Case Manager Corporate Support
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Job Location:
Stellenbosch - South Africa
Monthly Salary:
Not Disclosed
Posted on:
8 hours ago
Vacancies:
1 Vacancy
Job Summary
Mediclinic Southern Africa Corporate Office Stellenbosch South Africa
Closing date: 12/01/2026
Number of positions: 1
Recruiter name: Zimkhitha Wulana
Reference number: 66363
Workplace Type:Hybrid
Permanent
Please note if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profile
MAIN PURPOSE OF JOB
To support the hospital in the absence of hospital Case Managers and to facilitate the communication process between all role players by providing accurate and timeous clinical information to minimise the financial risk for the organisation; and to support efficient and effective hospital cash conversion
KEY RESPONSIBILITY AREAS
- 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 timeous finalisation of cases and consistently and timeously communicate with Funders to facilitate reimbursement of claims
REQUIRED EDUCATION
ESSENTIAL EDUCATION
- Nursing qualification
DESIRED EDUCATION
- Registered Nurse / Professional Nurse
REQUIRED EXPERIENCE
ESSENTIAL MINIMUM EXPERIENCE
- 3 - 5 years in a nursing role
DESIRED EXPERIENCE
- Experience in Theatre and/ or ICU
- Medical aid background
- Experience in the private healthcare environment
REQUIRED JOB SKILLS AND KNOWLEDGE
- Anatomy; physiology and terminology
- Application and validation of clinical codes (Level 3 coding)
- Authorisation and motivation of Level of Care; Length of Stay; Short Payments etc.
- B2B EMS (Electronic message system: check status of authorisations and use for trouble-shooting)
- Computer literacy (e.g. Outlook and intranet applications)
- Daily Workflow Managing deviances Coding and Case Management processes
- Funder Contracts; Medical aid requirements/narrations
- Patient Administration policies and procedures (Patient Confidentiality Visitation of external case managers etc.)
- Proficient all relevant Patient Admin systems and programs
- Relevant aspects of applicable statutory acts (e.g. Consumer Protection Act; PMB etc.)
- Scientific Nursing Processes and associated procedures
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.
Please note if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profile
Required Experience:
Manager
Key Skills
- Project Portfolio Management
- Motivational Interviewing
- HIPAA
- Computer Skills
- Intake Experience
- Lean Six Sigma
- Conflict Management
- Case Management
- Team Management
- Program Development
- Social Work
- Addiction Counseling
About Company
Mediclinic is focused on providing acute-care, specialist-orientated, multi-disciplinary healthcare services. The Group takes a sustainable, long-term approach to business, putting patients at the heart of its operations and consistently delivering high-quality healthcare services.
