Case Manager - Isipingo

Joint Medical Holdings Ltd.; KwaZulu-Natal; Vor Ort; ZAR 420.000 - 540.000; Vollzeit

Zusammenfassung

Joint Medical Holdings Ltd. at Isipingo Hospital seeks a Case Manager to advocate for patients, optimize resources, and ensure accurate ICD 10/CCSA coding while liaising with medical aids, doctors and patients.

The role requires a nursing qualification with SANC registration, strong computer skills, and the ability to work in a multidisciplinary, fast‑paced hospital. You will drive care risk management and support teamwork and continuous service improvement.

Qualifikationen

• Nursing qualification with SANC registration.
• Billing / Auditing experience is advantageous.
• ICD 10 and CCSA coding experience is required.
• Experience liaising with medical aids, doctors and patients.
• Experience in a multidisciplinary hospital environment.
• Must be computer literate.

Aufgaben

• Adhere to policy and SLAs for clinical updates and turnaround times.
• Ensure precise ICD 10/CCSA coding.
• Meet month-end deadlines.
• Verify accurate and complete billing.
• Communicate with medical schemes.
• Manage internal DSO and optimize tools.
• Oversee Care Risk Management procedures and protocols.
• Resolve rejections related to case management.
• Foster teamwork, communication and professional growth.
• Stay updated on industry trends, regulations, and best practices in case management.

Kenntnisse

Attention to detail

Team collaboration

Pressure management

Communication skills

Excellent computer skills

Ausbildung

Nursing qualification with SANC registration

Jobbeschreibung

DIVISION: ISIPINGO HOSPITAL

JOB TITLE: CASE MANAGER

PURPOSE OF POSITION

As a Case Manager, you will advocate for patients, optimize healthcare resources, and promote positive outcomes. Your expertise will streamline processes, enhance patient satisfaction, and contribute to the overall effectiveness of JMH healthcare delivery system.

KEY PERFORMANCE AREAS

• Adhering to JMH policy regarding clinical updates within specified turnaround times and service level agreements.
• Ensuring precise and comprehensive ICD 10/CCSA coding.
• Meeting month-end deadlines.
• Verifying accurate and complete billing.
• Communicating adequate and pertinent information to medical schemes.
• Managing internal DSO and optimizing utilized tools.
• Overseeing the complete rollout and adherence to Care Risk Management Procedures and Protocols.
• Effectively resolving rejections related to case management.
• Cultivating a collaborative and supportive workplace atmosphere, encouraging teamwork, communication, and professional growth among team members.
• Keeping abreast of industry trends, regulations, and best practices in case management, ensuring compliance with relevant standards and guidelines.

REQUIREMENTS A COMPETENCES

MINIMUM REQUIREMENTS

(Educational Qualifications & Experience)

• Relevant Nursing Qualification - Registration with the SANC
• computer literate.
• Must have Billing / Auditing experience will be advantageous.
• Experience in a multidisciplinary hospital environment.
• ICD 10 and CCSA coding experience is a requirement.
• Must have experience in liaising with medical aids, doctors, and patients.

SKILLS AND COMPETENCIES

(Practical & Technical)

• Excellent attention to detail
• Excellent computer skills
• Ability to work well within a team
• Ability to work in a pressurised environment

BEHAVIOURAL ATTRIBUTES

(Personality Characteristics)

• Communication and problem-solving skills. Adaptable, customer-focused, and capable of working well in a team. Attention to detail, empathy, and professionalism are also crucial attributes. Additionally, organizational skills and a commitment to continuous improvement are essential for ensuring smooth operations and providing excellent service to patients and visitors.

JMH VALUES

(Commitment)

• Respect for Individual Dignity: We uphold the dignity of every individual.
• Excellence in Service to Doctors: We ensure top-quality service delivery to our physicians through efficient processes, clear communication, and proactive support, meeting their needs and exceeding expectations.
• Trust and Development: We aim to nurture trust among our team members and offer training and growth opportunities to help them realise their maximum potential.

Join our team at Isipingo Hospital and contribute to our mission of providing exceptional care to our patients and community.

NB: Only short-listed candidates will be contacted.

POPIA CLAUSE

Your information is collected and processed in accordance with the Protection of Personal Information Act No 4 of 2013 (POPIA).

By applying to this advert, you consent to JMH (Pty) Ltd collecting and processing your personal information for the purpose of determining your eligibility for the advertised position.

Closing date for applications 23 October 2026