Case Management Nurse jobs

A leading health care provider in Johannesburg is seeking a Health Care Manager to enhance and manage cost-effective health care services. Responsibilities include educating members on health care benefits, authorising surgical care, and ensuring adherence to best practices. Ideal candidates will have a Matric, a Nursing Diploma, and at least 5 years of managed care experience. This role is...

A healthcare provider in Roodepoort is seeking a Professional Registered Nursing Sister to manage the spending of member funds through clinical interventions. This role requires at least 3 years of nursing experience and a commitment to stakeholder engagement. You will need to manage care service requests and clinical cases with a focus on customer satisfaction and compliance. The candidate...

A healthcare organization in Gauteng is looking for an experienced case manager who can effectively communicate clinical information and minimize financial risk. As a Registered Nurse, you'll need a solid background in case management within the healthcare sector. Responsibilities include ensuring accurate authorization on admissions and conducting daily rounds to update clinical information....

Introduction- Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by using a defined set of health...

Overview STA Personnel Solutions South Africa - We are a global Business Process Outsourcing (BPO) provider based in South Africa, working with a US-based client in the healthcare revenue cycle management space. We are currently looking for a Virtual Healthcare Case Coordinator with experience in Skilled Nursing Facilities (SNFs) to join our team. The successful candidate will be responsible...

ISTA Personnel Solutions South Africa - We are a global Business Process Outsourcing (BPO) provider based in South Africa, working with a US-based client in the healthcare revenue cycle management space. We are currently looking for a Virtual Healthcare Case Coordinator with experience in Skilled Nursing Facilities (SNFs) to join our team. Role Overview: The successful candidate will be...

Registered Nurse (Case Manager) Reference: PE000174-HP -2 The hiring organisation offers a minimum six-month fixed term contract opportunity to an experienced Registered Nurse with private hospital nursing experience. Ideally you will be based in Port Elizabeth, EC but the possibility exists of a candidate being based in Durban, Bellville or Centurion. ROLES AND RESPONSIBILITIES: - Review of...

A healthcare provider seeks a dedicated professional to serve as a Patient Liaison Officer in Rustenburg. The role involves managing patient interactions with external service providers, ensuring high-quality care consistent with benefits. Key qualifications include a Nursing Diploma and experience in case management with SAP knowledge being a plus. Must be registered with the South African...

Job Title: Case Manager Company: Aryxs Health Pty Ltd / The IV Bar Bryanston and The IV Bar BluBird Responsibilities - Communicate on several platforms with a multi-disciplinary team as well as funders externally. - Curator for all outgoing reporting to funders. - Provide appropriate information to Medical aids. - Code all patients. - Assist with final authorisation of patient files. - Control...

Overview A vacancy exists for a Case Manager General Ward based at Life Bay View Private Hospital, reporting to Susan Visser, Patient Services Manager. The successful candidate will be responsible for managing the financial and clinical risks of the patient in a general ward by ensuring accurate coding, clinical updates and accounts submissions of patient hospitalization to achieve strategic...

Job Title: Case Manager (Registered Nurse) Reference: PE000174-HP -2 The hiring organisation offers a minimum six-month fixed term contract opportunity to an experienced Registered Nurse with private hospital nursing experience. Ideally you will be based in Port Elizabeth, EC but the possibility exists of a candidate being based in Durban, Bellville or Centurion. Roles and...

ISTA Personnel Solutions South Africa - We are a global Business Process Outsourcing (BPO) provider based in South Africa, working with a US-based client in the healthcare revenue cycle management space. We are currently looking for a Virtual Healthcare Case Coordinator with experience in Skilled Nursing Facilities (SNFs) to join our team. Role Overview: The successful candidate will be...

A healthcare company is seeking a Registered Nurse with case management experience to ensure effective communication and reduce financial risks. Candidates should have a Grade 12 certificate, be registered with SANC, and possess a working knowledge of ICD-10 and CPT codes. Experience in a private hospital or medical scheme environment is essential. The role involves authorizing admissions,...

Overview To manage the spending of member funds by means of clinical interventions and managed care protocols. Duties & Responsibilities Accountabilities - Manage Care Service Requests - Service all key stakeholders in the moment across all servicing channels as required until the clinical service request has been resolved. - Educate stakeholders on self help digital servicing tools. -...

Overview ISTA Personnel Solutions South Africa is a global BPO partnering with a USA-based healthcare client providing services within Skilled Nursing Facilities (SNFs), post-acute care, and revenue cycle management. We are seeking a Clinical Case Manager with healthcare experience in SNFs, inpatient authorizations, clinical review, and medical billing. This remote role requires a...

A healthcare organization is seeking a Case Manager General Ward based in Cape Town. This role involves managing the financial and clinical risks of patients within the general ward. The ideal candidate will hold a diploma or degree in Nursing, along with current SANC registration. Responsibilities include ensuring accurate coding, monitoring insurance processes, and maintaining effective...

Job Summary To deliver an effective case management process and facilitate the communication process between all role-players by providing accurate and timeous clinical information in order to minimize the financial risk for the company. Minimum Qualifications And Experience - Grade 12. - Registered Nurse, currently registered with SANC. - Certificate in Coding (advantageous). - 3 to 5 years’...

A vacancy exists for a Case Manager General Ward based at Life Wilgers Hospital, reporting to the Patient Services Manager. The successful candidate will be responsible for managing the financial and clinical risks of the patient in a general ward by ensuring accurate coding, clinical updates and accounts submissions of patient hospitalization to achieve strategic objectives. Function Patient...

ISTA Personnel Solutions South Africa - We are a global Business Process Outsourcing (BPO) provider based in South Africa, working with a US-based client in the healthcare revenue cycle management space. We are currently looking for a Virtual Healthcare Case Coordinator with experience in Skilled Nursing Facilities (SNFs) to join our team. Role Overview: The successful candidate will be...

ISTA Personnel Solutions South Africa is a global BPO partnering with a USA-based healthcare client providing services within Skilled Nursing Facilities (SNFs), post‑acute care, and revenue cycle management. Clinical Case Manager This remote role requires a detail‑oriented professional who can manage complex healthcare cases, coordinate with US insurance providers, and ensure compliant billing...