Important Notice
Mediclinic wants to alert candidates that third parties are from time to time fraudulently advertising vacancies at Mediclinic and / or offering employment contracts with subsequent payment instructions to accounts linked to the fraudulent activity. Please note that Mediclinic will never request payment for an application or offer made. All official vacancies are advertised on the Mediclinic career website and candidates are advised to visit the site to confirm the validity of vacancies.
Hospital Case Manager - Admin
Apply now »
* Start applying with LinkedIn
Choose how often (in days) you want to receive a notification:
* Apply Now
Choose how often (in days) you want to receive a notification:
* Please wait...
Search Jobs by Keyword | Search Jobs by Location | Back to Southern Africa
Share this Job
Choose how often (in days) you want to receive a notification:
Mediclinic Newcastle | Newcastle | South Africa
Closing date: 04/09/2025
Number of positions: 1
Recruiter name: Suvikha Sivnath
Reference number: 62898
Workplace Type: On-site
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 coordinate the hospital case management process and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimise the financial risk for the organisation.
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 to facilitate reimbursements from funders of claims
Consistently and timeously 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)
Required Education
ESSENTIAL EDUCATION:
Clinical qualification
DESIRED EDUCATION:
Registered Nurse / Professional Nurse or qualified Paramedic
Required Experience
ESSENTIAL MINIMUM EXPERIENCE:
Minimum of 3 years in a clinical role
DESIRED EXPERIENCE:
Experience in Theatre and or ICU; Medical aid background; Experience in private healthcare environment or experience as an ILS/ALS Paramedic
Required Job Skills And Knowledge
* 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.
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
Apply now »
* Start applying with LinkedIn
Choose how often (in days) you want to receive a notification:
* Apply Now
Choose how often (in days) you want to receive a notification:
* Please wait...
Find Similar Jobs
Southern Africa - Internal, Search By Keyword - MCSA, Search By Keyword, Hirslanden - Internal
Join our Talent Community
Become a part of our Talent Community and we will get in touch with you as soon as there is a relevant opening that fits your skills, interests and experience.
Sign Up
Job Type: Administration
Apply now »
* Start applying with LinkedIn
Choose how often (in days) you want to receive a notification:
* Apply Now
Choose how often (in days) you want to receive a notification:
* Please wait...
Video Token: KDIu6uSOve4
Apply now »
* Start applying with LinkedIn
Choose how often (in days) you want to receive a notification:
* Apply Now
Choose how often (in days) you want to receive a notification:
* Please wait...
Custom Field 1:
Apply now »
* Start applying with LinkedIn
Choose how often (in days) you want to receive a notification:
* Apply Now
Choose how often (in days) you want to receive a notification:
* Please wait...
Job Segment:
Compliance, Nursing, Registered Nurse, Case Manager, Paramedic, Healthcare, Legal