Relief Case Manager: Hospital Admissions & Funding

Joint Medical Holdings Group; Durban; On-site; ZAR 300,000 - 420,000; Full time

Job summary

Joint Medical Holdings Group is seeking a Relief Case Manager to support case management across hospital units, covering absences and periods of high workload. You will manage patient authorisations, monitor length of stay, and liaise with medical schemes to ensure continuous care and funding efficiency.

You will collaborate with clinical, billing and management teams to verify benefits, document activity and mitigate funding risks while maintaining accurate records and contributing to service

Qualifications

• Must have healthcare qualification (prefer Nursing or clinical discipline).
• Previous hospital Case Management experience is required.
• Experience with medical schemes and funders.
• Understanding hospital admission, authorization, LOS and discharge processes.
• Knowledge of medical aid rules and funding requirements.
• Computer literacy is essential.
• Sound knowledge of ICD-10 and clinical coding principles.

Responsibilities

• Provide case management support and cover across hospital departments to ensure continuity of service.
• Manage patient admissions, authorizations and length of stay in line with clinical and funding requirements.
• Liaise with medical schemes, funders and healthcare professionals to obtain and maintain authorizations.
• Monitor high-risk, high-cost and extended-stay patients, identifying potential funding risks and escalating where necessary.
• Track patient length of stay and support timely discharge planning to optimize patient flow.
• Ensure accurate management of patient funding, benefits verification and authorization processes.
• Identify and mitigate financial risks related to admissions, treatment and hospitalization.
• Collaborate with clinical, billing, debtors and hospital management teams to resolve funding and case management queries.
• Maintain accurate records, documentation and communication relating to patient cases and authorizations.
• Support operational priorities, workload management and service delivery within the Case Management Department.

Education

Healthcare qualification (Nursing or clinical discipline)

Job description

Joint Medical Holdings Group is seeking a Relief Case Manager to support case management across hospital units, covering absences and periods of high workload. You will manage patient authorisations, monitor length of stay, and liaise with medical schemes to ensure continuous care and funding efficiency.

You will collaborate with clinical, billing and management teams to verify benefits, document activity and mitigate funding risks while maintaining accurate records and contributing to service