Case Manager at Busamed Hospital Group

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

• Ensure all the 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 the 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 the patient care treatment
• Assist with the transfer of patients to the Rehab Hospital or step-down facilities
• Liaise with a network of internal and external stakeholders to ensure that the managed care of patients is maintained
• Work effectively and co-operatively with others to establish and maintain good, mutually beneficial working relationships

Requirements

• Grade 12 or equivalent NQF level 4 qualification
• Diploma in Nursing or B Degree Nursing Qualification

Work Experience

• Three or more years of experience in Private Healthcare
• SAP experience will be advantageous
• Previous experience in stock management
• ICD & CPT Coding would be advantageous

Knowledge

• SAP system Essential
• Intermediate computer skills
• Knowledge of Medical Aids

Deadline:12th May,2026