ASSISTANT CASE MANAGER

Department of Health; Johannesburg; On-site; ZAR 326 000; Full time

Job summary

A government health department in Gauteng is hiring a finance directorate assistant for medical aid management. Responsibilities include confirming admissions, auditing claims, and ensuring accurate coding. The ideal candidate has a health-related diploma and 0-2 years of clinical experience. Strong communication and computer literacy skills are essential for this role, which offers a salary of R 325 101. 00 per annum plus benefits.

Qualifications

• 0-2 years’ experience in a clinical field.
• Registration with SANC or HPCSA for 2025/2026 required.
• Experience in case management is an advantage.

Responsibilities

• Confirm medical aid patients for admissions and consultations.
• Ensure accurate ICD 10 coding.
• Audit claims for accuracy.

Skills

Computer Literacy

Good verbal and report writing skills

Interpersonal relations skills

Knowledge of National Health Act

ICD 10 coding proficiency

Education

Diploma/Degree/Enrolled Nursing Certificate in a Health-Related Field

Job description

• Directorate : FINANCE (REVENUE MANAGEMENT)


• Number of Posts : 1


• Package : R 325 101. 00 PER ANNUM (PLUS BENEFITS)


• Enquiries : Ms F. Horne [phone]/9856 and [e-mail] Tel [phone]

Requirements

• Appropriate Diploma/Degree/Enrolled Nursing Certificate in a Health-Related Field. 0-2 years’ experience in a clinical field. Experience in case management will be an added advantage. Registration with SANC or HPCSA for 2025/2026. Must be Computer Literate. Skills/Competence/Knowledge: Knowledge of National Health Act, Medical Schemes Act, Occupational Health, and Safety Act. PFMA, RAF Act, COIDA, Patient's Right Charter, Batho Pele Principles, UPFS policy, ICD 10 coding, classification of patients, NHI and PAIA management policy. Must have good verbal and report writing communication skills. Good telephone etiquette and interpersonal relations skills.

Duties

• Report directly to the Case Manager. Responsible for confirmation/authorisation of medical aid patients telephonically/online for all admissions and outpatient consultations, of all private and externally funded patients within 36 hours of admission/accessing medical care within the facility. Ensure accurate ICD 10 coding and Prescribed Minimum Benefit (PMB) application to minimize claim rejections. Visit wards daily to check/identify private, foreign and medical aid patients in all business units. Responsible for completing charge sheet to charge all services rendered to patients and assist Billing Clerks to raise correct claim rand amount towards revenue collection. Assist to bill medical aid patients. Audit all claims for ICD 10 coding and UPFS accuracy before being submitted for payment to funders to minimise rejections. Coordination and assistance with ICD 10 Coding training. Keeping monthly statistics on hospital ICD 10 coding compliance to ensure reporting. Attend training and workshops as and when required and/or requested to do so. Assist with compilation of clinical updates to the medical schemes and ensure approved Length of Stay. Perform any reasonable tasks within the directorate as may be required. personnel performance and review thereof.

Notes

• Kindly note that No payment of any kind is required when applying for posts advertised by the Gauteng Department of Health.The Department reserves the right not to fill any advertised posts. Applications should be submitted strictly online at the following E-Recruitment portal:http://jobs.gauteng.gov.za.No hand-delivered, faxed, or emailed applications will be accepted .For assistance with online applications please email your query to [e-mail]. Application should be accompanied by a fully completed and signed new Z83 form obtainable from any Public Service Department or on the internet at www.dpsa.gov.za/documents.The Z83 form must be fully completed and singed by the applicant. The following must be considered in relation to the completion of the Z83 by applicant. All the fields in Part A, Part C and Part D must be completed. Leave the following question blank if they are not possession of such: "If your profession or occupation requires official registration, provide date and particulars of registration".Application without proof of a new Z83 application form and detailed CV will be be disqualified. Application must indicate the post reference number on their application. Shortlisted candidates will receive communication from HR Unit to submit certified copies of educational qualifications and other relevant documents not older than 6 months on or before the day of the interview). Personnel Suitability Checks (criminal checks, citizenship checks, qualification verification, company directorship, social media, financial record checks, reference checks) must be conducted prior appointment. Candidates in possession of a foreign qualification must furnish the Department with an evaluation certificate from the South African Qualification Authority (SAQA). Applicants with foreign qualification remain responsible for ensuring that their qualification are evaluated by the South African Qualification Authority (SAQA). The recommended candidate may be subjected to medical surveillance as require by the Occupational Health and Safety Act 5/1993. The Gauteng Department of Health is guided by the principles of Employment Equity. People with disabilities , Coloured Males and Females, Indian Males and Females, White Males and Females are encouraged to apply.

Employer

Department of Health

Closing Date

05-12-2025

Criteria Questions

• Do you have appropriate Diploma/Degree/Enrolled Nursing Certificate in a Health-Related Field?


• Do you have 0-2 years’ experience in a clinical field.?


• Do you have registration with SANC or HPCSA for 2025/2026.?

Please Notes

• Due to the large number of applications we envisage receiving, applications will not be acknowledged. If youdo not receive any response within 3 months, please accept that your application was not successful.