Hospital Case Manager
4 weeks ago
Choose how often (in days) you want to receive a notification: Mediclinic Sandton| Bryanston, Johannesburg | South Africa Closing date: 17/11/2025 Number of positions: 1 Recruiter name: Nomsa Rachel Somzila Reference number: 65080 Workplace Type:On-site Permanent 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 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 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 Understanding of anatomy; physiology and medical terminology Funder Contracts; Medical aid requirements/narrations Scientific nursing principles and process Authorisation and motivation of Level of Care; Length of Stay; Clinical Coding, high-cost stock, Short Payments etc. Use of electronic systems (i.e. B2B or Funder portals) for the purposes of requesting authorisations, performing case management updates and for troubleshooting) 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; clinical 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 Become a part of our Talent Community and we will get in touch with you as soon as there is a relevant opening that fits your skills, interests and experience. #J-18808-Ljbffr
-
Hospital Case Manager
3 weeks ago
Johannesburg, South Africa Mediclinic Full timeJob title : Hospital Case Manager Job Location : Gauteng, Johannesburg Deadline : November 18, 2025 Quick Recommended Links Jobs by Location Job by industries 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...
-
In-hospital Case Manager
2 weeks ago
Johannesburg, South Africa Vencorp Placements Full time**Requirements**: - Degree or Diploma in General Nursing Science or Enrolled Nurse - Valid SANC registration - At least three years’ proven experience in case management and clinical coding - Knowledge of hospital patient services and case management processes - Knowledge and understanding of CPT & ICD coding - Knowledge of Funder contracts, scheme rules,...
-
Hospital Case Manager
3 weeks ago
Johannesburg, South Africa Mediclinic International Full timeChoose how often (in days) you want to receive a notification : Mediclinic Sandton| Bryanston, Johannesburg | South Africa Closing date : 17 / 11 / Number of positions : 1 Recruiter name : Nomsa Rachel Somzila Reference number : Workplace Type : On-site Permanent Please note if you are an internal employee on a fixed term contract please apply using an...
-
Case Manager
1 week 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
1 week 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...
-
Senior Officer: Hospital Case Management x3
2 weeks ago
Johannesburg, South Africa Road Accident Fund Full timeOverview The Road Accident Fund’s mission is to provide appropriate cover to all road users within the borders of South Africa; to rehabilitate and compensate persons injured as a result of motor vehicle accidents in a timely and caring manner; and to actively promote safe use of our roads. Purpose of the job: The Senior Officer: Hospital Case Management...
-
Case Manager
7 days ago
Johannesburg, South Africa Mass Staffing Projects Full time**Requirements**: - Degree/Diploma in Nursing - Minimum 4 years nursing experience in a multidisciplinary hospital environment - Intensive Care nursing experience is an advantage - Hospital or Medical Scheme Case Management an advantage - Experience in ICD 10 and CPT 4 coding an advantage
-
Johannesburg, South Africa Road Accident Fund Full timeA prominent healthcare organization in South Africa is seeking a Senior Officer: Hospital Case Management to oversee the coordination of care for motor vehicle accident patients. Key responsibilities include patient assessment, facilitating timely transfers, and ensuring accurate invoicing. Applicants must hold a relevant bachelor's degree and possess four...
-
Case Manager
7 hours ago
Johannesburg, South Africa Mass Staffing Projects Full timeOpen vacancy in Gauteng! Looking for a someone that will be responsible for the liaison between the patients and managed healthcare. **Requirements**: - B Degree Nursing Qualification or equivalent NQF level 6 - Hospital case manager experience advantageous - 3 years’ experience in patient care - SAP experience preferrable
-
Quality Control Case Manager
1 week ago
Johannesburg, South Africa Mass Staffing Projects Full time**Job Information** - Location- Johannesburg- Salary- R500k-R400k- Job Type- Permanent- Education- Degree/Diploma in Nursing- Experience- +3 years case management experience- - pharmacy.jobs(at)staffingprojects.co.za- Fax- 0866023398Are you looking for a career growth? Then this is for you! A vacancy for a Quality Control Case Manager at a private hospital...
