Case Manager

Haven Health Management; Wes-Kaap; Hybrid; ZAR 300,000 - 450,000; Full time

Job summary

Haven Health Management in Cape Town is seeking a skilled Case Manager to join our hybrid team. You will manage cases efficiently, coordinate administrative processes and liaise with stakeholders to ensure smooth patient progression.

The role requires experience in Acute Rehab/Sub Acute settings, ICD-10 coding knowledge, and proficiency with CARE-IS and Microsoft Office. Strong communication and time-management skills are essential for success.

Qualifications

• Diploma or degree in clinical field preferred.
• Minimum 2 years Case Management experience in Acute Rehab/Sub Acute.
• Total 5 years Case Management experience.
• Intermediate ICD-10 coding knowledge.
• Proficient with Microsoft Office.

Responsibilities

• Authorisations: Pre-authorisation / update
• Communicate benefits to all relevant parties (LOS/LOC/funding exclusions)
• Prepare and discuss Private estimations with relevant parties.
• Benefit management and financial risk management.
• Capturing Pre- admissions / Admissions
• Discharge patient from system.
• Ensuring all relevant documents are saved on CARE-IS (operating system)
• Ensure correct tariffs are authorised for applicable LOC.
• Liaise professionally with Stakeholders (internal/external)
• Billing of Hospital accounts
• EDI claims
• Funder escalations
• Attend daily Team meetings

Skills

Attention to detail

Time management

Communication skills

Teamwork

Education

Diploma or Degree in Clinical Field

Tools

CARE-IS

Microsoft Office

ICD-10 coding

Job description

Are you a skilled Case Manager seeking a fresh challenge?

Haven Health Management is looking for a detail‑oriented and proactive Case Manager to join our dynamic team based in Cape Town (Hybrid).

If you have a strong track record in managing cases efficiently, coordinating administrative processes, and are ready to make an impact, we would love to hear from you!

REQUIREMENTS, EXPERIENCE AND QUALIFICATIONS/TRAINING

• Diploma OR Degree in Clinical Field advantageous
• Minimum 2 year’s Case Management experience in Acute Rehab/Sub Acute
• Overall Minimum 5 years’ Case Management experience
• Intermediate knowledge and understanding of ICD 10 coding. (Certificate of completed course)
• Microsoft Office intermediate
• Strong understanding of funder rules, authorisation processes, and case management Experience billing of hospital accounts and EDI process.
• Good Time management and attention to detail skills
• Good communication skills
• Works well individually and in a Team

KEY DUTIES

• Authorisations: Pre-authorisation / update
• Communicate benefits to all relevant parties (LOS/LOC/funding exclusions)
• Prepare and discuss Private estimations with relevant parties.
• Benefit management and financial risk management.
• Capturing Pre- admissions / Admissions
• Discharge patient from system.
• Ensuring all relevant documents are saved on CARE-IS (operating system)
• Ensure correct tariffs are authorised for applicable LOC.
• Liaise professionally with Stakeholders (internal/external)
• Billing of Hospital accounts
• EDI claims
• Funder escalations
• Attend daily Team meetings