Case Manager (Fixed-Term Contract) – Medicare Private Hospital

Africa Health Care; Rustenburg; On-site; ZAR 200,000 - 300,000; Full time

Job summary

A healthcare provider in Rustenburg is seeking a Case Manager to efficiently manage patient cases and provide professional service. The ideal candidate will have SANC registration as an RN, strong customer focus, and relevant experience in finance and medical aid administration. Responsibilities include clinical coding and ensuring compliance with hospital procedures. This is a fixed-term contract position.

Qualifications

• 3 – 5 years’ experience in finance and Medical Aid administration procedures preferred.
• Knowledge of hospital billing and tariffs is an advantage.
• Ability to interact with tact and diplomacy.

Responsibilities

• Carry out clinical coding as per CPT and ICD requirements.
• Ensure pre-admission information is accurate.
• Maintain patients’ clinical status according to funder approval.

Skills

Customer focus

Communication skills

Problem-solving

Computer literacy

Education

High school matric certificate

SANC registration as an RN

Tools

MS Office

Job description

Overview

Job title: Case Manager (Fixed-Term Contract) – Medicare Private Hospital

Job Location: North West, Rustenburg

Deadline: September 25, 2025

Description

A vacancy exists for a Case Manager, reporting to the 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 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
• 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 RN
• 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.
• 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

2025-09-25