About the Role
The Department of Health is seeking a dedicated Case Manager to join the team at Paarl Hospital. This important role plays a vital part in ensuring that patients receive the best possible care through effective management of their medical accounts and efficient communication between clinical and administrative personnel. Situated in the beautiful town of Paarl, known for its rich history and stunning landscapes, this opportunity allows you to contribute positively to the community and the public service sector in South Africa.
As a Case Manager, you will be at the forefront of patient care management. Your ability to interpret and implement Case Management policies and protocols will support both the hospital staff and the patients they serve. By coordinating workflows and managing communication, you will ensure that patients’ needs are met promptly and effectively, making a meaningful impact on their healthcare experience.
About the Department
The Department of Health is committed to providing accessible, equitable, and quality healthcare services to all South Africans. Its mandate involves not only the oversight of public health services but also the implementation of health policies aimed at improving the well-being of communities. Working here means being part of a mission that prioritises health and wellness for every citizen, making a significant difference in the lives of many.
What You’ll Do
- Maintain open and efficient communication with all stakeholders to ensure complete settlement of patient accounts.
- Evaluate and oversee ICD 10 coding for externally funded patients to guarantee accurate billing.
- Interpret and effectively apply Case Management policies, protocols, and procedures.
- Coordinate workflow processes between clinical and administrative teams to enhance service delivery.
- Carry out managerial and supervisory functions to guide team performance and patient care standards.
What You’ll Need
- A qualification at NQF level 7 or equivalent that qualifies for registration with the Health Professions Council of South Africa (HPCSA), South African Nursing Council (SANC), or South African Pharmacy Council (SAPC).
- A minimum of 3 years’ relevant experience in a similar position.
- Comprehensive knowledge of the Medical Schemes Act 131 of 1998 and related regulations.
- Proficiency in ICD 10 codes assignment and the ability to link patient diagnoses with procedure codes.
- Strong skills in Microsoft Excel, Word, and web-based applications related to medical aids.
- Excellent communication, conflict management, interpersonal, and leadership skills.
How to Apply
All applications must be hand delivered at: 389 Sophie De Bruyn Street, Pretoria. To submit an application online, click the link under the post you wish to apply for.
Requirements
Minimum educational qualification: A qualification at NQF level 7 or equivalent that allows registration with the Health Professions Council of South Africa (HPCSA) and/or South African Nursing Council (SANC) and/or South African Pharmacy Council (SAPC).Experience: 3 Year’s relevant experience.
Competencies (knowledge/skills): Knowledge of the Medical Schemes Act 131 of 1998, regulations and annexures as amended and basic knowledge of the uniform patient fees schedule and patient billing.
Knowledge of prescribed minimum benefits i.
e.
the chronic disease list and diagnostic treatment pairs and knowledge of and experience in ICD 10 Codes assignment, the ability to link patient diagnosis with procedure codes and knowledge of Clinicom and EDI (Electronic Data Interchange).
Ability to work with Excel spread sheets, Microsoft Word and web-based programs (medical aids).
Good communication, conflict management, interpersonal and leadership skills.
Job Duties
Maintain efficient and effective communication with all role players to ensure full settlement of accounts.Evaluate and monitor ICD 10 coding for externally funded patients.
Interpret and implement Case Management policies, protocols and procedures efficiently and effectively.
Coordinate the workflow processes between clinical and admin personnel.
Managerial/Supervisory functions.
