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Case Manager (Fixed-Term Contract) – Medicare Private Hospital
Résumé du poste
A healthcare provider in Rustenburg is seeking a Case Manager to efficiently manage patient cases and provide professional service. The ideal candidate will have SANC registration as an RN, strong customer focus, and relevant experience in finance and medical aid administration. Responsibilities include clinical coding and ensuring compliance with hospital procedures. This is a fixed-term contract position.
Qualifications
- 3 – 5 years’ experience in finance and Medical Aid administration procedures preferred.
- Knowledge of hospital billing and tariffs is an advantage.
- Ability to interact with tact and diplomacy.
Responsabilités
- Carry out clinical coding as per CPT and ICD requirements.
- Ensure pre-admission information is accurate.
- Maintain patients’ clinical status according to funder approval.
Connaissances
Formation
Outils
Job title: Case Manager (Fixed-Term Contract) – Medicare Private Hospital
Job Location: North West, Rustenburg
Deadline: September 25, 2025
A vacancy exists for a Case Manager, reporting to the Patient Administration Manager. The position’s primary responsibilities include efficient patient case management and the delivery of an efficient and professional service to the internal and external customers.
The successful candidate will be goal oriented with strong customer, quality, and performance focus.
- Carry out clinical coding in accordance with CPT and ICD requirements
- Ensure that pre-admission and pre-authorisation information is accurate and in accordance with hospital and funder procedures.
- Maintain patients’ clinical status in accordance with funder approval requirements for the duration of hospitalization; keeping patients informed and managing the entire hospital stays’ financial risk
- Provide complete and accurate updates and discharge information of all accounts
- Maintaining accurate accounts of all admissions
- Handle patient files in accordance with hospital procedures
- Timeous electronic submission of accounts and follow up on short payments arising from case management related issues.
- Ensure the adherence of hospital staff to funder rules and coding procedures
- Keep well informed on legislation pertaining to funders and related Health Care matters
- SANC registration as an RN
- High school matric certificate
- 3 – 5 years’ experience of basic finance and Medical Aid administration procedures will be an advantage
- Knowledge of hospital billing and tariffs would be an advantage.
- Have sound computer literacy skills and working knowledge of MS Office, Word and Excel.
- Excellent communication skills and the ability to form and build strong partnerships
- Excellent negotiation skills & the ability to interact with tact and diplomacy
- Collaboration / Relationship Building
- Problem-solving, analysis and judgement
- Resilience
- Engaging diversity
- Verbal & written communication and presentation skills
- Influencing
- Customer responsiveness
- Organisational awareness
- Excellence and quality orientation
- Ethical behaviour
2025-09-25
* Le salaire de référence se base sur les salaires cibles des leaders du marché dans leurs secteurs correspondants. Il vise à servir de guide pour aider les membres Premium à évaluer les postes vacants et contribuer aux négociations salariales. Le salaire de référence n’est pas fourni directement par l’entreprise et peut pourrait être beaucoup plus élevé ou plus bas.
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