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Clinical Case Manager

Job in Centurion, 0014, South Africa
Listing for: Green Marble Recruitment Consultants
Full Time position
Listed on 2026-03-07
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
CLINICAL CASE MANAGER
Location: Centurion
Non-Negotiable Requirements:
  • Enrolled Nurse or Registered Nurse
  • Minimum 2 years’ experience in Case Management
  • Must reside in Centurion
Role Overview:
Responsible for coordinating patient care and ensuring all treatments are authorised through effective liaison with funders, patients, doctors, and clinical teams, in line with clinical and financial policies.

Non-Negotiable Requirements:
  • Registered Enrolled Nurse or Registered Nurse qualification.
  • 2 years within a case management role.
  • Minimum 3 years’ nursing experience in a hospital.
  • Case Management experience and proficiency in ICD 10 and CPT 4 coding.
  • Computer proficiency.
Key Performance Areas:
  • Ensure daily authorisation of inpatient admissions.
  • Confirm authorisation details and follow up on any outstanding requests.
  • Perform daily ward rounds for patients at length of stay limits and submit clinical updates.
  • Work with the Patient Administration Manager to ensure correct billing and LOC.
  • Coordinate patient transfers and communicate authorisation details.
  • Compile and submit reports, maintaining accurate records of funder communications.
  • Attend meetings and ensure all patient accounts are authorised to avoid non-payment risks.
  • Develop unit-specific SOPs and ensure compliance with relevant legislation.
  • Report incidents and maintain relationships with funders for timely authorisation responses.
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