Field Case Manager
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Job Location:
Johannesburg - South Africa
Monthly Salary:
Not Disclosed
Posted on:
3 days ago
Vacancies:
1 Vacancy
Job Summary
Function
Patient services
Facility
Coast West Region Western Cape
Position
Field Case Manager
Introduction
A vacancy exists for a FieldCase Manager reporting to the Regional Financial Manager.
The successful candidate will be responsible for the management of the financial and clinical administrative risks pertaining to patients in general and specialised units across multiple hospital locations in the Coast West region.
The candidate will be responsible for Case Management outputs and will be assigned to different hospitals in the Western Cape based on caseload needs as identified by the Regional Financial Managers.
Critical Outputs
Ensuring operational excellence by
Closing date
Friday March 20 2026
Internal applicants - Before making an application you are requested to discuss your application with your line manager. External candidates will also be considered.
Life Healthcare is an Equal Opportunity Employer.
Thank you for your interest in this opportunity. Kindly note that only shortlisted candidates will be contacted. Applicants who have not been contacted within two weeks of the closing date of this advert should consider their application as unsuccessful.
Patient services
Facility
Coast West Region Western Cape
Position
Field Case Manager
Introduction
A vacancy exists for a FieldCase Manager reporting to the Regional Financial Manager.
The successful candidate will be responsible for the management of the financial and clinical administrative risks pertaining to patients in general and specialised units across multiple hospital locations in the Coast West region.
The candidate will be responsible for Case Management outputs and will be assigned to different hospitals in the Western Cape based on caseload needs as identified by the Regional Financial Managers.
Critical Outputs
Ensuring operational excellence by
- Conducting ward rounds and ensuring the accurate complete collection of clinic data from patient files and liaisons with nursing staff and attending clinicians
- Updating accurate clinical information to justify length of stay and level of care to medical funds of specialised unit cases and where operationally required general ward cases.
- Updating and providing the necessary information to funders regarding high value items limited benefits and protocols as defined by managed care organizations
- Communicating funder requirements / responses to attending clinicians and patients where necessary and ensuring compliance with industry standards
- Ensuring effective management of real time and manual messaging including requests responses rejections and submissions.
- Ensuring the accurate submission of accounts to funders.
- Complying with governance and risk management requirements by ensuring adherence to patient services policies and procedures
- Ensuring compliance to service level agreements with internal and external stakeholders
- Ensuring the accurate and complete coding of patient accounts
- Ensuring the correct application and correct interpretation of funder RSRT contracts and FFS claims
- Reporting RSRT risks identified to the relevant manager
- Adhering to patient services escalation processes and customer services standards
- Investigating and reporting published alerts incidents and agreeing upon appropriate action with internal and external stakeholders
- Building and maintaining relationships with internal stakeholders
- Providing and facilitating training regarding RSRT contracts
- Providing feedback and information regarding concerns or issues raised by external stakeholders
- Providing feedback on external stakeholders impacting on the efficiency and effectiveness of the case management process
- Escalating doctor non-compliance in terms of RSRT framework to RSRT meetings
- Diploma or degree in Nursing Physiotherapy Clinical Associates Paramedics as Critical Care Assistants or Emergency Care Practitioners or any other qualification that covers Anatomy Physiology Pathophysiology and Microbiology as foundational courses. Experience including proven leadership change and people management
- Current registration with the relevant professional / regulatory body (South African Nursing Council)
- Understanding of clinical coding clinical terminology and anatomy funder rules co-payments and exclusions
- Working knowledge of COID
- Understanding of business and change management principles
- Computer proficiency
- Ability to travel
- Valid drivers license
- Problem-solving analysis and judgement
- Resilience
- Engaging diversity
- Verbal & written communication and presentation
- Influencing
- Drive & energy
- Excellence orientation
- Ethical behaviour
- Building relationships
- Customer responsiveness
- Organisational awareness
- Leading my example
- Motivating and developing people
Closing date
Friday March 20 2026
Internal applicants - Before making an application you are requested to discuss your application with your line manager. External candidates will also be considered.
Life Healthcare is an Equal Opportunity Employer.
Thank you for your interest in this opportunity. Kindly note that only shortlisted candidates will be contacted. Applicants who have not been contacted within two weeks of the closing date of this advert should consider their application as unsuccessful.
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
