Jobs

Clinical Case Manager (Re-advertised) – Africa Health Care Head Office at Africa Health Care

  • Job Type Full Time
  • Qualification Matric
  • Experience 3 – 5 years
  • Location Gauteng
  • City Roodepoort
  • Job Field Administration / Secretarial&nbsp , Medical / Healthcare&nbsp

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

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