Jobs · Western Cape · Health
Case ManagerGroote Schuur Hospital, Observatory
Closes Friday 27 November 2026 at 17:00
The circular is the only authoritative source. Open the PDF at page 186 (opens in new tab)
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Case manager post at Groote Schuur Hospital. Suits a health-qualified person with medical aid and case management experience who can audit invoices and supervise staff.
- Main duties: audit medical aid and state department invoices, manage case management for externally funded patients, and give quotes to private and foreign patients.
- Also: coordinate workflow between clinical and admin staff, compile statistical reports, and supervise staff.
- Must have: a health-related qualification at NQF level 7 that allows registration with the HPCSA, SANC or SAPC.
- Must have experience in case management or the medical aid environment, and knowledge of ICD-10 codes, the Uniform Patient Fees Schedule and Medical Aid Act 131 of 1998.
- Based at Groote Schuur Hospital, Observatory.
Generated by claude-haiku-5-5 from the text below; it may be wrong or incomplete. Original wording, page 186 (opens in new tab)
Requirements
- Minimum educational qualification:
- A health-related qualification at NQF level 7 that allows registration with the Health Professions Council of South Africa (HPCSA) or South African Nursing Council (SANC) or South African Pharmacy Council (SAPC).
- 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.
- 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).
Duties
- Conduct clinical audits of Medical Aids and State Department, e.g.
- 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.
- 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.
- Supervision of staff and liaison with relevant role players in matters relating to Case Management.
- Interpret and implement Case Management policies, protocols and procedures efficiently and effectively.
- Implement Case Management policies, protocols and procedures within the hospital.
How to apply
Applications are submitted online via www.westerncape.gov.za/health-jobs (click “online applications”).
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Enquiries
Mr TJ Langenhoven Tel No: (021) 404-2358
Notes from the department
No payment of any kind is required when applying for this post. Shortlisted candidates may be subjected to a practical test.
As printed in Circular 41 of 2026 · page 186 · open the PDF (opens in new tab)
POST 41/273: CASE MANAGER SALARY: R413 001 per annum CENTRE: Groote Schuur Hospital, Observatory REQUIREMENTS: Minimum educational qualification: A health-related qualification at NQF level 7 that allows registration with the Health Professions Council of South Africa (HPCSA) or South African Nursing Council (SANC) or South African Pharmacy Council (SAPC). 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. 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). DUTIES: Conduct clinical audits of Medical Aids and State Department, e.g. 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. 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. Supervision of staff and liaison with relevant role players in matters relating to Case Management. Interpret and implement Case Management policies, protocols and procedures efficiently and effectively. Implement Case Management policies, protocols and procedures within the hospital. ENQUIRIES: Mr TJ Langenhoven Tel No: (021) 404-2358 NOTE: No payment of any kind is required when applying for this post. Shortlisted candidates may be subjected to a practical test.