Jobs · Western Cape · Health
Case ManagerPaarl Hospital
Chief Directorate: Rural Health Services
Closes Friday 20 November 2026 at 17:00
The circular is the only authoritative source. Open the PDF at page 198 (opens in new tab)
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Case manager at Paarl Hospital. Manages patient billing and medical aid claims, and suits someone with NQF level 7 qualifications, 3 years' experience and medical scheme knowledge.
- Main duties: manage communication with all role players so that accounts are fully settled, and check ICD 10 coding for externally funded patients.
- Also: put Case Management policies, protocols and procedures into practice, coordinate workflow between clinical and admin staff, and carry out managerial or supervisory work.
- Must have: a qualification at NQF level 7 or equivalent that allows registration with HPCSA, SANC and/or SAPC.
- Must have: 3 years' relevant experience, knowledge of the Medical Schemes Act 131 of 1998, and knowledge of ICD 10 codes, Clinicom and EDI.
- Must be able to use Excel, Microsoft Word and web-based medical aid programs, and have good communication, conflict management and leadership skills.
Generated by claude-haiku-5-5 from the text below; it may be wrong or incomplete. Original wording, page 198 (opens in new tab)
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.
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.
How to apply
Applications are submitted online via www.westerncape.gov.za/health-jobs (click “online applications”).
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Enquiries
Ms M Frieslaar, email: Milicent.Frieslaar@westerncape.gov.za
Notes from the department
No payment of any kind is required when applying for this post.
As printed in Circular 40 of 2026 · page 198 · open the PDF (opens in new tab)
POST 40/222: CASE MANAGER Chief Directorate: Rural Health Services SALARY: R413 001 per annum CENTRE: Paarl Hospital 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. 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. ENQUIRIES: Ms M Frieslaar, email: Milicent.Frieslaar@westerncape.gov.za NOTE: No payment of any kind is required when applying for this post.