders. Minimize financial risk by the effective management of patient hospitalization. Follow the established and approved escalation processes in the event of a decline of payment by Funders. Ensure to remain in the group and facility targets of 3 days for WIP (work in progress) and DNYB (discharged not yet billed). Seniority level Mid-Senior level Employment type Full-time Job function Other Industries Hospitals and Health Care #J-18808-Ljbffr
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Case Manager
2 weeks ago
Soweto, South Africa Clinix Health Group (Pty) Ltd Full timeTo deliver an effective case management process and facilitate the communication process between all role-players by providing accurate and timeous clinical information in order to minimize the financial risk for the Company. **Minimum Qualifications and Experience**: - Grade 12 - Registered Nurse and currently registered with the SA Nursing Council...
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Case Manager
1 week ago
Soweto, South Africa Clinix Health Group (Pty) Ltd Full timeTo deliver an effective case management process and facilitate the communication process between all role-players by providing accurate and timeous clinical information in order to minimize the financial risk for the company. **Minimum Qualifications and Experience**: - Grade 12. - Registered Nurse and currently registered with the SA Nursing Council...
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Case Manager
6 days ago
Soweto, South Africa Clinix Health Group (Pty) Ltd Full time**Job Summary**: To plan, coordinate and execute case management work at hospital level. The incumbent utilises clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding of patient care. **Minimum Qualifications and Experience**: - Nursing Diploma - Registered Nurse - ICD Code & CPT Coding knowledge -...
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Case Manager
6 days ago
Soweto, Gauteng, South Africa Pty Full time R400 000 - R800 000 per yearJob Summary: To plan, coordinate and execute case management work at hospital level. The incumbent utilises clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding of patient care.Minimum Qualifications and Experience:Nursing DiplomaRegistered NurseICD Code & CPT Coding knowledge3-5 years' experience as...
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Case Manager X2
1 week ago
Soweto, South Africa Clinix Health Group (Pty) Ltd Full timeGrade 12. - Registered Nurse and currently registered with the SA Nursing Council (SANC). - Alternatively, an Enrolled Nurse currently registered with SANC. - Certificate in Coding (advantageous). - 3-5 years’ experience in a private hospital or Medical Scheme environment in a case management capacity. - Working knowledge of ICD-10 and CPT codes. -...
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Patient Services Manager
3 days ago
Soweto, South Africa Clinix Health Group (Pty) Ltd Full timeTo plan, organize and execute the revenue cycle management at a hospital facility. The incumbent manages a team of specialist that contribute to hospital finances through accurate billing and risk mitigation processes. **Minimum Qualifications and Experience**: - Nursing Degree/Diploma. - Current SANC registration. - 3-5 years’ experience in a similar...
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Employee Relations Manager
2 days ago
Soweto, Gauteng, South Africa MyCareerCraft Full time R1 200 000 - R1 800 000 per yearThe Employee Relations (ER) Manager is responsible for managing all aspects of employee relations within the organisation, ensuring compliance with South African labour legislation, fostering a positive workplace culture, and supporting effective communication between employees, managers, and leadership. The role involves policy development, dispute...
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Delivery Manager
7 days ago
Soweto, Gauteng, South Africa Skywaves Rise Full time R900 000 - R1 200 000 per yearPosition: IT Delivery ManagerLocation: JohannesburgEmployment Type: ContractRequired Skills & Qualifications8+ years of experience in product delivery, project management, or product lifecycle management .Strong background in data products, ML model deployment, analytics, or geospatial solutions .Proficiency with agile methodologies (Scrum, Kanban) and...
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Warehouse Manager
1 week ago
Soweto, South Africa Stonebridge HR Solutions Full timeWe are looking for a **Warehouse Manager** in the **Nasrec **area in Johannesburg to manage and control the warehouse in all aspects of the operation to ensure that the business processes are conducted efficiently on a daily basis. Should be proficient in planning, warehouse control, housekeeping and maintenance, budgeting as well as risk management and...
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Customer Care Agent
2 weeks ago
Soweto, Gauteng, South Africa Evertrade Full time R80 000 - R120 000 per yearRole Overview The Customer Care Agent is responsible for supporting Mission Mobile customers across email, phone, and the in-store support widget. The agent handles incoming queries, resolves issues within defined SLAs, and ensures customers receive clear, helpful, and timely assistance. This role requires strong communication skills, patience,...
