clinical case manager

IntroductionMy client is committed to creating places of healing for their communities by focusing on attracting the best expertise and dedicated to building a steadfast devoted team.  If this is the environment you are looking for, then don’t hesitate in applying for the position Duties & ResponsibilitiesRole Summary The Registered Nurse / Enrolled...

Duties & Responsibilities  Requirements: B Degree / Diploma Nursing qualification and/or Case Management qualification Diverse clinical nursing experience Case Management experience ICD-10 / CPT Coding Qualification or Experience SAP IS-H experience advantageous Proficiency in Microsoft Office products The main purpose of this position: The Case Manager...

Duties & ResponsibilitiesRequirements: Case Management experience ICD-10 / CPT Coding Qualification or Experience SAP IS-H experience advantageous Proficiency in Microsoft Office products The main purpose of this position: The Case Manager utilising clinical knowledge and expertise, mitigates financial risk through comprehensive and accurate coding of...

Netcare is seeking a Non-Clinical Case Manager to mitigate financial risk by substantiating hospitalisation requirements and LOS/LOC through collaboration with clinical coders and funders. The role includes liaison with patients, clinicians and managed care organisations to provide accurate clinical motivation for stays. Responsibilities include ensuring...

We provide meaningful careers that connect people with purpose. We are united by a common purpose of providing the best and safest care; and by our shared values of Care, Truth, Participation, Compassion and Dignity. Netcare invites you to be part of our journey. ROLE SUMMARY The Non-Clinical Case Manager mitigates financial risk by providing...

About ISTA Personnel SolutionsISTA Personnel Solutions is a dynamic and fast-growing BPO company. We are not a recruitment agency. We partner with international U.S. clients and integrate our staff members directly within our clients’ operations. We focus on long-term placements where you become an integral part of the client’s team. We are seeking a...

IntroductionThe Case Manager utilising clinical knowledge and expertise, mitigates financial risk through comprehensive and accurate coding of hospital events, communication with funders on justification for hospitalisation level of care and length of stay. Duties & ResponsibilitiesKey Performance Areas: Responsible for application of clinical knowledge in...

Duties & ResponsibilitiesA well-established medical practice situated in Berea near St Augustine's Hospital in Durban, is currently looking for an experienced Clinical Case Manager to join their friendly and professional team. IntroductionThe Case Manager utilising clinical knowledge and expertise, mitigates financial risk through comprehensive and accurate...

Clinix Health Group (Pty) Ltd seeks an experienced hospital case manager to plan, coordinate and execute clinical coding at hospital level. You will use clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive coding of patient care.The role requires ICD-10 and CPT coding expertise, with 3–5 years’ hospital case...

Private Health Administrators (Pty) Ltd is seeking a clinical assessor to provide expert evaluation and decision support for ex gratia applications, CMS complaints, appeals and disputes. You will review clinical documentation, apply PMB regulations, and ensure compliant, well-motivated decisions.Responsibilities include managing CMS escalations, drafting...

PURPOSE OF POSITION The Case Administrator provides administrative and financial support to the Case Management function, ensuring patient cases are accurately managed from admission through to discharge and account submission. The role ensures medical-aid information, authorisations, clinical updates and account documentation are followed up timeously,...

PURPOSE OF POSITION The Case Administrator provides administrative and financial support to the Case Management function, ensuring patient cases are accurately managed from admission through to discharge and account submission. The role ensures medical-aid information, authorisations, clinical updates and account documentation are followed up timeously,...

PURPOSE OF POSITION The Case Administrator provides administrative and financial support to the Case Management function, ensuring patient cases are accurately managed from admission through to discharge and account submission. The role ensures medical-aid information, authorisations, clinical updates and account documentation are followed up timeously,...

OnePlan Insurance in Johannesburg seeks an experienced Claims & Case Management Specialist to join the Health Insurance team. The role blends clinical case management, hospital pre-authorisation and health claims assessment to support members throughout their healthcare journey.The successful candidate will balance clinical judgement, policy interpretation...

OnePlan Insurance in Johannesburg seeks an experienced Claims & Case Management Specialist to join the Health Insurance team. The role blends clinical case management, hospital pre-authorisation and health claims assessment to support members throughout their healthcare journey.The successful candidate will balance clinical judgement, policy interpretation...

About the Role Our client is seeking a proactive and organized Case Manager to join their community services team in Rustenburg . This role focuses on coordinating and delivering essential support services to individuals and families navigating complex social and economic challenges. You will be the primary point of contact, ensuring clients receive...

Department/Program: Youth Outreach Adolescent Community Awareness The Youth Outreach Adolescent Community Awareness Program (YOACAP), is a program partner of the Urban Affairs Coalition (UAC). Our agency's mission is to enhance the quality of life and health for Philadelphians through community-based and culturally competent interventions.Since 1989, we...

Position Purpose : To manage the spending of member funds by means of clinical interventions and managed care protocols. Experience: At least 3 years general medical and surgical nursing experience in the private sector. ICU training and/or at least 1 year ICU nursing experience and 1 year hospital case management experience will be advantageous. In...

Registered Nurse (Case Manager) Reference: PE -HP -2 The hiring organisation offers a minimum six-month fixed term contract opportunity to an experienced Registered Nurse with private hospital nursing experience.Ideally you will be based in Port Elizabeth, EC but the possibility exists of a candidate being based in Durban, Bellville or Centurion.ROLES AND...

At Attorney Assistant, we help law firms manage the work that keeps cases moving and clients supported, including intake, follow-up, admin, legal support, and operations.Through Staffline and Frontline, we provide dedicated staffing and 24/7 live intake support for U.S.-based law firms. Our team helps firms respond faster, stay organized, and build reliable...