Case Manager

Dante Personnel Recruitment (Pty) Ltd

Mbombela (Nelspruit)

On-site

ZAR 260,000 - 380,000

Full time

4 days ago
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Job summary

Dante Personnel Recruitment (Pty) Ltd is seeking a qualified Case Manager in Nelspruit, Mpumalanga. The role focuses on accurate hospital billing, patient data management, and collaboration with clinical partners.

The position requires a Diploma in Nursing and knowledge of medical aids, with advantageous SAP and ICD/CPT coding experience. Salary is market related, and the role is based on-site in Mpumalanga.

Qualifications

  • Diploma in Nursing is essential.
  • Grade 12 or equivalent NQF 4 is required.
  • SAP and medical coding knowledge are advantageous.

Responsibilities

  • Ensure accurate patient details on the hospital billing system.
  • Provide patient history information to clinical partners.
  • Monitor and control costs for managed care patients.
  • Confirm patient length of stay with medical aid organisations.
  • Assist with final authorisation of managed care patient files.
  • Ensure correct coding for managed care patients.
  • Liaise with service providers regarding patient care and treatment.

Skills

Medical coding
Excel
Word
SAP

Education

Diploma in Nursing

Tools

SAP

Job description

Case Manager

Nelspruit/Mbombela, Mpumalanga

Market Related Salary

Our client in the private healthcare industry is seeking a suitably qualified and dedicated Case Manager to join their team

Minimum requirements
  • Grade 12 or equivalent NQF Level 4 qualification
  • Diploma in Nursing (essential)
  • Previous Case Management experience will be advantageous
  • Knowledge of medical aids
  • Intermediate computer skills, particularly Microsoft Excel and Word
  • Experience using SAP will be advantageous
  • ICD and CPT coding knowledge will be advantageous
Key Responsibilities
  • Ensure all relevant patient details on the hospital billing system are accurate and up to date
  • Provide patient history information to clinical partners
  • Monitor and control costs for managed care patients
  • Confirm patient length of stay with medical aid organisations
  • Assist with final authorisation of managed care patient files
  • Ensure correct coding for managed care patients
  • Liaise with relevant service providers regarding patient care and treatment
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