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Case Manager (Permanent position) - job post

Western Cape Government Department of Health and Wellness
Western Cape
R413 001 a year - Permanent
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Job details

Pay

  • R413 001 a year

Job type

  • Permanent

Location

Western Cape

Full job description

A job opportunity exists for the right candidate in Western Cape


The Department of Health and Wellness is guided by the principles of Employment Equity. Candidates with disabilities are encouraged to apply and an indication in the regard will be appreciated.

Note: No payment of any kind is required when applying for any of the positions advertised by the Western Cape Government.


Case Manager

Employment Type: Permanent

Reference No: GSH117/2026

Groote Schuur Hospital


Duties (Key Result Areas/Outputs):

Conduct clinical audits of Medical Aids and State Department, eg. RAF and COIDA to ensure accuracy of invoices. Co-ordinate the workflow process between clinical and admin personnel supporting various role players within the hospital wrt ICD-10 codes, prescribed minimum benefits and account queries. Implement Case Management policies, protocols and procedures within the hospital. Perform hospital Case Management functions wrt authorisation, benefit management, and review of clinical information for externally funded clients. Provide quotations to privately funded and foreign patients and compile statistical reports. Relief colleagues. Relief colleagues. Supervision of staff and liaison with relevant role players in matters relating to Case Management.


Enquiries:

Mr TJ Langenhoven, Tel no (021) 404 2358.


Experience

Appropriate experience in Case Management/Medical Aid Environment. Appropriate experience in ICD 10 codes assigned. Appropriate experience in liaison with medical aid (funders) and managed care organisations with regards to MHC policies, protocols, optimal fund utilisation and updated clinical information.


Minimum Education Qualification:

Appropriate three-year health related National Diploma/Degree registrable with the Health Professions Council of South Africa (HPCSA) or South African Nursing Council (SANC).


Competencies (Knowledge/Skills):

Knowledge of the Uniform Patient Fees Schedule, Hospital Information Systems and EDI (Electronic Data Interchange). Knowledge of Medical Aid Act 131 of 1998 and the application of Prescribed Minimum Benefit (PMB) legislation i.e. the Chronic Disease List (CDL) and the Diagnostic Treatment Pairs (DTP). Ability to work with MS Excel and Web-based Programmes (medical aids). Ability to link patient diagnosis with procedure codes. Good communication skills (verbal and written).


Note:

No payment of any kind is required when applying for these posts. Candidates will be subjected to a competency test.




Remuneration:

R 413 001 per annum Annual salary plus service benefits (13th cheque, employer's contribution to the pension fund, housing and medical aid allowance).


Starting Date:

6/5/2026 12:00:00 AM


NOTICE TO ALL

Candidates must comply with the advertised appointment requirements of the post by the closing date and time of the advert.Candidates may be subjected to a competency test. No payment of any kind is required when applying for this post. As directed by the Department of Public Service and Administration, applicants must note that further checks will be conducted once they are shortlisted and that their appointment is subject to positive outcomes on these checks, which include security clearance, qualification verification, criminal records and previous employment. All shortlisted candidates, including SMS, shall undertake two pre-entry assessments. One will be a practical exercise to determine the candidate’s suitability based on the post’s technical and generic requirements, and the other will be an integrity (ethical conduct) assessment.


  • It will be expected of shortlisted candidates to be:
  • available at the venue on the time and date as determined by the Department and
  • bring along recently (not older than 6 months) certified copies of your Identity Document (ID), driver’s license (if applicable for the post), qualification and/or proof of registration at relevant statutory body etc. Failure to adhere to the aforementioned may lead to his/her application being disqualified and not further considered.

This advertisement may be utilized to create the pool of potential candidates for a period of not more than 3 calendar months from the date of the advertisement to fill any vacancy in the Department of Health and Wellness provided that the job title, core functions, inherent requirements, and salary level are the same as those of the advertised post.

Closing date: 2026/06/22 17:00:00
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