Case Manager
Job Description
Summary
- The Case Manager will be responsible for the liaison between the patient and medical aids to secure payment for the hospital.
Requirements
- Grade 12/Matric
- Diploma in Nursing or B Degree Nursing Qualification is essential
Work Experience
- Three or more years of experience in Private Healthcare
- SAP experience will be advantageous
- Previous experience in case management
- Intermediate computer skill
- ICD & CPT Coding would be advantageous
- Knowledge of Medical Aids
Knowledge
- Ensure all the relevant details on Hospital Billing System are updated and are accurate
- Supply all details regarding patients’ history to Clinical partners
- Monitor and control costs for Managed Care Organisation patients
- Confirm length of stay for all Managed Care Organisations patients
- Accompany Managed Care Organisation Case Managers on ward rounds in the hospital
- Assist with final authorisation of Managed Care patient files
- Ensure correct coding for all Managed Care Organisation patients
- Consult with the relevant service providers regarding the patient care treatment
- Assist with the transfer of patients to Rehab Hospital or step-down facilities
- Liaise network of internal and external stakeholders to ensure that managed care of patients is maintained
- Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually beneficial
Deadline:13th October,2026
Interested in this role?
You'll apply on Busamed's own site before 27 October 2026. Put your most relevant experience at the top of your CV first.
Apply NowReal employers never ask you to pay to apply. How to spot a job scam