Clinical Case Manager - Hospital Care & Reimbursements

Mediclinic; Gauteng; On-site; ZAR 350 000 - 450 000; Full time

Job summary

A prominent healthcare institution in Gauteng is seeking a Case Manager to coordinate the hospital case management process, ensuring compliance and minimising financial risk. The ideal candidate will have a clinical qualification and at least 3 years of experience in a clinical role. This on-site position offers an opportunity to lead the Case Management team and requires strong communication skills with funders.

Qualifications

• Minimum 3 years in a clinical role required.
• Experience in Theatre or ICU is desired.
• Medical aid background preferred.

Responsibilities

• Coordinate hospital case management process.
• Minimise financial risk by managing patient stay.
• Ensure compliance with case management procedures.

Skills

Understanding of anatomy

Computer literacy

Knowledge of medical terminology

Funder Contracts

Clinical coding

Education

Clinical qualification

Registered Nurse / Professional Nurse or qualified Paramedic

Tools

Microsoft Office

B2B or Funder portals

Job description

A prominent healthcare institution in Gauteng is seeking a Case Manager to coordinate the hospital case management process, ensuring compliance and minimising financial risk. The ideal candidate will have a clinical qualification and at least 3 years of experience in a clinical role. This on-site position offers an opportunity to lead the Case Management team and requires strong communication skills with funders.