A global BPO company is seeking a detail-oriented Clinical Case Manager. This remote role involves managing complex healthcare cases, coordinating with US insurance providers, and ensuring compliant billing. Candidates must have healthcare experience and the ability to work USA hours from South Africa. Key responsibilities include medical documentation review, authorization processing, and...
Manager: Business Case Management Job number: 10008759 Job title: Manager: Business Case Management Job grade: M5 Group/ BU: Openserve Division: Openserve Span of control: 5-10 Reports to: Senior Management Core Responsibilities - Responsible for the integration and execution of business drivers and key business objectives (40%) - Coordinate the submission of divisional capex budgetary...
Job Title: Case Manager Company: Aryxs Health Pty Ltd / The IV Bar Bryanston and The IV Bar BluBird Responsibilities - Communicate on several platforms with a multi-disciplinary team as well as funders externally. - Curator for all outgoing reporting to funders. - Provide appropriate information to Medical aids. - Code all patients. - Assist with final authorisation of patient files. - Control...
Overview Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about...
Overview To manage the spending of member funds by means of clinical interventions and managed care protocols. Duties & Responsibilities Accountabilities - Manage Care Service Requests - Service all key stakeholders in the moment across all servicing channels as required until the clinical service request has been resolved. - Educate stakeholders on self help digital servicing tools. -...
A healthcare company is seeking a Registered Nurse with case management experience to ensure effective communication and reduce financial risks. Candidates should have a Grade 12 certificate, be registered with SANC, and possess a working knowledge of ICD-10 and CPT codes. Experience in a private hospital or medical scheme environment is essential. The role involves authorizing admissions,...
A leading healthcare provider in Pretoria is seeking a Case Manager for the General Ward. The successful candidate will oversee the financial and clinical management of patients, ensuring accurate coding and timely submission of accounts. Applicants must have a relevant nursing degree and SANC registration, with strong organizational and communication skills. This role offers a chance to impact...
A leading customer support organization in South Africa is seeking a highly organized Assist Support Customer Agent. This role involves overseeing daily reports, case management, and customer escalations while ensuring data accuracy. Candidates should have a Matric Certificate, a minimum of 2 years in a support role, and strong analytical skills, particularly in Excel. The ideal fit is...
Position Purpose: To manage the spending of member funds by means of clinical interventions and managed care protocols. Experience: At least 3 years general medical and surgical nursing experience in the private sector. ICU training and/or at least 1 year ICU nursing experience and 1 year hospital case management experience will be advantageous. In conjunction with above, at least 18 months...
An Indigenous healthcare organization in South Africa is seeking an Aged Care Case Manager (Female Identified) to monitor client needs and provide compassionate service. The role requires relevant qualifications and experience in aged care, alongside strong communication and cultural awareness skills. This position offers the opportunity to work closely with Aboriginal communities and foster...
IMPORTANT WATCH THIS QUICK LOOM VIDEO ON HOW TO GET HIRED: https://www.loom.com/share/345f776084e642ba99c24aabe40a67a0 C1 ENGLISH LEVEL IS REQUIRED, THE SELECTED CANDIDATE WILL BE SPEAKING STRICTLY IN ENGLISH DURING THEIR WHOLE SHIFT. "PLEASE SUBMIT YOUR RESUME AND AUDIO RECORDING IN ENGLISH" Job Details - Job Title: Case Manager (Sales Closer) - Job ID: ROBTIA5 (8 FTE) - Industry: Holistic...
ISTA Personnel Solutions South Africa is a global BPO partnering with a USA-based healthcare client providing services within Skilled Nursing Facilities (SNFs), post‑acute care, and revenue cycle management. Clinical Case Manager This remote role requires a detail‑oriented professional who can manage complex healthcare cases, coordinate with US insurance providers, and ensure compliant billing...
Job Summary To deliver an effective case management process and facilitate the communication process between all role-players by providing accurate and timeous clinical information in order to minimize the financial risk for the company. Minimum Qualifications And Experience - Grade 12. - Registered Nurse, currently registered with SANC. - Certificate in Coding (advantageous). - 3 to 5 years’...
A healthcare provider in Roodepoort is seeking a Professional Registered Nursing Sister to manage the spending of member funds through clinical interventions. This role requires at least 3 years of nursing experience and a commitment to stakeholder engagement. You will need to manage care service requests and clinical cases with a focus on customer satisfaction and compliance. The candidate...
A leading telecommunications company in South Africa is seeking a Manager of Business Case Management to oversee the integration and execution of business objectives. The successful candidate will be responsible for developing and presenting Business Cases, managing relationships with stakeholders, and ensuring compliance with company policies. Ideal candidates will have a degree in Financial...
A vacancy exists for a Case Manager General Ward based at Life Wilgers Hospital, reporting to the Patient Services Manager. The successful candidate will be responsible for managing the financial and clinical risks of the patient in a general ward by ensuring accurate coding, clinical updates and accounts submissions of patient hospitalization to achieve strategic objectives. Function Patient...
A leading healthcare provider in South Africa is building a Talent Pool of skilled Case Managers to facilitate healthcare coordination and patient advocacy. Candidates should hold valid nursing qualifications and possess 2-3 years of relevant experience in Case Management or Hospital Benefit Management. Strong administrative and communication skills are essential, along with proficiency in MS...
Job Summary: To deliver an effective case management process and facilitate the communication process between all role-players by providing accurate and timeous clinical information in order to minimize the financial risk for the company. Minimum Qualifications and Experience: - Grade 12. - Registered Nurse, currently registered with SANC. - Certificate in Coding (advantageous). - 3 to 5...
A healthcare organization in Gauteng is looking for an experienced case manager who can effectively communicate clinical information and minimize financial risk. As a Registered Nurse, you'll need a solid background in case management within the healthcare sector. Responsibilities include ensuring accurate authorization on admissions and conducting daily rounds to update clinical information....
Overview AfroCentric Health is on an ambitious journey to 2030, driven by our purpose to make healthcare more accessible, affordable, and sustainable for all South Africans. Are you a clinically skilled professional with a passion for patient advocacy and healthcare coordination? We are building a Talent Pool of experienced Case Managers for future opportunities within our healthcare network....