Mthatha: Hospital Case Manager posted by Hire Resolve
Posted on 2025-04-30 00:00:00
Employer | Hire Resolve |
---|---|
Category | Other Medical |
Location | Eastern Cape / Mthatha |
Job Summary
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 *****@*****.co.za or visit our website: www.********.co.za
You can also connect with Rachel van Dyk on LinkedIn or *****@*****.co.za
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.
Click Go Apply to apply online!
Get Similar Job Alerts
Apply directly for this position. Please read all instructions carefully.
We do not process job applications; we simply aggregate and display job listings.
More related positions
Mthatha: Food Service Manager posted by DINILAM TRADING
The Food Service Manager is responsible for planning, coordinating, and overseeing the hospitals food services to ensure the delivery of high-quality,...
View Job
Food Service Manager
Umtata: Rental / Sales Agents, Mthatha
Matric certificate Mobile phone Laptop compatible with Office 365 8GB Ram SSD Own vehicle and valid drivers Valid FFC number Earning potential is...
View Job
Rental / Sales Agents, Mthatha
Mthatha: Chef
3 years experience in the food industry Knowledge of costings, budgeting and pricing OHS and hygiene understanding Overseeing kitchen operations Team...
View Job
Chef
Mthatha: Senior Clerk (Insurance) posted by AtripleA recruitment & temps
Our client in the Insurance industry is looking for a Senior Clerk Field Broker Support.Key responsibilities 1. Provide administrative support to the...
View Job
Senior Clerk (Insurance)
Mthatha: Senior Clerk: Field Broker Support (Insurance) posted by AtripleA recruitment & temps
Senior Clerk Field Broker SupportLocation Mthatha Umtata, Eastern Cape, South AfricaSalary R15 600 to R18 000 RE5Our client in the Insurance industry is...
View Job
Senior Clerk
Mthatha: Client Services Administrator (Insurance) posted by AtripleA recruitment & temps
Our client is seeking a CLIENT SERVICES ADMINISTRATOR to join their team inMthatha Umtata, Eastern CapeShould you meet the above requirements, please email...
View Job
Client Services Administrator (Insurance)
Mthatha: Financial Adviser posted by Palesa Mbali Group
Our client is seeking qualified Financial Advisers based in the Eastern Cape, with available opportunities in both their Relationship Banking and Everyday...
View Job
Financial Adviser
Mthatha: Chef posted by Abantu Staffing Solutions
3 years experience in the food industryKnowledge of costings, budgeting and pricingOHS and hygiene understandingOverseeing kitchen operationsTeam...
View Job
Chef
Mthatha: Mechanical Foreman (Dry Prep Section) posted by Recruitment Web South Africa
Wood Industry - Mechanical Foreman Dry Prep Section, Mthatha - Eastern Cape, Rneg Company HousingMatric Grade 12 or equivalentN4 Certificate - Mechanical...
View Job
Mechanical Foreman (Dry Prep Section)
Mthatha: Mechanical Technician ( Mechanical Press Maintenance) posted by Recruitment Web South Africa
Mechanical Press Technician Hydraulic Press Maintenance, Eastern Cape, Rneg Company HousingMatric Grade 12 or equivalentN4 Certificate - Mechanical...
View Job
Mechanical Technician ( Mechanical Press Maintenance)
Mthatha: Hospital Case Manager posted by Hire Resolve
Hire Resolves client is seeking a skilled and detail-oriented Hospital Case Manager to join their healthcare team in Mthatha, Eastern Cape. The successful...
View Job
Hospital Case Manager
Mthatha: Theatre Scrub/Recovery Nurse – Mthatha, Eastern Cape posted by Hire Resolve
Hire Resolves client in the Healthcare industry is urgently seeking the expertise of a Theatre ScrubRecovery Nurse in Mthatha, Eastern...
View Job
Theatre Scrub/Recovery Nurse – Mthatha, Eastern Cape
Eastern Cape: 1x SENIOR Nail Technicians URGENTLY needed to work for a Spa in Umthatha – Eastern Cape. posted by Spa Sense
SENIOR Nail Technicians needed in Umthatha ndash Eastern Cape.nbspProfessional Nail Technician Certificate.2-3 years of working experience in a busy...
View Job
1x SENIOR Nail Technicians URGENTLY needed to work for a Spa in Umthatha – Eastern Cape.
Eastern Cape: 1x Front Desk Coordinator / Spa Receptionist is urgently needed for a luxury spa in Umthatha – Eastern Cape. posted by Spa Sense
Front Desk Coordinator Spa Receptionist needed in Umthatha ndash Eastern Cape.Beautiful, Luxury Spa requires well-experienced, skilled and dedicated Front...
View Job
1x Front Desk Coordinator / Spa Receptionist is urgently needed for a luxury spa in Umthatha – Eastern Cape.