Case Manager

About the role

The Department of Health and Wellness (Western Cape) is hiring a Case Manager in Rural Health Services, based in Paarl Hospital. This is a permanent post, paying R413,001 a year. How to apply: Applications are submitted online via www.westerncape.gov.za/health-jobs (click “online applications”). Closing date: 20 November 2026, 17:00PM Use the new Z83 form and attach a detailed CV. Note: No payment of any kind is required when applying for this post.

Responsibilities

• Maintain efficient and effective communication with all role players to ensure full settlement of accounts.
• Evaluate and monitor ICD 10 coding for externally funded patients.
• Interpret and implement Case Management policies, protocols and procedures efficiently and effectively.
• Coordinate the workflow processes between clinical and admin personnel.
• Managerial/Supervisory functions.

Requirements

• Minimum educational qualification: A qualification at NQF level 7 or equivalent that allows registration with the Health Professions Council of South Africa (HPCSA) and/or South African Nursing Council (SANC) and/or South African Pharmacy Council (SAPC).
• Experience: 3 Year’s relevant experience.
• Competencies (knowledge/skills): Knowledge of the Medical Schemes Act 131 of 1998, regulations and annexures as amended and basic knowledge of the uniform patient fees schedule and patient billing.
• Knowledge of prescribed minimum benefits i.e. the chronic disease list and diagnostic treatment pairs and knowledge of and experience in ICD 10 Codes assignment, the ability to link patient diagnosis with procedure codes and knowledge of Clinicom and EDI (Electronic Data Interchange).
• Ability to work with Excel spread sheets, Microsoft Word and web-based programs (medical aids).
• Good communication, conflict management, interpersonal and leadership skills.