Medical Aid Case Manager jobs

We are looking for a focused, highly organized Medical Case Manager to join our specialized practice on-site in Boksburg. If you have a solid clinical foundation and a genuine passion for the strategy behind patient care, we will provide the specialized coding and managed care training you need to succeed.

What You’ll Do:

• Coordinate the Patient Journey: Oversee patient care pathways from the initial clinical assessment all the way through to successful recovery.
• Drive Strategic Authorizations: Manage the day-to-day case management, medical justifications, and utilization reviews to ensure patients get access to the precise treatments they need.
• Act as the Ultimate Liaison: Serve as the vital link connecting our clinical team, patients, and medical schemes, translating complex medical plans into clear, professional communication.
• Support Practice Efficiency: Run vital general practice administrative duties and data workflows, ensuring our service delivery is always seamless and organized.

Qualifications

• A Passion for Clinical Coordination: You love the puzzle of creating, implementing, and monitoring patient care plans, ensuring our patients have a seamless journey from assessment to recovery.
• An Interest in Healthcare Administration & Disability Management: You are eager to master the administrative side of healthcare. Whether you have basic exposure or are just highly organized and ready to learn, you will play a key role in supporting patients through their funding and treatment journeys.
• Strong Communication & Tech-Savvy Organization: You are an excellent communicator who enjoys collaborating with patients, medical schemes, and our clinical team. You have sharp problem-solving skills and love keeping a workspace highly organized.
• Clinical Foundation: A current professional qualification as an Enrolled Nurse (EN), Registered Nurse (RN), Orthotist, or in an Allied Health/Clinical setting.
• Clinical Experience: You have a solid foundation of clinical or hospital setting experience and a passion for structured administration—we value your foundational medical knowledge and aptitude in administration.
• East Rand Local: Able to work reliably on-site at our professional practice in Boksburg (Mon- Fri).

Pay: R15 000,00 - R23 500,00 per month

Application Question(s):

• What qualifications do you have? and explain where you have applied these skills.
• Do you reside in Boksburg or in the surrounding area?

Education:

• Certificate (Required)

Experience:

• Medical Aid processing/admin: 1 year (Required)

Language:

• Afrikaans (Required)
• Englilsh (Required)