Case Management Supervisor at Gauteng Department of Health

Requirements :

• Applicant must be in possession of Grade 12 Certificate and a three (3) year appropriate Degree/Diploma in a Health-Related Field. 3 – 5 years relevant experience in a clinical field.
• Knowledge of legal frameworks i.e.: Health Act, PFMA, Medical Schemes Act, PMB regulations, UPFS, Administration Procedure Manual, ICD 10 Coding and Procedure coding. Customer literacy (Microsoft Office Suite, Ms Word, Ms Excel).
• Must be a driven, customer focused individual with excellent planning, organizing communication (verbal and written) and reporting skills. Must have good interpersonal relations and training skills. Must be able to work under pressure.

Duties :

• Application of clinical knowledge in the risk management (financial and clinical) of patients in terms of Length of Stay (LOS), Level of Care (LOC), clinical updates, ICD 10 Coding, procedure coding and cost benefits available, identification of billable services, treatment care plans, chronic disease case management and discharge planning.
• Communicate with funders, Patient and Multidisciplinary Health Care Team. Oversee pre – admission management of patients (confirmations and authorizations) audit patient’s accounts, train hospital officials on the utilization of charge sheet, and keep electronic and physical records. Ensure compliance to regulations, prescripts and policies of the department. Manage performance and development of staff.

Closing Date : 14-08-2026