Hospital Case Manager — Care Coordination & Reimbursements

Mediclinic International; Milnerton; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A leading healthcare provider in Milnerton seeks a qualified Registered Nurse or Paramedic to coordinate clinical case management, ensuring compliance with procedures and minimizing financial risks. The ideal candidate has at least 3 years of clinical experience, preferably in Theatre or ICU, and possesses strong understanding of medical terminology and case management systems. The role also includes managing communications with Funders for claims reimbursements. Join a collaborative team dedicated to patient care and financial efficiency.

Qualifications

• Minimum of 3 years in a clinical role.
• Experience in Theatre and or ICU; Medical aid background.

Responsibilities

• Coordinate hospital case management process to minimize financial risk.
• Ensure compliance to case management procedures and contracts.
• Communicate with Funders regarding claims and reimbursements.

Skills

Understanding of anatomy

Scientific nursing principles and process

Use of electronic systems

Clinical coding

Authorisation and motivation of Level of Care

Education

Registered Nurse / Professional Nurse or qualified Paramedic

Job description

A leading healthcare provider in Milnerton seeks a qualified Registered Nurse or Paramedic to coordinate clinical case management, ensuring compliance with procedures and minimizing financial risks. The ideal candidate has at least 3 years of clinical experience, preferably in Theatre or ICU, and possesses strong understanding of medical terminology and case management systems. The role also includes managing communications with Funders for claims reimbursements. Join a collaborative team dedicated to patient care and financial efficiency.