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Mthatha: Hospital Case Manager posted by Hire Resolve

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Job Description

Hire Resolve’s client is seeking a skilled and detail-oriented Hospital Case Manager to join their healthcare team in Mthatha, Eastern Cape. The successful candidate will be responsible for coordinating patient care, ensuring accurate medical coding, and optimizing hospital reimbursements while maintaining high-quality patient care standards.

Key Responsibilities

  • Patient Case Management: Assess and manage patient cases to ensure efficient hospital care and appropriate medical aid approvals.
  • Authorization & Pre-Approvals: Obtain authorization for hospital admissions and liaise with medical aids to ensure timely approvals.
  • Clinical Coding: Ensure accurate ICD-10 and CPT coding for billing purposes.
  • Utilization Review: Monitor length of stay, treatment plans, and resource utilization to optimize hospital efficiency.
  • Collaboration: Work closely with doctors, nurses, and medical aid schemes to facilitate smooth patient care processes.
  • Compliance & Reporting: Maintain documentation and ensure compliance with medical aid policies, hospital protocols, and legal standards.
  • Patient Advocacy: Support patients by explaining medical aid benefits and assisting with any coverage issues.

Requirements

  • Qualification: Diploma/Degree in Nursing or a related healthcare field.
  • Clinical Coding Certification (advantageous).
  • Experience: At least 23 years of experience in hospital case management or a similar role.
  • Knowledge of ICD-10 & CPT Coding.
  • Strong understanding of medical aid processes and hospital billing systems.
  • Excellent communication and negotiation skills.
  • Ability to work in a fast-paced hospital environment.

If youre looking for an opportunity to advance your career in hospital case management, apply today! 

If you meet the above requirements and want to make a career-changing move, apply today by emailing your CV to .za or visit our website: .za 

You can also connect with Rachel van Dyk on LinkedIn or .za

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Please note that correspondence will only be conducted with shortlisted candidates for this position. Should you not hear from us within 3 days, please consider your application unsuccessful.

How to Apply

Click the green “Go Apply” button below to apply directly online with the employer.

About Other Medical Jobs in Eastern Cape

The Eastern Cape is home to various medical specialties, with the healthcare sector being a significant contributor to the local economy. Generally, demand for other medical professionals in the region remains steady, driven by an aging population and an increasing focus on preventative care. However, as with any industry, job markets can fluctuate, and it’s essential for individuals to have a solid understanding of the general trends.

Typically, salaries for other medical positions in the Eastern Cape fall within broad ranges, often influenced by factors such as experience, company size, and industry sector. For instance, those with extensive experience or holding leadership roles may expect higher salaries. However, it’s crucial to note that these figures can vary significantly depending on individual circumstances. While a certain salary range might be common for a specific role, actual compensation can differ due to various market and organisational factors.

Common skills required for other medical positions in the Eastern Cape include strong communication and interpersonal skills, ability to work effectively in a team environment, and proficiency in digital health records systems. Other essential skills may include analytical thinking, problem-solving abilities, and adaptability in fast-paced clinical settings. Healthcare professionals with experience in patient care, research, or education may also be sought after for certain roles.

The Eastern Cape is home to various industries that commonly employ medical professionals, including the healthcare sector itself, as well as the technology industry, financial services sector, and manufacturing sector. These industries often require medical specialists to work on clinical trials, provide technical expertise, or implement health-related projects.

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Career development opportunities abound for those pursuing a career in other medical positions. Typically, individuals can progress from entry-level roles to senior positions within their chosen speciality, taking on leadership or management responsibilities along the way. Many also choose to pursue further education and training, such as postgraduate degrees or certifications, to enhance their skills and remain competitive in the job market. With dedication and hard work, medical professionals in the Eastern Cape can enjoy fulfilling careers with opportunities for growth and advancement.


This information provides general career guidance. Actual salaries and requirements vary by employer.



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