Case Manager
3 weeks ago
Human Capital Administrative Officer : HC Operations & Transactional Shared Services | Culture Coach AfroCentric Health is on an ambitious journey to , driven by our purpose to make healthcare more accessible, affordable, and sustainable for all South Africans. Are you a clinically skilled professional with a passion for patient advocacy and healthcare coordination? We are building a Talent Pool of experienced Case Managers for future opportunities within our healthcare network. If you have a background in nursing, managed care, or hospital benefit management, we encourage you to apply and be considered for upcoming roles. This is a general application to join our Talent Pool. By applying, you will be considered for upcoming Case Manager roles as they become available continuously. Responsibilities Manage hospital admissions and clinical case reviews. Assess treatment plans and authorise appropriate levels of care. Liaise with healthcare providers, patients, and funders. Monitor high-cost and chronic cases for clinical and financial risk. Ensure compliance with scheme rules, clinical protocols, and funding guidelines. Prepare cases for medical advisor review and escalates where necessary. Qualifications Registered Nurse (with valid SANC registration) or equivalent clinical qualification. 2–3 years' experience in Case Management, Hospital Benefit Management, or Managed Care. Strong administrative and communication skills. Proficiency in MS Office and healthcare systems. Experience in trauma, surgical, or general wards. Familiarity with medical aid schemes and healthcare legislation. Previous work in a call centre or customer service environment. Assessment Process As part of our application process, you need to complete a skills assessment : Access the Assessment : Assessment Link : Instructions Register on the platform and create a user profile before starting the assessment. Sign Up using your email and preferred password. After creating an account, login with the same profile. Use a laptop or desktop to complete the assessment. Ensure a stable internet connection, limit distractions, and have pen, paper, and calculator ready. You have 5 days to complete the assessment; the assessment takes approximately 1 hour and includes timed sections. If you experience any issues, please contact :William Hardie :Transformation Commitment AfroCentric is committed to transformation and embracing diversity. Our Employment Equity plan and targets will be considered as part of the recruitment process. We aim to create an inclusive workforce representative of our society with an emphasis on people with disabilities. Should you not hear from us within a month of applying, consider your application unsuccessful. Referrals increase your chances of interviewing at AfroCentric Group by 2x. Soweto, Gauteng, South Africa #J-18808-Ljbffr
-
Case Manager
5 days ago
Johannesburg, South Africa Mass Staffing Projects Full time**Job Information** - Location- Johannesburg- Salary- R400k-R300k- Job Type- Permanent- Education- Degree/Diploma in Nursing- Experience- +2 years’ experience in case management- - pharmacy.jobs(at)staffingprojects.co.za- Fax- 0866023398This just in! A vacancy for a case manager at a private hospital in Johannesburg is currently...
-
Case Manager
2 weeks ago
Johannesburg, South Africa TRANSGENERATIONAL Full timeSUMMARY Case Manager - Quality Key Performance Areas Responsible for application of clinical knowledge in justifying patient hospitalisation in terms of treatment, length of stay and level of care. Monitor and action risk related to medical aid benefits and hospitalisation. Ensure accurate, specific and comprehensive clinical coding Timeous, effective...
-
Case Manager
4 weeks ago
Johannesburg, South Africa Digicall Group Full timeThe Case Manager is responsible for answering inbound or internally transferred calls, assessing the caller's needs, taking ownership of the issue, and coordinating an appropriate solution using internal or external resources. Qualifications Minimum of 2 years' experience in a call centre environment. Minimum of 1 year experience in Roadside Assistance....
-
Case Manager
2 weeks ago
Johannesburg, South Africa Digicall Group Full timeThe Case Manager is responsible for answering inbound or internally transferred calls, assessing the caller's needs, taking ownership of the issue, and coordinating an appropriate solution using internal or external resources. Qualifications Experience Minimum of 2 years’ experience in a call centre environment. Minimum of 1 year experience in Roadside...
-
Case Manager
3 weeks ago
Johannesburg, South Africa TRANSGENERATIONAL Full timeKey Performance Areas: Responsible for application of clinical knowledge in justifying patient hospitalisation in terms of treatment, length of stay and level of care. Monitor and action risk related to medical aid benefits and hospitalisation. Ensure accurate, specific and comprehensive clinical coding Timeous, effective communication and follow up with...
-
Case Manager
4 days ago
Johannesburg, South Africa Clinix Health Group (Pty) Ltd Full time**Job Summary**: To plan, coordinate and execute case management work at hospital level. The incumbent utilities clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding of patient care. **Minimum Qualifications and Experience*** - Nursing degree / diploma. - Current registration with South African...
-
Case Manager
2 weeks ago
Johannesburg, Gauteng, South Africa Glasshouse Recruiting Full timeEnsure compliance to case management procedures, standards and protocols.Plan, coordinate and execute Clinical coding in accordance with relevant company standards and protocols.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...
-
Clinical Case Manager
2 days ago
Johannesburg, Gauteng, South Africa ISTA Solutions Full timeCompany DescriptionISTA Solutions is a leader in delivering remote staffing solutions tailored to meet the unique needs of businesses worldwide. By offering custom workflow solutions, ISTA Solutions helps clients streamline operations, optimize efficiency, and address challenges such as workforce burdens and limited specialized expertise. Their global team...
-
Case Management Officer
4 days ago
Johannesburg, South Africa Motor Industry Bargaining Council Full time**Duties & Responsibilities** - Monitor and account for stationery, consumable levels - Attend to professional drafted correspondence, serving and courier documents - Generate case management Reports when requested - Assist at reception(front office) or other Case Manager’ when required, - Book venues, Interpreters and Panelist for cases with proper notice...
-
Rehabilitation Case Manager
2 weeks ago
Johannesburg, South Africa Rand Mutual Assurance Full time**THE JOB AT A GLANCE** To deliver coordinate case management: through the three pillars clinical rehabilitation, vocational rehabilitation, and social reintegration. Track progress of injured COID employees referred to RMA Rehab Team, liaise with therapy team, with the purpose of prevention of complications, and guide the process of restoration to...
