Health Care jobs in South Africa

Vacancy for a Pre-Admissions Clinical Assessor, based at Life Mount Edgecombe, reporting to the Finance and Administration Manager. The successful candidate will manage the financial and clinical administrative risks related to future patient admissions.

• Perform clinical assessments and document clinical history.
• Ensure all pre-admissions are accurately clinically coded in accordance with the coding standards.
• Efficiently and proactively complete pre-admission of all patients in accordance with Group protocol and maintain close liaison with Case Management and National Credit Risk Departments to minimise risk exposure to the Hospital.
• Ensure high standard of documentation and capture of relevant information for all admissions through hands‑on supervision and training.
• Maintain a high level of customer focus among all staff at the Pre‑Admission Clinic to the benefit of the Hospital, Public and Doctors.
• Optimise management of bed and theatre bookings through close liaison with wards and Doctor’s rooms.
• Maintain sound working knowledge and application of funds relevant rules and limits.
• Manage authorisation requests and benefit confirmations (e.g., prosthesis benefit confirmation).
• Monitor insurance verification with funders.
• Monitor workflow processes.
• Identify and monitor gaps and risks and implement corrective actions accordingly.

• Adhere to ISO 9001 standards.
• Perform quality walk‑abouts and implement corrective measures where appropriate.
• Implement and monitor quality improvement programmes through power teams.
• Adhere to patient service escalation processes.
• Monitor Q‑evaluator score and implement corrective measures where appropriate.
• Investigate internal and external stakeholder complaints and take appropriate action.
• Drive adherence to customer service standards.

• Drive compliance to LHC policies regarding authorisations and deviations.
• Implement corrective actions when necessary.
• Monitor reports.
• Monitor and adhere to patient service policies and procedures.
• Ensure compliance with service level agreements with internal and external stakeholders.
• When operationally required, assist the case management team with case management duties and responsibilities.

• Foster and maintain healthy relationships with internal stakeholders.
• Provide relevant feedback and information on concerns or issues raised by internal stakeholders.
• Implement corrective actions on deviations directly impacting case management processes.
• Monitor and advise on effective and regular communication with external stakeholders.
• Manage escalated concerns from Case Managers with external stakeholders.

• Nursing qualification, preferably Professional Nurse or Enrolled Nurse with at least three to five years’ experience.
• Current SANC registration.
• Knowledge of hospital patient services and case management processes.
• Knowledge and understanding of CPT & ICD coding.
• Knowledge of funder contracts, scheme rules, exclusions and benefits.
• Understanding of the private hospital industry and practices.
• Computer proficiency.

• Problem‑solving, analysis and judgement.
• Resilience.
• Engaging diversity.
• Verbal & written communication and presentation.
• Influencing.
• Drive & energy.
• Excellence orientation.
• Ethical behaviour.
• Building relationships.
• Customer responsiveness.
• Organisational awareness.
• Leading my example (Key for Managers).
• Motivating and developing people (Key for Managers).

Email: Candace.Lottering@lifehealthcare.co.za

Closing date: Wednesday, January 7, 2026

Internal applicants – Before making an application, you are requested to discuss your application with your line manager. External candidates will also be considered.

Life Healthcare is an Equal Opportunity Employer.

Thank you for your interest in this opportunity. Kindly note that only shortlisted candidates will be contacted. Applicants who have not been contacted within two weeks of the closing date of this advert should consider their application as unsuccessful.