Clinical Case Manager

Recruiter:

Immploy

Job Ref:

CPT003049/VR

Date posted:

Friday, May 30, 2025

Location:

GP, South Africa

SUMMARY:
An exciting opportunity exists for a Clinical Case Manager to join a dynamic team. This role will provide oversight across the Group, ensuring effective patient case management and delivering a high standard of service to both internal and external stakeholders.
The ideal candidate is goal-driven, with a strong focus on patient outcomes, service excellence, and operational efficiency.

POSITION INFO:

Key Responsibilities

Conduct clinical coding in line with CPT and ICD standards
Validate pre-admission and pre-authorisation details in accordance with hospital and funder policies
Monitor and manage patients' clinical status throughout their stay, ensuring ongoing funder compliance and financial risk mitigation
Maintain accurate admission and discharge data, including real-time account updates
Drive timeous electronic submission of accounts and resolve case management-related short payments
Facilitate Case Management training initiatives across the Group
Ensure all patient file handling complies with hospital protocols
Support hospital teams in adhering to funder rules and coding standards
Stay current on healthcare legislation and funder-related regulations

Minimum Requirements

Registered with the South African Nursing Council (SANC)
Matric/Grade 12 certificate
3–5 years' experience in basic finance and Medical Aid administration (advantageous)
Familiarity with hospital billing systems and medical tariffs (preferred)
Strong MS Office proficiency (Word & Excel)
Willingness to travel as required
Excellent communication and relationship-building skills
Strong negotiation ability with professional tact and diplomacy

Key Competencies

Collaboration & Relationship Building
Problem-Solving, Analysis & Judgement
Resilience
Engaging Diversity
Verbal & Written Communication
Influencing
Customer Responsiveness
Organisational Awareness
Excellence & Quality Orientation
Ethical Behaviour

Similar jobs you might be interested in:

Junior Associate / Admitted Attorney
Location: Johannesburg
Salary:
Job Description:The Junior Associate / Admitted Attorney will provide legal support to the firm's partners and senior attorneys. The role involves conducting legal research, drafting documents, attending court proceedings, liaising with clients, and assisting with the preparation and management of case files. This is an ideal opportunity for a recently admitted attorney to gain hands-on experience...
3 days ago

Customer Champion
Location: Capetown
Salary: Salary
Remote
3 days ago

Patient Services Manager
Location: Cape Town
Salary:
A private hospital is seeking a dynamic and experienced Patient Services Manager to lead and coordinate the patient services operations. This role is vital to ensuring exceptional patient care, operational efficiency, and alignment with the hospital’s quality, growth, and financial goals.
3 days ago

Clinical Case Manager
Location: Gp
Salary:
An exciting opportunity exists for a Clinical case Manager to join a dynamic team. This role will provide oversight across the Group, ensuring effective patient case management and delivering a high standard of service to both internal and external stakeholders.The ideal candidate is goal-driven, with a strong focus on patient outcomes, service excellence, and operational efficiency.
6 days ago

Patient Service Manager
Location: Cape Town
Salary:
6 days ago

2 x Case Manager
Location: Nw
Salary:
We are currently recruiting two (2) experienced case Managers to join our team. This role is critical in delivering efficient, professional case management services that support both our internal processes and the patient experience. We're looking for candidates who are detail-oriented, goal-driven, and passionate about quality, service excellence, and performance.
7 days ago

Candidate Attorney
Location: Capetown
Salary: R15 000 - R20 000 per month
Candidate Attorney
10 days ago

Data Steward
Location: Cape Town
Salary: Market related
The Data Steward will ensure adherence to Data Governance standards and Data management.
10 days ago

Registered Nurse | ICU Qualified
Location: Roodepoort
Salary:
15 days ago

Associate Attorney
Location: Los Angeles, California
Salary: US$125 000.00 to 225 000.00 OTE
A respected California-based insurance defense law firm is looking to hire an Associate Attorney for its Los Angeles office. We serve a diverse and exciting client base that includes major national brands and professional sports organizations.
20 days ago