- Job Type Full Time
- Qualification Matric
- Experience 3 – 5 years
- Location Gauteng
- City Roodepoort
- Job Field Administration / Secretarial  , Medical / Healthcare 
Clinical Case Manager (Re-advertised) – Africa Health Care Head Office at Africa Health Care
Clinical Case Manager (Re-advertised) – Africa Health Care Head Office
Description
- A vacancy exists for a Clinical Case Manager, reporting to the Group COO.
- The position’s primary responsibilities include Group oversight ensuring efficient patient case management and the delivery of an efficient and professional service to the internal and external customers.
- The successful candidate will be goal oriented with strong customer, quality, and performance focus.
Critical Outputs
- Carry out clinical coding in accordance with CPT and ICD requirements
- Ensure that pre-admission and pre-authorisation information is accurate and in accordance with hospital and funder procedures.
- Maintain patients’ clinical status in accordance with funder approval requirements for the duration of hospitalization; keeping patients informed and managing the entire hospital stays’ financial risk
- Provide complete and accurate updates and discharge information of all accounts
- Maintaining accurate accounts of all admissions
- Conduct Case Management training for the Group
- Handle patient files in accordance with hospital procedures
- Timeous electronic submission of accounts and follow up on short payments arising from case management related issues.
- Ensure the adherence of hospital staff to funder rules and coding procedures
- Keep well informed on legislation pertaining to funders and related Health Care matters
Requirements
- SANC registration as an Registered Nurse.
- High school matric certificate
- 3 – 5 years’ experience of basic finance and Medical Aid administration procedures will be an advantage
- Knowledge of hospital billing and tariffs would be an advantage.
- Be willing to travel
- Have sound computer literacy skills and working knowledge of MS office, word and excel.
- Excellent communication skills and the ability to form and build strong partnerships
- Excellent negotiation skills & the ability to interact with tact and diplomacy
Competencies
- Collaboration/ Relationship Building
- Problem-solving, analysis and judgement
- Resilience
- Engaging diversity
- Verbal & written communication and presentation skills
- Influencing
- Customer responsiveness
- Organisational awareness
- Excellence and quality orientation
- Ethical behaviour
Closing: 2025-06-09
Method of Application
Interested and qualified? Go to Africa Health Care on www.africahealthcare.co.za to apply
Leave a Comment