About this role
Mediclinic George | George | South Africa Closing date: 06/11/2026 Number of positions: 1 Recruiter name: Johanna Boshoff Reference number: 74833 Workplace Type: On-site Permanent Please note if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profile MAIN PURPOSE OF JOB To coordinate the hospital case management process and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimise the financial risk for the organisation. KEY RESPONSIBILITY AREAS Minimise financial risk by effectively managing patient stay Ensure compliance to case management procedures, contracts and legal aspects by utilising available resources and systems Ensure correct and timeous finalisation of cases to facilitate reimbursements from funders of claims Consistently and timeously communicate with Funders as contractually agreed through the relevant case management channels Ensure clinical coding standards are adhered to as per Level 3 coding guideline Lead and manage the people in the Case Management team (if applicable)
REQUIRED EDUCATION ESSENTIAL EDUCATION
Clinical qualification
DESIRED EDUCATION
Registered Nurse / Professional Nurse or qualified Paramedic
REQUIRED EXPERIENCE ESSENTIAL MINIMUM EXPERIENCE
Minimum of 3 years in a clinical role
DESIRED EXPERIENCE
Experience in Theatre and or ICU; Medical aid background; Experience in private healthcare environment or experience as an ILS/ALS Paramedic REQUIRED JOB SKILLS AND KNOWLEDGE Anatomy (including terminology) Funder Contracts; Medical aid requirements/narrations Patient admin programmes on the AS400 system Scientific nursing principles and process Computer literate (Microsoft Office) Authorisation and motivation of Level of Care; Length of Stay; Short Payments etc. Relevant aspects of applicable statutory acts (e.g. Consumer Protection Act; PMB; etc.) Patient Administration policies and procedures (e.g. Patient Confidentiality; Visitation of external case managers; etc.) Daily workflow; managing deviances; coding; and case management processes Application of clinical codes and finalisation thereof All applicants will be considered, with the understanding that preference will be given in accordance with the Employment Equity Plan of Mediclinic Southern Africa, as well as internal applicants/employees that meet the minimum requirements. Please note if you are an internal employee on a fixed term contract please apply using an external candidate profile and not your employee profile