Case Manager | General Ward

4 weeks ago


Springs, South Africa Life Healthcare Full time

Function Nursing Facility Position Case Manager | General Ward Introduction A vacancy exists for a Case Manager General Ward based at Life Springs Parkland Hospital , reporting to Marilyn Daswa , Patient Service Manager . The successful candidate will be responsible for managing the financial and clinical risks of the patient in a general ward by ensuring accurate coding, clinical updates and accounts submissions of patient hospitalization to achieve strategic objectives. Critical Outputs Ensuring the maximisation of revenue by Ensuring accuracy of coding Ensuring the correct application and interpretation of RSRT's Participating in meetings and reporting losses to RSRT team and recommend corrective actions Monitoring insurance verification and workflow processes Ensuring effective management of quality outputs by Performing quality walkabouts and implement corrective measures Implementing and monitoring quality improvement programmes Adhering to patient services escalation processes in order to achieve QMS targets Monitoring Q-evaluator scores and implementing corrective measures Investigating internal and external stakeholder complaints Ensuring the adherence to customer service standards Ensuring operational excellence by Monitoring submission of accurate accounts to funders Updating length of stay and level of care to funders of general ward cases and where operationally required specialised unit cases. Releasing care risk targets and submission within two days of discharge Ensuring the compliance to LHC policies and managing authorisations and claim submissions, rejections and delays Ensuring governance and risk management by monitoring and adhering to patient services policies and procedures Ensuring compliance to service level agreements with internal and external stakeholders Ensuring all billing checks are closed by the relevant function areas Ensuring effective management of relationships with internal / external stakeholders by Building and maintaining relationships with internal stakeholders Providing feedback and information on concerns or issues raised by internal stakeholders Providing and facilitating training regarding RSRT contracts to the relevant internal stakeholders Ensuring effective communication with external stakeholders Managing escalated concerns from Case Managers with external stakeholders Escalating doctor non-compliance in terms of RSRT framework to RSRT meetings Requirements Diploma or degree in Nursing, Physiotherapy, Clinical Associates, Paramedics as Critical Care Assistants or Emergency Care Practitioners or any other qualification that covers Anatomy, Physiology, Pathophysiology and Microbiology as foundational courses. Current SANC registration Knowledge of hospital patient services and case management processes Knowledge and understanding of CPT & ICD coding Knowledge of Funder contracts, scheme rules, exclusions and benefits Understanding of private hospital industry and practices Computer proficiency Competencies Attention to detail Problem-solving, analysis and judgement Resilience Engaging diversity Verbal & written communication skills Professional and technical proficiency Building relationships Customer responsiveness Organisational awareness Influencing skills Action orientation Excellence orientation Ethical behaviour #J-18808-Ljbffr



  • Springs, South Africa Life Healthcare Full time

    A healthcare organization based in Springs, Gauteng, is seeking a Case Manager for the General Ward. The role involves managing patient financial and clinical risks by ensuring accurate coding and efficient communication with stakeholders. Candidates must have a nursing-related qualification and current registration. This position offers the opportunity to...


  • Springs, South Africa Tsebo Group Full time

    **About Us**: We are recruiting for a ward hostess who works individually on patient wards. The hostess will serve breakfast, lunch, supper and snacks in a very busy, fast paced environment. Duties will also include checking the temperature of food and fridges, recording it prior to service to patients, clean and maintain kitchen areas, cupboards, fixtures...

  • Case Manager

    4 weeks ago


    Springs, South Africa Home Base Inc. Full time

    Case Manager/Wraparound Facilitator Home Base, Inc. Do you enjoy working with families? Are you interested in Psychology, Social Work, Sociology, Criminal Justice, or looking to make a career change? Are you just starting out in Social Services and want hands‑on experience? Make a difference in the lives of families as a Home Base Inc. Case...


  • Springs, South Africa Western Desert Nganampa Walytja Palyantjaku Tjutaku Aboriginal Corporation Full time

    Position Title: Aged Care Case Manager (Female Identified) Program: Aged Care Location: Alice Springs Classification: WDNWPT Aboriginal Corporation EA: Community Services Worker – Level 4 Responsible To: Aged Care Coordinator/Senior Case Manager POSITION SUMMARY The Case Manager is responsible for monitoring the individual needs of clients and their...


  • Springs, South Africa Western Desert Nganampa Walytja Palyantjaku Tjutaku Aboriginal Corporation Full time

    An Indigenous healthcare organization in South Africa is seeking an Aged Care Case Manager (Female Identified) to monitor client needs and provide compassionate service. The role requires relevant qualifications and experience in aged care, alongside strong communication and cultural awareness skills. This position offers the opportunity to work closely with...


  • Springs, South Africa Caliber Collision Full time

    # Where Purpose and Opportunity AlignCollision General Manager page is loaded## Collision General Managerlocations: Bonner Springstime type: Full timeposted on: Posted Todayjob requisition id: R **Service Center**Bonner Springs**JOB SUMMARY****Caliber Collision** has an immediate job opening for a **Collision General Manager** to perform all-purpose duties,...


  • Springs, South Africa Caliber Collision Full time

    A leading national auto repair service is seeking a Collision General Manager in Springs, Gauteng. The role involves overseeing daily operations and ensuring vehicle repairs meet safety and quality standards. Candidates should have over 3 years of collision management experience and advanced skills in collision estimatics. Benefits from day one include...


  • Springs, South Africa Lesley Snyman and associates CC Full time R900 000 - R1 300 000

    Oversee the full warehousing, transport, and distribution operation across all sites. Ensure safety, operational control, accurate inventory, reliable order execution, solid transport performance and a capable workforce. Drive process improvement, system accuracy, cost control and operational efficiency throughout the supply chain. Qualifications and Minimum...

  • Shift Manager

    2 weeks ago


    Springs, South Africa Dairy Queen Corporation Full time

    Overview The Restaurant Shift Manager provides quality customer service and food products using standards set by Fourteen Foods and International Dairy Queen to enhance the customer’s visit, while assisting and learning management responsibilities from the Assistant General Manager and General Manager. Responsibilities Provide excellent customer service...

  • Shift Manager

    2 weeks ago


    Springs, South Africa Othook Full time

    Role: Shift ManagerLocation: Denham Springs, LaCompensation: $16.00 – $18.00* Pay is based on location, experience, and qualification etc.Job Type: Full Time Company Description Off The Hook is the only truly authentic Cajun, quick-casual dining experience that offers something for the whole family. Off The Hook was founded with a simple idea in mind: to...