Hospital Case Manager

MHR; Newcastle; On-site; ZAR 200 000 - 300 000; Part time

Job summary

A healthcare provider is urgently seeking an experienced Hospital Case Manager to work part-time shifts at a private hospital in Newcastle, Kwa-Zulu Natal. Candidates should be registered nurses or qualified paramedics with case management experience. This role involves interacting with medical schemes for authorisations and managing case processes effectively. Competitive pay and flexible payment options are offered.

Benefits

Competitive pay rates

Flexible payment options

Complimentary indemnity cover

Qualifications

• Registered with the South African Nursing Council as a Registered Nurse.
• Experience as an ALS Paramedic is essential.
• Knowledge of medical aid schemes and clinical coding.

Responsibilities

• Responsible for case management processes.
• Interact with medical schemes to ensure timely authorisations.
• Verification of clinical coding as per policies.

Skills

Ability to work independently

Problem-solving skills

Attention to detail

Proficiency in Microsoft Office

Education

Registered Nurse or qualified Paramedic

Job description

Job title : Hospital Case Manager

Job Location : KwaZulu-Natal, Newcastle

Deadline : November 16, 2025

Introduction

MHR is urgently looking for an experienced Hospital Case Manager (Registered nurse or paramedic) to work part-time shifts at a private hospital in Newcastle in Kwa-Zulu Natal province. Working hours : 07 : 00 - 16 : 00.

Benefits

• Competitive pay rates
• Flexible payment options
• Placement opportunities at various clients across South Africa
• Complimentary indemnity cover at specified clients

Requirements

• Must be available immediately
• Registered with the South African Nursing Council as a Registered Nurse or with the HPCSA as a qualified paramedic
• Experience as an ALS Paramedic is essential (Paramedic)
• Case management experience is essential
• Experience in private healthcare environment
• Knowledge of the Scientific Nursing Process and associated procedures
• Knowledge of the rules and regulations regarding medical aid schemes
• Knowledge of clinical codes and coding policies
• Knowledge of patient administration systems, policies and procedures
• Proficient in Microsoft Office (Word, Excel and Outlook)
• Independent problem-solving and decision-making skills
• Good accuracy and attention to detail skills in order to maintain high standards of work output

Key Outputs

• Responsible for the case management processes
• Interacts with medical schemes to ensure that authorisations are provided timeously
• Verification of clinical coding as per policies and procedures
• Ensures accurate application and interpretation of specialised wards criteriaProvides support for the management of alternative fee structures
• Liaison with doctors on funder requirements when necessary
• Continuous performance and quality management
• Interpretation and implementation of scheme benefit rules
• Maintains client service principles to ensure client expectations are met
• Medical / Healthcare jobs