Hospital Case Manager

2 weeks ago

Newcastle, South Africa Mediclinic Group Full time

Mediclinic Newcastle Newcastle South Africa Closing date: 04/09/2025 Number of positions: 1 Recruiter name: Suvikha Sivnath Reference number: 62898 Workplace Type: On-site Employment Type: Full Time MAIN PURPOSE OF JOB To coordinate the hospital case management process and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimise the financial risk for the organisation. KEY RESPONSIBILITY AREAS Minimise financial risk by effectively managing patient stay Ensure compliance to case management procedures contracts and legal aspects by utilising available resources and systems Ensure correct and timeous finalisation of cases to facilitate reimbursements from funders of claims Consistently and timeously communicate with Funders as contractually agreed through the relevant case management channels Ensure clinical coding standards are adhered to as per Level 3 coding guideline Lead and manage the people in the Case Management team (if applicable) REQUIRED EDUCATION ESSENTIAL EDUCATION: Clinical qualification DESIRED EDUCATION: Registered Nurse / Professional Nurse or qualified Paramedic REQUIRED EXPERIENCE ESSENTIAL MINIMUM EXPERIENCE: Minimum of 3 years in a clinical role DESIRED EXPERIENCE: Experience in Theatre and/or ICU; Medical aid background; Experience in private healthcare environment or experience as an ILS / ALS Paramedic REQUIRED JOB SKILLS AND KNOWLEDGE Anatomy (including terminology) Funder Contracts; Medical aid requirements / narrations Patient admin programmes on the AS400 system Scientific nursing principles and process Computer literate (Microsoft Office) Authorisation and motivation of Level of Care; Length of Stay; Short Payments etc. Relevant aspects of applicable statutory acts (e.g. Consumer Protection Act; PMB; etc.) Patient Administration policies and procedures (e.g. Patient Confidentiality; Visitation of external case managers; etc.) Daily workflow; managing deviances; coding; and case management processes Application of clinical codes and finalisation thereof All applicants will be considered with the understanding that preference will be given in accordance with the Employment Equity Plan of Mediclinic Southern Africa as well as internal applicants/employees that meet the minimum requirements. Please note if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profile. #J-18808-Ljbffr

  • Hospital Case Manager

    1 week ago

    Newcastle, KwaZulu-Natal, South Africa MHR Full time R90 000 - R120 000 per year

    Job Advert SummaryMHR is urgently looking for an experienced Hospital Case Manager (Registered nurse or paramedic) to work part-time shifts at a private hospital in Newcastle in Kwa-Zulu Natal province.Working hours: 07:00 - 16:00BENEFITS:Competitive pay ratesFlexible payment optionsPlacement opportunities at various clients across South AfricaComplimentary...

  • Impactful Hospital Case Manager: Clinical Coordination

    2 weeks ago

    Newcastle, South Africa Mediclinic Group Full time

    A prominent healthcare organization is seeking a Clinical Case Manager in Newcastle, KwaZulu-Natal. The role involves coordinating hospital case management processes to minimize financial risk. Candidates should possess a clinical qualification and at least 3 years of experience in a clinical role. Knowledge of medical aid requirements and strong...

  • Case Worker

    3 weeks ago

    Newcastle, South Africa BaptistCare Full time

    Key Benefits SCHADS Level 3 plus super and NFP salary packaging benefits Financial retail and lifestyle discounts and benefits Access to in-house learning and development programs to assist your career growth Access to family friendly benefits like our wellness programs and Employee Assistance Program (EAP) - Independent confidential counselling service...

  • Night Shift Case Worker

    7 days ago

    Newcastle, Maitland & Hunter, South Africa Job Details Full time R70 000 - R120 000 per year

    Night Shift Case WorkerSupport children and young people in Out-of-Home Care and drive positive outcomes by embedding trauma-informed, culturally safe practices and ensuring compliance with standards and legislation.About the RoleThe Night Shift Case Worker role is a full-time fixed term 6-month position and the contracted hours are Wednesday to Sunday from...

  • Environmental Services Manager

    3 days ago

    Newcastle, South Africa Compass Group Full time

    Medirest provides specialist cleaning services under contractual arrangements throughout the hospital compliant with infection control policies and safety procedures in a Healthcare environment. We are passionate about ensuring our patients, visitors and staff are well cared for, valued and safe. Our services come from the heart and are served with a smile....

  • Hospital Environmental Services Manager

    1 week ago

    Newcastle, South Africa Compass Group Full time

    A prominent healthcare service provider in Newcastle is looking for an Environmental Services Support Manager to oversee cleaning operations within a healthcare environment. The ideal candidate should have strong team management skills, experience in cleaning operations, and a proactive leadership mentality. This full-time position offers a Monday to Friday...

  • Reservations Manager

    2 weeks ago

    Newcastle, South Africa Phoenix Recruitment Full time

    Duties: Oversee daily operations of the reservations department, ensuring high levels of efficiency and accuracy.Manage reservations staff, including training, scheduling and performance management.Monitor room inventory, rates, and availability to maximize revenue.Implement strategies to increase bookings across all channels (direct, OTA, corporate, and...

  • SW Manager

    4 days ago

    Newcastle, KwaZulu-Natal, South Africa Liquid Personnel Full time US$20 000 - US$40 000 per year

    Job Title: Social Worker – Learning Disability and Autism TeamLocation: Newcastle City CouncilRate: £231 per dayAn exciting job role has recently become available at Newcastle City Council. They are looking for a new member for their Learning Disability and Autism Team.Benefits of the role:Competitive rate of payFlexible working arrangementsRegular...

  • Attendant - Cleaner

    7 days ago

    Newcastle, KwaZulu-Natal, South Africa Compass Group Full time A$45 000 - A$55 000 per year

    From small private hospitals to the largest public health campuses, our broad range of service solutions include catering, retail, facilities management, cleaning services, security and helpdesk. At Medirest, we provide the non-medical services that keep Australia's healthcare facilities in top shape.We are currently seeking a Cleaner to work at...

  • Senior Social Worker – Assessment Team

    2 weeks ago

    Newcastle, South Africa Liquid Personnel Full time

    Job Title: Senior Social Worker Assessment Team Location: Newcastle Pay Rate: 31.74 Job Description: Liquid Personnel is currently recruiting a Childrens Social Worker to join an Assessment Team based in this role you will lead assessments manage complex cases and support colleagues in fulfilling statutory duties. Youll benefit from flexible working...