Case Manager
Zuid-Afrikaans Hospital is a private, independent non-profit hospital with 181 hospital beds,
committed to providing superior patient-centric care, whilst advancing towards world class
clinical innovation. The hospital’s core services include cardiology, cardio thoracic surgery,
spinal surgery, orthopaedic surgery, general surgery, ear-nose and throat surgery, specialist
physicians and the following paediatric services – general, neurological, cardiology and
gastroenterology services.
We currently have a vacancy for a Case Manager in the Administrative Department.
Role
Responsibilities
- Conduct ward rounds and ensuring the accurate collection of clinic data from patient files and liaise with nursing staff and Doctor’s.
- Update the patient’s clinical information to justify the length of stay and level of care to Funders, in the turnaround time.
- Update and provide the necessary information to funders regarding high-value items, limited benefits and protocols as defined by the funders.
- Communicating Funder requirements and responses to the Doctors and patients where necessary to ensure compliance with industry standards.
- Ensure the effective management of real-time and manual messaging, including requests, responses, rejections and submissions.
- Ensure the accurate submission of accounts to Funders.
- Comply with governance and risk management requirements and ensure adherence to patient service policies and procedures to ensure the management of financial risk.
- Ensure compliance to service level agreements with internal and external stakeholders.
Education
- General Diploma in Nursing, with a minimum of five years’ experience in a ward or specialized unit.
- Current registration with the relevant professional/regulatory body.
Experience and Requirements
- A minimum of 5 years Hospital Case management experience.
- Knowledge of the case management processes.
- Knowledge and understanding of CPT and ICD10 coding.
- Understanding of clinical coding, clinical terminology and anatomy, Funder rules, co-payments, exclusions and benefits.
- Understanding of the private hospital industry and practices.
- Computer proficiency.
- Sound knowledge of Contracts under Fixed fee & Per Diem will be an advantage.
Other
- 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 by example
- Ability to work under pressure
Additional Information
Interested candidates must please submit their CV’s to recruitment@zah.co.za
Closing date 15 September 2025.
Only shortlisted candidates to be contacted. If you did not receive feedback from the hospital within four weeks of the closing date your application was unsuccessful.
Zuid-Afrikaans Hospital and Bronberg Pharmacy is an equal opportunity employer.