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  • Posted: Oct 13, 2026
    Deadline: Not specified
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  • Busamed is a proudly South African private hospital group offering friendly, cost-effective and innovative healthcare service in a safe and caring environment. Technology and principles of evidence-based practices are applied to provide appropriate medical and nursing care to achieve the best clinical outcomes in partnership with key stake holders.


     

    Case Manager

    Summary

    • The Case Manager will be responsible for the liaison between the patient and medical aids to secure payment for the hospital.

    Requirements

    • Grade 12/Matric
    • Diploma in Nursing or B Degree Nursing Qualification is essential

    Work Experience

    • Three or more years of experience in Private Healthcare
    • SAP experience will be advantageous
    • Previous experience in case management
    • Intermediate computer skill
    • ICD & CPT Coding would be advantageous
    • Knowledge of Medical Aids

    Knowledge

    • Ensure all the relevant details on Hospital Billing System are updated and are 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 Organisations 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 the patient care treatment
    • Assist with the transfer of patients to Rehab Hospital or step-down facilities
    • Liaise 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

    Deadline:13th October,2026

    Check how your CV matches this job

    Method of Application

    Interested and qualified? Go to Busamed on careers.busamed.co.za to apply

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