Hospital Case Manager

MediclinicWorcester, ZA

5 days ago

Job description

Job title : Hospital Case Manager

Job Location : Western Cape, Worcester

Deadline : November 03, 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 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

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)

Computer literacy (Microsoft Office, hospital / practice management systems)

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

Closing date : 02 / 11 / 2025

Medical / Healthcare jobs

Create a job alert for this search

Case Manager • Worcester, ZA

Related jobs

Promoted

Head Of Engineering and Facilities

IntelliStaffFranschhoek, South Africa

Area / Location : Franschhoek, Cape Town.Head Of Engineering and Facilities.A luxury hospitality group renowned for sophisticated escapes and unique guest experiences is offering an exciting opportun...Show moreLast updated: 25 days ago

Promoted

National Sales Manager

Joubert and AssociatesWellington, South Africa

Wellington Wines has the following challenging career opportunity available for a dynamic and energetic person to take responsibility for the strategic expansion of their bottled wine sales.The inc...Show moreLast updated: 6 days ago

Promoted

Manager : Branch Operations

Mediclinic GroupWorcester, Western Cape, South Africa

Manager : Branch Operations – Mediclinic Group (ER24).Join our team to manage and implement the operational strategy of ER24 at a branch level ensuring objectives are met. Mediclinic wants to alert c...Show moreLast updated: 7 days ago

Promoted

Warehouse Manager

Profile PersonnelPaarl, South Africa

An energetic, motivated individual is required to be employed in the role of warehouse manager .Applicant must have relevant experience in a warehouse environment and these specific skills : .Excelle...Show moreLast updated: 30+ days ago

Promoted

Community Based Case Manager Location : MA-Worcester-01601 Full / Part Time

YourewithWorcester, Western Cape, South Africa

You’re With Us! Community Based Case Manager.You’re With Us! is a registered 501 (c)(3) non-profit organization and Department of Developmental Services (DDS) service provider which seeks to create...Show moreLast updated: 30+ days ago

Promoted

Enrolled Nurse - Theatre - Somerset West

Stethoscope SASomerset West, Western Cape, South Africa

The Enrolled Nurse will be responsible for the direct and / or indirect nursing care of a patient or group of patients and will function under the direct and / or indirect supervision of the Doctor who...Show moreLast updated: 30+ days ago

Promoted

Occupational Health Nurse Ref : 4065

NDC PersonnelCape Winelands, South Africa

Interested applicants should have a recognised tertiary nursing qualification, a certificate in Audiometry and Spirometry, a dispensing license, and current registration with SASOHN and the South A...Show moreLast updated: 5 days ago

Promoted

Nursing Practitioner - Clicks Wellington

Clicks Group LimitedPaarl, Western Cape, South Africa

To build and manage a commercially viable clinic through the promotion and delivery of professional, value-adding clinic services in line with the South African Nursing Council (SANC) regulations, ...Show moreLast updated: 30+ days ago

Promoted

LITIGATION ATTORNEY

Dante PersonnelBoland / Winelands, South Africa

At least 3 years' post-admission experience.Experience with Ghost Practice will be beneficial.Handling all aspects of civil litigation, including divorces and evictions. Drafting and reviewing appli...Show moreLast updated: 3 days ago

Promoted

Marketing Manager (Ceres)

HR Management & Support Services (Pty) Ltd t / a The HR DepartmentCeres, South Africa

Our client, a market-leader in providing a total concept hiring, sales, repair and maintenance service to a wide range of customers the Western Cape, has an opportunity available for an energic, cr...Show moreLast updated: 30+ days ago

Promoted

Nursing Home Operations Manager - North

Barchester HealthcareWorcester, Western Cape, South Africa

We are currently seeking a Nursing Home Operations Manager to join our team and support homes across our North Division.As a Nursing Home Operations Manager at Barchester, you will travel across an...Show moreLast updated: 30+ days ago

Promoted

Relief - Juvenile Justice Worcester

Eliot Community Human Services, Inc.Worcester, Western Cape, South Africa

Join Eliot – A Place to Belong, Grow, and Inspire Change.At Eliot, your work has purpose.You’ll be part of a compassionate, mission-driven team committed to resilience, empowerment, and lasting cha...Show moreLast updated: 30+ days ago

Promoted

Hospital Case Manager

Medi ClinicWorcester, Western Cape, South Africa

Mediclinic Worcester | Worcester | South Africa.Recruiter name : Liezel Alberts.Please note if you are an internal employee on a fixed term contract please apply using an external candidate profile ...Show moreLast updated: 30+ days ago

Promoted

Clinic Co-Ordinator

Western Cape Blood ServicePaarl, Western Cape, South Africa

The Western Cape Blood Service is a non‑profit organisation whose mission is to collect, process and distribute blood and blood products of the highest standards in the Western Cape.Permanent vacan...Show moreLast updated: 8 days ago

Promoted

Professional Nurse Grade 1 to 2 (Specialty : Paediatrics)-Paarl Hospital - 2 positions

Western Cape Department of Health and WellnessPaarl, ZA

Job title : Professional Nurse Grade 1 to 2 (Specialty : Paediatrics)-Paarl Hospital - 2 positions.Job Location : Western Cape, Paarl. South African Nursing Council (SANC) as a Professional Nurse.A p...Show moreLast updated: 2 days ago

Promoted

Practice Manager - Waterstone

Intercare Corporate Services (Pty) LtdSomerset West, Western Cape, South Africa

Practice Manager Position at Intercare Waterstone Medical and Dental Centre.Intercare is a dynamic healthcare company focusing on offering value-based healthcare to patients.As ambassadors of the I...Show moreLast updated: 30+ days ago

Promoted

Hospital Case Manager

Mediclinic GroupWorcester, Western Cape, South Africa

Mediclinic Worcester Worcester South Africa.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.To co...Show moreLast updated: 30+ days ago

Promoted

Hospital Case Manager

Mediclinic InternationalWorcester, Western Cape, South Africa

Mediclinic wants to alert candidates that third parties are from time to time fraudulently advertising vacancies at Mediclinic and / or offering employment contracts with subsequent payment instruc...Show moreLast updated: 30+ days ago