Hospital Case Manager & Care Coordination Specialist

Hire Resolve; Mthatha; On-site; ZAR 450,000 - 600,000; Full time

Job summary

A healthcare organization is seeking a skilled Hospital Case Manager in Mthatha, Eastern Cape. The role involves managing patient care, coordinating hospital reimbursements, and ensuring compliance with coding standards. Candidates should have at least 2-3 years of experience and a qualification in Nursing or related field. Strong communication skills are essential, along with knowledge of medical aid processes. Apply by emailing your CV to [e-mail].

Qualifications

• At least 2-3 years of experience in hospital case management or a similar role.
• Clinical Coding Certification is advantageous.
• Strong understanding of hospital billing systems.

Responsibilities

• Assess and manage patient cases for efficient hospital care.
• Obtain authorization for hospital admissions and liaise with medical aids.
• Monitor length of stay and treatment plans to optimize hospital efficiency.
• Maintain documentation for compliance with medical aid policies.

Skills

Patient Case Management

Clinical Coding

Knowledge of medical aid processes

Excellent communication skills

Negotiation skills

Ability to work in fast-paced environment

Education

Diploma/Degree in Nursing or related healthcare field

Tools

ICD-10 Coding

CPT Coding

Job description

A healthcare organization is seeking a skilled Hospital Case Manager in Mthatha, Eastern Cape. The role involves managing patient care, coordinating hospital reimbursements, and ensuring compliance with coding standards. Candidates should have at least 2-3 years of experience and a qualification in Nursing or related field. Strong communication skills are essential, along with knowledge of medical aid processes. Apply by emailing your CV to [e-mail].