Wilmed Park Private Hospital
Description
Post Requirements: (include but are not limited to)
• B Degree/Diploma Nursing qualification and/or Case Management qualification will be an advantage. • Diverse clinical nursing experience. • Case Management experience. • ICD 10 / CPT coding qualification or experience. • SAP IS-H experience will be advantageous. • Proficiency in Microsoft Office products. • Continuous Lenmed Training and Development.
Requirements:
Town:
Klersksdorp
Position:
Clinical Case Manager
Starting Date:
November 15, 2025
Date Created:
November 12, 2025
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Duties Include:
Key Performance Areas: (include but are not limited to)
• Responsible for the application of clinical knowledge in justifying patient hospitalization in terms of treatment, length of stay and level of care. • Monitor and action risks related to medical aid benefits and hospitalization. • Ensure accurate specific and comprehensive clinical coding. • Timeous, effective communication and follow-up with medical aids. • Review authorization aspects approved, mitigating financial risk and final releasing of the case for billing. • Liaise with a network of internal and external stakeholders regarding patient treatment. • Adhere to the NHN Managed Health Care rules engagement. • Compliance with all industry relevant legislative acts, regulations and circulars.
Additional Info:
CLOSING DATE
2025/11/14