Case Manager
- Minimum qualification
- Diploma
- Closing date
First listed . Last checked at source .
In brief
**Overview** This role is for a Case Manager at Busamed. The primary responsibility of the Case Manager is to act as a liaison between patients and medical aids to ensure payment for hospital services. **What you will do** * Liaise between the patient and medical aids to secure payment for the hospital. * Ensure all relevant details on the Hospital Billing System are updated and accurate. * Supply all details regarding patients’ history to Clinical partners. * Monitor and control costs for Managed Care Organisation patients. * Confirm length of stay for all Managed Care Organisation patients. * Accompany Managed Care Organisation Case Managers on ward rounds in the hospital. * Assist with final authorisation of Managed Care patient files. * Ensure correct coding for all Managed Care Organisation patients. * Consult with the relevant service providers regarding patient care treatment. * Assist with the transfer of patients to Rehab Hospital or step-down facilities. * Liaise with a network of internal and external stakeholders to ensure that managed care of patients is maintained. * Work effectively and co-operatively with others to establish and maintain good working relationships that are mutually beneficial. **Requirements (from the original advert)** * Grade 12/Matric * Diploma in Nursing or B Degree Nursing Qualification is essential * Three or more years of experience in Private Healthcare * Previous experience in case management * Intermediate computer skills * Knowledge of Medical Aids * SAP experience will be advantageous * ICD & CPT Coding would be advantageous **Who should apply** Candidates should possess a Grade 12/Matric certificate and an essential Diploma or B Degree in Nursing. They must have at least three years of experience in Private Healthcare, with previous experience in case management and intermediate computer skills. Applicants should have knowledge of Medical Aids and be capable of liaising with patients, medical aids, and various stakeholders, while also managing billing details, costs, and patient care processes. Experience with SAP and ICD & CPT Coding is considered advantageous. **Deadline** 13th October, 2026 **Reference** Original posting: https://www.myjobmag.co.za/job/case-manager-busamed-1 Source: myjobmag
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At a glance
- SAP
Extracted automatically from the advert; confirm requirements on the original listing.
Job description
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