📌 OPPORTUNITY OVERVIEWClinix Health Group (Pty) Ltd is actively recruiting for a Case Manager position in Gauteng. This is an excellent opportunity for professionals in the Medical / Healthcare sector looking to advance their careers.
🎯 IDEAL CANDIDATE PROFILEWe are seeking talented individuals with the following profile• Experience Level: 3 - 5 years • Educational Background: Diploma or equivalent • Industry Focus: Medical / Healthcare • Location Preference: in Gauteng
💼 WHY THIS ROLE MATTERSHealthcare professionals including Case Manager are essential service providers. This role contributes directly to community health and wellbeing.
📈 CAREER DEVELOPMENT INSIGHTSThis role in Medical / Healthcare offers valuable career progression opportunities aligned with your experience level and professional aspirations.
📋 APPLICATION GUIDANCEWhen applying for this Case Manager position, ensure your CV highlights: • Relevant experience matching the 3 - 5 years requirement • Educational qualifications in line with Diploma • Specific achievements in the Medical / Healthcare field • Any certifications or specialized training
🌍 SOUTH AFRICA JOB MARKET CONTEXTThe Medical / Healthcare sector in South Africa continues to show strong demand for skilled professionals. This position represents a valuable opportunity in the current job market.
---
Job SummaryTo plan, coordinate and execute case management work at hospital level. The incumbent utilities clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding of patient care.
Minimum RequirementsDiploma in General Nursing. Advance Certification in Intermediate coding IDC and CPT coding 3-5 years’ experience as a hospital case manager
Minimum work experienceLiaise with Receptionist for authorisations. Ensure compliance to case management procedures, standards and protocols. Plan, coordinate and execute Clinical coding in accordance with relevant CHG standards and protocols. Ensure accurate, appropriate and complete diagnostic and procedural coding of all patient records in the hospital. Timeously and consistently communicate and follow up with Funders (Medical Aids, COID, Government, RAF, DOL, etc.). Provide appropriate clinical information to Funders in order to update Length of Stay, Level of Care, formulary utilisation, assistive devices / Prosthesis, diagnostic interventions, therapy intervention and procedural interventions and required change in the facility. Consult daily with all relevant health care providers with regards to patient treatment. Ensure the maintenance of patients’ clinical status (subsequent interventions and treatments) in accordance to Funder requirements for the duration of hospitalisation. Ensure the correct categorisation and management of different patient accounts to facilitate reimbursement by Funder. Ensure accurate and timeous finalisation of cases to facilitate reimbursement by Funders. Minimise financial risk by the effective management of patient hospitalisation. Follow the established and approved escalation processes in the event of a decline of payment by Funder. Ensure to remain in the group and facility targets of 3 days for WIP (work in progress) and DNYB (discharged not yet billed).
Closing Date 18 August 2026
How To Apply
-
Make sure you are logged in and your email is verified(Register if you dont have an account).
-
Click the Apply Now button above.
-
Your default email application or application link will open.
-
Attach your Application letter, updated Curriculum Vitae (CV) and any supporting documents required.
-
Use a professional subject line such as Application for "Indicate Positions"
-
Send your application before the closing date.
Note: Only shortlisted candidates are contacted.
