9 Case manager Jobs and Work in Durban Kwazulu Natal

CASE MANAGER CITY HOSPITAL
Joint Medical Holdings —Durban, KwaZulu-Natal
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Hospital Case Manager
Joint Medical Holdings —Isipingo, KwaZulu-Natal
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Case Administrator - Isipingo
Joint Medical Holdings —Isipingo, KwaZulu-Natal
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Digital Marketing Manager
Hire Overseas —Durban, KwaZulu-Natal
- Full-time
- Remote
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Regional Manager - 4ALL Voucher
Lesaka Technologies —Durban, KwaZulu-Natal
Engineering Project Manager, Operations Engineering (AMET)
Amazon Commercial Services (South Africa) (Pty) Ltd —Waterfall, KwaZulu-Natal
- Full-time
Global Data Manager - homebased (FSP)
IQVIA —Durban, KwaZulu-Natal
Sales & Data Insights Analyst
RCL FOODS Careers —Westville, KwaZulu-Natal
2d
Active Raw Material (ARM) Quality Manager
NBISA Recruitment —Durban, KwaZulu-Natal

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To deliver world class service to all Discovery Health Members, Providers, Employer groups, Hospitals, and Brokers by supporting and fully resolving their…

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CASE MANAGER CITY HOSPITAL

Joint Medical Holdings -
Durban, KwaZulu-Natal

Quick Apply

Job Details

Full Job Description

PURPOSE OF POSITION

To coordinate and manage patient care, funding, and discharge processes to ensure quality clinical outcomes, appropriate resource utilization, accurate reimbursement, and compliance with hospital and medical scheme requirements.

KEY PERFORMANCE AREAS

Support the implementation of the hospital's Case Management strategy and contribute to departmental objectives.
Coordinate multidisciplinary care and discharge planning by collaborating with patients, families, medical practitioners, nursing staff, and medical schemes.
Manage relationships with funders, ensuring timely communication, authorization management, and resolution of funding queries.
Apply clinical knowledge to accurately code diagnoses and procedures using ICD-10 and CPT standards.
Monitor patient admissions, length of stay (LOS), level of care (LOC), and discharge processes to ensure appropriate utilization and reimbursement.
Maintain service level agreements (SLAs) through timely submission of clinical updates, supporting documentation, and discharge information.
Manage debtors' rejections, age analysis, and Day Sales Outstanding (DSO) targets to optimize revenue cycle performance and minimize payment delays.
Identify and mitigate financial and clinical risks related to authorizations, exclusions, extended stays, prosthetic limits, and reimbursement structures.
Ensure compliance with medical scheme rules, coding standards, hospital policies, and quality assurance requirements.
Contribute to continuous improvement initiatives by monitoring quality indicators, reporting variances, and supporting best-practice patient care.

MINIMUM REQUIREMENTS

Registration with the SANC as a RN / EN.
Must be computer literate.
Must have Billing / Auditing experience essential.
Experience in a multidisciplinary hospital environment.
ICD 10 and CCSA coding experience is required.
Must have experience liaising with medical aids, doctors, and patients.
Successful candidate should be available immediately.

SKILLS

Must have excellent telephone skills.
Must possess excellent inter-personal skill.
Sound understanding of medical scheme funding, reimbursement models, and authorization processes.
Excellent stakeholder engagement and communication skills.
Ability to manage multiple priorities, meet deadlines, and work collaboratively within a multidisciplinary environment.
Strong analytical, administrative, and problem-solving abilities with a focus on quality care and financial sustainability.

NB: Only short-listed candidates will be contacted.
POPIA CLAUSE – HR ADVERTS
Your information is collected and processed in accordance with the Protection of Personal Information Act No 4 of 2013 (POPIA).
By applying to this advert, you consent to JMH (Pty) Ltd collecting and processing your personal information for the purpose of determining your eligibility for the advertised position.
If unsuccessful, your personal information is securely destroyed and is not retained by the company.
Preference will be given to employees from the designated group in line with the Employment Equity Act.

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Refine Your Search

case manager jobs in durban kwazulu natal

CASE MANAGER CITY HOSPITAL

Hospital Case Manager

Case Administrator - Isipingo

Digital Marketing Manager

Regional Manager - 4ALL Voucher

Engineering Project Manager, Operations Engineering (AMET)

Global Data Manager - homebased (FSP)

Sales & Data Insights Analyst

Active Raw Material (ARM) Quality Manager

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