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6x Case Managers – Africa Health Care Head Office

6x Case Managers – Africa Health Care Head Office View All Careers

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Business Unit: Africa Health Care Head Office
Posted: 2026-01-22, Closing: 2026-01-30
Location: Gauteng, Roodepoort

Description

A vacancy exists for 6x Case Managers, reporting to the Clinical Group Patient Administration Manager. The position’s primary responsibilities include 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 ICD10 coding requirements

• Ensure that pre-admission and pre-authorization 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.

• Handle patient files in accordance with hospital procedures.

• Timeous electronic submission of accounts and follow up on short payments arising from case management related rejections and short payments.

• 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

• Nursing Qualification and registered with the South African Nursing Councell as a Registered Nurse.

• High school matric certificate

• 3 – 5 years’ experience in a Case Manager role within the private healthcare sector is essential.

• Strong knowledge of National Hospital Network reimbursement models, funder rules and exclusions will be advantages.

• ICD-1, CPT4/CCSA coding qualification and proficiency.

• 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
  • Resilience
  • Engaging diversity
  • Verbal & written communication and presentation skills
  • Customer responsiveness
  • Organisational awareness
  • Excellence and quality orientation
  • Ethical behaviour

Departments

  • Admin
Africa Health Care Head Office is an equal opportunity employer, external candidates will also be considered. Only shortlisted candidates will be contacted, should you not receive any communication after 2 weeks of closing date kindly consider your application as unsuccessful.
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