Hospital Case Manager

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Hospital Case Manager

Closing date: 19/01/2026

Number of positions: 1

Workplace Type: On-site

Job Type: Administration

To coordinate the hospital case management process and facilitate the communication process between all role players by providing accurate and time‑worthy clinical information to minimise the financial risk for the organisation.

• Minimise financial risk by effectively managing patient stay
• Ensure compliance to case management procedures, contracts and legal aspects by utilising available resources and systems
• Ensure correct and time‑worthy finalisation of cases to facilitate reimbursements from funders/claims
• Consistently and time‑tightly communicate with funders as contractually agreed through the relevant case management channels
• Ensure clinical coding standards are adhered to as per Level 3 coding guideline
• Lead and manage the people in the Case Management team (if applicable)

• Clinical qualification

• Registered Nurse / Professional Nurse or qualified Paramedic

• Minimum of 3 years in a clinical role

• Experience in Theatre and/or ICU;
  Medical aid background;
  Experience in private healthcare environment or experience as an ILS/ALS Paramedic

• Anatomy (including terminology)
• Funder contracts; medical aid requirements/narrations
• Patient admin programmes on the AS400 system
• Scientific nursing principles and process
• Computer literate (Microsoft Office)
• Authorisation and motivation of level of care; length of stay; short payments etc.
• Relevant aspects of applicable statutory acts (e.g. Consumer Protection Act; PMB; etc.)
• Patient administration policies and procedures (e.g. patient confidentiality; visitation of external case managers; etc.)
• Daily workflow; managing deviances; coding; and case management processes
• Application of clinical codes and finalisation thereof

All applicants will be considered, with the understanding that preference will be given in accordance with the Employment Equity Plan of Mediclinic Southern Africa, as well as internal applicants/employees that meet the minimum requirements.

Apply now via the official Mediclinic career website.

Recruiter: Magdalena Van Der Walt |
Reference number: 66188

Job Segment: Nursing, Registered Nurse, Case Manager, Compliance, Paramedic, Healthcare, Legal