Senior Case Manager

2 days ago


Polokwane, South Africa Select One Full time

Role summary:
The Case Manager will be responsible for the financial risk management of all patients according to managed healthcare policies in terms of length of stay, level of care and available benefits.

The incumbent will be responsible for liaising between the patients, treating clinicians and medical aids in order to provide and submit accurate accounts of the patients stay in hospital for reimbursement.

**Requirements**:
**Education**
- Minimum Grade 12 Qualification
- Certification in ICD 10 and CPT 4 coding
- Enrolled Nursing qualification or equivalent NQF Level 4 desired
- Computer proficiency in MS Office suite (Word, Excel, Outlook and PowerPoint) - academic checks will be performed to verify certificates and qualifications
- Intensive Care Nursing experience will add as an advantage
- Medical background experience or exposure will be an advantage

**Work experience**
- Private Hospital Case Management compulsory, minimum 3 years in multidisciplinary environment
- Must come from a **multidisciplinary acute care hospital** with experience in the following disciplines:

- ICU
- Neonatal
- Surgical with focus on Ophthalmology, Orthopaedic, General Surgery
- Medical with focus on Physiotherapist
- Acute admissions such as Pneumonia, Diabetes
- Emergency case management
- A working knowledge of the hospital HIMS or related software will be an advantage
- Demonstrative sound knowledge and experience of DRGs and various fee structures
- Financial acumen with experience in financial and statistical analysis would be an advantage


  • On Site Case Manager

    2 weeks ago


    Polokwane, South Africa Unique Health Full time

    ON SITE Case Manager / Travel Nurse - POLOKWANE - Must be a Registered Nurse - Must be fluent in Afrikaans and English - Must be registered with SANC - Must have own small vehicle and must be prepared to travel - Must have Case management experience - Must have disease management experience *Previous experience of hospital on site visits and assessments...


  • Polokwane, South Africa Farm Manager Sa Full time

    A leading agricultural company in Limpopo is seeking an experienced Farm Manager to oversee mushroom cultivation. Responsibilities include managing the compost process, overseeing growth cycles, and implementing pest management strategies. The ideal candidate should have formal qualifications in agriculture, hands-on experience in mushroom farming, and the...


  • Polokwane, South Africa Tumaini Full time

    Job Description An exciting opportunity has become available for a Senior Operations Manager at a reputable Logistics company in Polokwane! Requirements Diploma / Degree in Supply Chain / Logistics 5 - 10 years’ experience within a similar role Experience in the logistics industry essential Experience in managing various contracts is essential SHERQ...


  • Polokwane, South Africa H&S Labour Brokers cc Full time

    Our client is currently seeking an experienced Operations Manager to join their Polokwane Team. You will be responsible for effective operations management of the Centre and facilities**.** **Duties **and responsibilities** - Planning, organising, and directing the activities of the Centre; - Oversees leasing contracts, procures services, handles...


  • Polokwane, Limpopo, South Africa Delthorn Full time

    DescriptionDelthorn Wholesale Butcheries is looking for a highly skilled and experienced Senior Butchery Manager to lead our butchery operations. The ideal candidate must be hardworking, loyal, trustworthy, and maintain clean and sober habits. This role requires strong leadership skills, excellent product knowledge, and the ability to manage staff,...


  • Polokwane, South Africa RJPersonnel Full time

    5years Handling personal affairs, keeping of diary, all aspects litigation/collection, attended to all correspondence; drafting summons, particulars of claim, all notices/pleadings, affidavits, judgments, warrants, acknowledgements of debt, briefs to counsel, deeds of settlement, settlement agreements, etc. - all Magistrates and High Court Process (well...

  • Security Manager

    3 weeks ago


    Polokwane, South Africa K-SL Student Hotel Full time

    Definition The security manager is primarily responsible for overseeing the company security and safety functions for employees and clients. The Security Manager will be responsible for strategic planning, organizing, communications and interface with management, employees and law enforcement. The position includes supervising of security team members and...


  • Polokwane, South Africa RJPersonnel Full time

    3years Assess processes, ergonomics, RM exposures Liaise, assess occupational hygiene surveys Monitor related implementation Compile feedback to managers Monitor (pain control/dressings), progress and liaise with injured employee/dept Manager Monitor progress of WCA/COID cases including wages/salaries/HR/Manager & ISO controller liaison Book doctors clinic...


  • Polokwane, Limpopo, South Africa Maengela Projects And Construction Full time

    The SENIOR TENDER-ADMINISTRATOR will provide support to the administrative team, with experience in office operations and management. Will support in the preparation and compilation of tender submissions and related documentation. This individual will gain experience in tender management, project coordination, and administrative support within a professional...


  • Polokwane, South Africa IDC Full time

    To provide Project Management services in the implementation of the Musina Makhado Special Economic Zone (MMSEZ); - The Senior Project Manager will manage the engineering planning; design coordination; procurement; construction monitoring and contract administration of bulk infrastructure and internal services for the development of the Musina-Makhado...