Care Case Manager Port Elizabeth
6 days ago
Reference: PE -RW-1 Our client operating in the medical insurance space is seeking a Medical / Managed Care Claims Case Manager to join their team based in Port Elizabeth - on a 6 month fixed term contract. Nursing Diploma or Degree essentialEE candidate preference.An awesome career opportunity awaits Duties & Responsibilities Role Purpose The purpose of this temporary role is to assist in the enhancement and management of cost-effective managed health care with the objective of promoting rational utilization of health care facilities and containing associated costs generated by these services for a period of 6 months only.Requirements A National Senior Certificate is essential. It is essential to have a Nursing Diploma or Degree. Minimum of 2 years clinical experience within a private hospital is essential . The incumbent must be registered with SANC (South African Nursing Council) as a Registered Nurse. A certificate in ICD-10 coding is highly advantageous. Experience in a managed care / case management environment would be an advantage. MS Office / Office 365 proficiency. Be available to work at one of our offices based in Richmond Hill (Gqeberha), Cornubia (Durban), Bellville (Cape Town) or Centurion. Duties Review of in-hospital patients for appropriateness of care, length of stay and level of care. Liaise with the service provider on clinical updates, as well as outstanding information. Engage with the treating doctor(s) to ensure appropriate treatment, length of stay and level of care is rendered. Discharge planning for in-hospital patients to ensure ongoing support and care post discharge. Develop, implement and communicate the practice and/or clinical guidelines for cost effective care. Authorize appropriate and cost-effective surgical care and treatment. Ensure the consistent and correct application of exclusions. Adhere to policies and procedures and take corrective action where necessary. Adhere to organizational best practice and legislative requirements. Take ownership of escalated and unresolved queries and ensure they are resolved timeously. Manage queries until resolution and update the incident details. Identify financial and business risks to the company and escalate accordingly. Provide clinical support to non-clinical team’s if/when required. Drive and support effective teamwork within the department. Strive to demonstrate the company's values daily. Engage in hospital visits where needed to build stakeholder relationships, proactively resolve queries and increase visibility to members. Ensure the effective, accurate and timeous completion of relevant documentation and recording of interventions. Communicate with providers to improve the cost efficiencies of health care delivery. Ensure Service Level Agreements are met and exceeded. Continuously develop own expertise in terms of industry and subject matter development and application thereof in an area of specialization. Competencies Effective communication skills – verbal and written. Accountability. Planning and organizing. Problem solving. Time management. Attention to detail. Interpersonal skills. Customer orientation. Results driven. Empathetic nature. Business Administration skills. Please consider your application unsuccessful if you are not contacted within two weeks of applying. #J-18808-Ljbffr
-
TEMPORARY RECEPTIONIST – PORT ELIZABETH
3 weeks ago
Gqeberha, South Africa O'Brien Recruitment Full timeTEMPORARY RECEPTIONIST – PORT ELIZABETHWe are looking for a well-presented, professional Temp Receptionist to assist one of our corporate clients in Port Elizabeth for a one-day assignment, covering their year-end function.? Date: 21 November 2025? Hours: 5-hour shift? Location: Port Elizabeth? Experience: Minimum 1 year reception/switchboard experience...
-
Business Banking Relationship Manager
3 weeks ago
Gqeberha, South Africa Bidvest Bank Limited Full timeBusiness Banking Relationship Manager - Port Elizabeth Join to apply for the Business Banking Relationship Manager - Port Elizabeth role at Bidvest
-
Business Development Manager
6 days ago
Gqeberha, South Africa Headhunters Full timeBusiness Development Manager - Port Elizabeth Reference: Sector: Information Technology (IT) Location: Gqeberha Job Type: Full-time Experience: 1 to 3 years Qualifications: No formal education required Package: Negotiable Description: Our client in the IT industry based in Port Elizabeth is currently looking to employ a Business Development Manager to join...
-
Quality Foreman Port Elizabeth
2 weeks ago
Gqeberha, South Africa Personnel Network Full timeWe're Hiring – Foreman – Quality Department | Leading Manufacturing Company (Port Elizabeth) Location: Port Elizabeth, Eastern Cape Industry: Manufacturing Employment Type: Full-time (Hourly Paid) Salary: Market-related About the Opportunity Our client, a leading and well-established manufacturing company in Port Elizabeth, is seeking an experienced...
-
Quality Foreman Port Elizabeth
3 weeks ago
Gqeberha, South Africa Personnel Network Full timeWe’re Hiring: Foreman – Quality Department | Leading Manufacturing Company (Port Elizabeth) Location: Port Elizabeth, Eastern Cape Industry: Manufacturing Employment Type: Full-time (Hourly Paid) Salary: Market-related About the Opportunity Our client, a leading and well-established manufacturing company in Port Elizabeth, is seeking an experienced...
-
Operations Supervisor Port Elizabeth
4 weeks ago
Gqeberha, South Africa Jobs 4 All Full timeOverview Operations Supervisor - Port Elizabeth Job Purpose: Seeking an Operations Supervisor at our Port Elizabeth Branch. The candidate should be a highly motivated, disciplined, self-starting individual. Willing to work long hours and weekends (available 24/7/365). The candidate must be presentable and well spoken. Able to converse with clients and...
-
Sales Representative Port Elizabeth
4 weeks ago
Gqeberha, South Africa Jobs 4 All Full timeOverview Sales Representative — Port Elizabeth Job Purpose Seeking for a Sale Representative at our Port Elizabeth Branch. The candidate should be a highly motivated, disciplined, self-starting individual. Willing to work long hours and weekends (available 24/7/365). The candidate must be presentable and well spoken. Responsibilities Identifying potential...
-
Community Scheme Manager
2 weeks ago
Gqeberha, South Africa Home and Equity Port Elizabeth Full timeEmployee will primarily be accountable for the overall management, administration and control of residential properties promulgated under the Sectional Title Schemes Management Act, to the satisfaction of the trustees and members. The role involves overseeing the daily operations and ensuring compliance with statutory obligations, helping trustees and...
-
Trainee Manager
2 weeks ago
Gqeberha, South Africa Dis-Chem Pharmacies Full timeJob Overview Job title: Trainee Manager - Port Elizabeth - Pipeline Job Location: Eastern Cape, Port Elizabeth Deadline: January 31, 2026 Note: This description outlines responsibilities, qualifications and related requirements for Dis-Chem Pharmacies Trainee Manager roles in Port Elizabeth. Responsibilities Inventory Management: Ensure processing of items...
-
BUSINESS DEVELOPER
4 hours ago
Gqeberha, South Africa Drake International Full timeNEW BUSINESS DEVELOPER - Port Elizabeth R – to discuss but good basic Tools of the Trade Laptop, fuel reimbursement, cell allowance and more. Benefits to discuss Once a year if performance is on par – 100% club trip internationally with the company. Where do we (Drake) need Business Developers Areas 1 Cape Town, 1 Port Elizabeth and 2 Johannesburg – We...
