Hospital Case Manager

Mediclinic Kloof Erasmuskloof Pretoria South Africa

Closing date : 05 / 09 / 2025

Number of positions : 1

Recruiter name : Lesego Molale

Reference number : 62343

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

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

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

Required Experience :

Manager

Key Skills

Project Portfolio Management, Motivational Interviewing, HIPAA, Computer Skills, Intake Experience, Lean Six Sigma, Conflict Management, Case Management, Team Management, Program Development, Social Work, Addiction Counseling

Employment Type : Full Time

Experience : years

Vacancy : 1

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