⚡ AUTO-APPLYGOVERNMENT

CASE MANAGER

Department of Health and Wellness

Salary band

R 413 001

Closing date

28 August 2026

Reference

PSC 29/286

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About this role

Department

Department of Health and Wellness

Location

Khayelitsha District Hospital

Salary

R413 001 per annum

Requirements

Minimum educational qualification: Appropriate three-year health related National Diploma/ Degree registrable with the Health Professions Council of South Africa (HPCSA) or South African Nursing Council (SANC). Experience: Appropriate experience in the Managed Health Care sector i.e. Case Management or Medical Aid environment and Revenue Generation. Competencies (knowledge/skills): Knowledge of the Medical Schemes Act 131 of 1998, regulations and annexures as amended. Knowledge of prescribed minimum benefits i.e. the chronic disease list and diagnostic treatment pairs. Basic knowledge of the uniform patient fees schedule and patient billing. Knowledge of and experience in ICD 10 Codes assignment and the ability to link patient diagnosis with procedure codes. Knowledge of Clinicom and EDI 242 (Electronic Data Interchange). Ability to work with Excel spread sheets, Microsoft Word and web based programs (medical aids). Excellent communication, conflict management, interpersonal and leadership skills. Excellent written and verbal communication in at least two of the three official languages of the western cape.

Duties

Perform Case Management functions, i.e. obtaining pre-authorization and verification of benefits as needed, concurrent, retrospective review, discharge planning and provide quotations to H2, H3 and foreign patients. Assist with Medikredit EDI rejection reports and ensure corrections are completed timeously and resubmitted to Medikredit. Liaise with the various role-players e.g. clinicians, managed care organizations and medical scheme case managers to monitor utilisation and update patient’s clinical information while in hospital. Manage and implement case management policies, protocols and procedures in the hospital. Conduct clinical audits of patient accounts inclusive of medical aids, state departments e.g. RAF and COIDA to ensure accuracy of invoices with regard to ICD 10 codes, UPFS procedure codes and resource utilization. Manage and supervise Case Management and Revenue departments.

Enquiries

Ms C.Swartz Tel No: (021) 360-4281

Notes

No payment of any kind is required when applying for this post.

Closing Date

2026-08-28T17:00:00+02:00

Applying for this role through NewGenJobs

NewGenJobs aggregates job listings from South African government sources including PSC Circulars and DPSA, as well as private sector employers across banking, retail, healthcare, and professional services. When you apply through our platform, your application is tracked in your personal dashboard and you are notified of any updates. Completing your profile fully before applying ensures your CV and personal details are submitted correctly every time.

·Read the full job requirements before applying and confirm you meet every minimum qualification listed.

·Tailor your CV to reflect the specific skills and experience mentioned in this advert before submitting.

·Apply before the closing date. Late applications are not accepted by South African employers regardless of the reason.

·If this is a government role, a signed Z83 form is required. NewGenJobs auto-fills this from your saved profile.

About the hiring department

This vacancy is within Department of Health and Wellness. Government departments in South Africa advertise vacancies through the Public Service Commission and are required to follow a standardised recruitment process governed by the Public Service Act. Applications are screened against the minimum requirements listed in the advert before any CV is reviewed by a panel.

Shortlisted candidates are contacted directly by the department. If you do not receive a response within 90 days of the closing date, your application was not successful. NewGenJobs tracks every application you submit through your personal dashboard so you always know where you stand.

Requirements

·Minimum educational qualification: Appropriate three-year health related National Diploma/ Degree registrable with the Health Professions Council of South Africa (HPCSA) or South African Nursing Council (SANC)
·Experience: Appropriate experience in the Managed Health Care sector i
·Case Management or Medical Aid environment and Revenue Generation
·Competencies (knowledge/skills): Knowledge of the Medical Schemes Act 131 of 1998, regulations and annexures as amended
·Knowledge of prescribed minimum benefits i
·the chronic disease list and diagnostic treatment pairs
·Basic knowledge of the uniform patient fees schedule and patient billing
·Knowledge of and experience in ICD 10 Codes assignment and the ability to link patient diagnosis with procedure codes
·Knowledge of Clinicom and EDI 242 (Electronic Data Interchange)
·Ability to work with Excel spread sheets, Microsoft Word and web based programs (medical aids)

Key Duties

·Perform Case Management functions, i
·obtaining pre-authorization and verification of benefits as needed, concurrent, retrospective review, discharge planning and provide quotations to H2, H3 and foreign patients
·Assist with Medikredit EDI rejection reports and ensure corrections are completed timeously and resubmitted to Medikredit
·Liaise with the various role-players e
·clinicians, managed care organizations and medical scheme case managers to monitor utilisation and update patient’s clinical information while in hospital
·Manage and implement case management policies, protocols and procedures in the hospital
·Conduct clinical audits of patient accounts inclusive of medical aids, state departments e
·RAF and COIDA to ensure accuracy of invoices with regard to ICD 10 codes, UPFS procedure codes and resource utilization
·Manage and supervise Case Management and Revenue departments

Before you apply - checklist

Make sure you have everything ready before the closing date.

✓Download and fully complete the official Z83 form - partial or outdated Z83 versions are rejected
✓Prepare a detailed CV listing every previous post with exact start and end dates (month and year)
✓Get certified copies of all qualifications - certification must be done at a police station or commissioner of oaths
✓Include a certified copy of your South African ID document or passport
✓Include your current SANC registration certificate with renewal date
✓Include your current HPCSA registration certificate
✓Be prepared to undergo a criminal record check - a conviction may disqualify you depending on the nature of the post
✓Be prepared for a medical fitness assessment as part of the selection process
✓Submit your complete application package to sechele.o@dbe.gov.za before the closing date - late or incomplete submissions are not considered

How to Apply

⚡ This job supports one-click auto-apply via your Gmail.

✓ Your CV is attached automatically.

✓ You review the application before anything is sent.

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Applying to: sechele.o@dbe.gov.za

Apply with one click

Auto-apply via Gmail. Your CV is attached instantly.

✓Track all your applications

✓POPIA compliant

✓Replies tracked automatically

✓100% free

Frequently asked questions

How do I apply for the CASE MANAGER position at Department of Health and Wellness?+

Applications for this post are submitted by email. Sign up on NewGenJobs, complete your profile, and use the one-click auto-apply feature - we attach your CV and the completed Z83 form (for government posts) and send the application directly to Department of Health and Wellness from your Gmail account. The closing date is 28 August 2026.

What documents do I need to apply for a government post in South Africa?+

Government posts require a completed Z83 application form (the official DPSA form), a detailed CV listing all previous employment with exact dates, and certified copies of your qualifications and ID. NewGenJobs auto-fills the Z83 from your profile. Do not submit original documents - certified copies only. Uncertified copies or incomplete Z83 forms are grounds for immediate disqualification.

What is the salary for the CASE MANAGER position?+

The advertised salary band for this post is R 413 001. This is the all-inclusive remuneration package, which typically covers basic salary, medical aid contribution, and other benefits. The exact split between cash and benefits is determined at appointment stage.

When does the CASE MANAGER application close?+

The closing date for this position is 28 August 2026 - 12 days from today. Late applications are not accepted by South African employers. Submit your application well before the deadline. NewGenJobs sends you a reminder before your tracked jobs close.