Hospital Case Manager

**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,...

Company Description **About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial well-being of all South Africans towards lasting social change. Insurance products with limited medical benefit need close supervision for casualty and admission cases. **Job Description**: Load all hospital related cases for casualty...

Role Title: Case Manager Role Summary: Are you a healthcare professional looking to make a significant impact in patient care and financial risk management? If so, we have an exciting opportunity for you to join the team of a private hospital based in Gauteng as a Case Manager. In this role, you will leverage your clinical knowledge and expertise to ensure...

**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...

**Job Advert Summary**: Are you in the market for temporary case manager opportunities at a well-known and dynamic agency? MHR is urgently looking for experienced **Hospital Case Managers** to work **part-time shifts** at private mental healthcare facilities in **Alberton** and **Bedfordview area **in** Johannesburg**. **Minimum...

**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

**Role Summary** The Case Manager utilizing clinical knowledge and expertise, mitigates financial risk through comprehensive and accurate coding of hospital events, communication with funders on justification for hospitalization level of care and length of stay. **Key Word Output and Accountabilities**: - Monitor and action risk related to medical aid...

Manage calls from Hospital Case Managers regarding authorisations for procedures in hospital, **trauma, casualty**, GP or dental rooms - Case management from issuing a guarantee of payment to final discharge and follow up treatment - Manage clinical risk to decrease claims over utilisation - Pre-authorisation of GP visits per benefit option rules - Classify...

**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...

Job title : Case ManagerJob Location : Gauteng, SowetoDeadline : March 06, 2025Quick Recommended Links Jobs by Location Job by industries Job Summary: To plan, coordinate and execute case management work at hospital level. The incumbent utilises clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding...

Requirements:Nursing qualification (Registered or Enrolled Nurse).3 to 5 years of nursing experience, with back-office or case management experience preferred.Knowledge of medical scheme regulations, ICD-10 coding, tariffs, and case management protocols.Strong attention to detail, communication, and administrative skills.Computer literacy, including...

**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...

**Job Advert Summary**: MHR is urgently looking for a **Registered Nurse Case Manager** with **Disease Management experience.** This is a **permanent opportunity** at a well-known medical aid** **in** Randburg** in** Johannesburg**. **Minimum Requirements**: - 5 years of case management and disease management experience - Minimum of 3 years’ experience...

1. **Qualifications**: - Matric - Registered Nursing diploma - Valid membership of SANC - Claims and Forensic Risk management certification - Registration with the Association of Certified Fraud Examiners (ACFE SA) - A completed RE5 certificate essential 2. **Skills and Experience**: - At least 2-3 years experience in a similar role. - MIP Application...

**Company Description** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and employee...

Job Details Job Title Veterinarian For Veterinary position RESPONSIBILITIES: The incumbent will be responsible for: Rendering veterinary service at the Dr Darko Veterinary Hospital. Services will be rendered at Dr Darko Hospital Diagnostic work-up of and developing therapeutic plans for all new cases presented. Directing nursing staff in the diagnostic...

Company Description Kaelo provides **essential healthcare solutions** ensuring the **physical and psychosocial wellbeing** of **all South Africans** towards **lasting social change**. **Job Description**: The Clinical Case Consultant provides quality patient management to clients that have chronic disease of lifestyle conditions. They are responsible for...

A reputable Managed Healthcare is seeking Case Managers to join their team in Johannesburg. **Duties**: - Developing and implementing intensive multifaceted risk management interventions on a patient-specific basis with the purpose of preventing or reducing the medical scheme's exposure to potentially high-cost members (in/out of...

Job DescriptionWe are seeking a highly organized and detail-oriented Case Management Officer to join our team at Mibco.The successful candidate will be responsible for monitoring and accounting for stationery and consumable levels, attending to professional drafted correspondence, and generating case management reports when requested.Duties and...

Complement Recruitment are recruiting for a Case Management Lead for a permanent position based in Sandton, Johannesburg, Gauteng. Our client is looking for an experienced, commercially minded and operationally strong case management lead with a proven track record of implementing and streamlining projects and making sure they have high impact for the...