Clinical Case Manager - Durban at Ntice Sourcing Solutions (Pty) Ltd.
NTICE SOURCING SOLUTIONS (PTY) LTD.
- R Undisclosed
- Permanent Management position
-
Durban (Durban CBD)
- Posted 29 Jun 2026 by NTICE SOURCING SOLUTIONS (PTY) LTD.
- Expires in 34 days
-
Job 2641527 - Ref 67814
About the position
A well-established medical practice situated in Berea near St Augustine's Hospital in Durban, is currently looking for an experienced Clinical Case Manager to join their friendly and professional team.
Introduction
The Case Manager utilising clinical knowledge and expertise, mitigates financial risk through comprehensive and accurate coding of hospital events, communication with funders on justification for hospitalisation level of care and length of stay.
Duties & Responsibilities
Responsible for application of clinical knowledge in justifying patient hospitalisation in terms of treatment, length of stay and level of care.
- Monitor and action risk related to medical aid benefits and hospitalisation.
- Ensure accurate, specific, and comprehensive clinical coding
- Timeous, effective communication and follow up with medical aids.
- Review authorisation aspects approved, mitigating financial risk and final releasing the case for billing.
- Liaise with a network of internal and external stakeholders regarding patient treatment.
- Adhere to the NHN Managed Health Care rules of engagement.
- Compliance with all industry relevant legislative acts, regulations, and circulars
Desired Experience & Qualification
ESSENTIAL QUALIFICATIONS INCLUDE:
- Case Management qualification AN ADDED ADVANTAGE
- Case Management experience
- ICD-10 / CPT Coding Qualification And/or Experience
- Clinic Manager Software experience advantageous
- Proficiency in Microsoft Office products
Desired Skills:
NTICE SOURCING SOLUTIONS (PTY) LTD.
About the agency
Ntice Sourcing Solutions is a recruitment solutions provider placing professionals across EMEA within all key business functional areas. These business functional areas include: IT, Engineering /Technical, Accounting & Finance, Sales & Marketing, Human Resources, Training and Development, Supply Chain/Procurement, Production and Operations.
Our team is made up of experienced specialist recruiters who are extremely knowledgeable within their chosen field. Our consultants have spent years growing their client and candidate networks which allows them to match candidates to clients quickly. We pride ourselves in ensuring we understand the client brief and focus on placing candidates in companies where they thrive and fit the culture of the business.
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