Case Manager (x2) – Clinix Health Group | Sebokeng, Gauteng

March 2, 2026 admin CLINIX HEALTH GROUP JOBS 0

Location: Sebokeng, Gauteng
Facility: Naledi Nkanyezi Private Hospital
Job Type: Permanent
Closing Date: 09 March 2026
Industry: Hospital & Healthcare / Finance
Experience Level: Associate
Reference: Case Manager – Sebokeng

About the Company

Clinix Health Group is a leading private healthcare provider in South Africa, offering high-quality clinical care supported by strong governance, financial sustainability, and patient-centred service delivery. The group operates multiple hospitals nationally and is committed to clinical excellence, ethical practices, and operational efficiency.

Position Overview

Clinix Health Group is recruiting two (2) Case Managers to be based at Clinix Naledi Nkanyezi Private Hospital in Sebokeng. Reporting to the Patient Services Manager, the Case Manager will be responsible for planning, coordinating, and executing hospital-level case management activities.

This role combines clinical expertise and financial risk management, ensuring accurate clinical coding, effective funder communication, and timely billing to support optimal reimbursement and patient care outcomes.

Key Responsibilities

Case Management & Clinical Coding

  • Plan, coordinate, and execute case management processes at hospital level
  • Perform accurate diagnostic and procedural coding in line with CHG standards
  • Apply IDC and CPT coding accurately and consistently
  • Ensure complete and compliant coding of all patient records
  • Maintain patients’ clinical status records throughout hospitalisation

Funder Liaison & Financial Risk Management

  • Liaise with reception for patient authorisations
  • Communicate timeously with Funders (Medical Aids, COID, Government, RAF, DOL, etc.)
  • Provide clinical information to update Length of Stay, Level of Care, formulary use, assistive devices, diagnostics, and interventions
  • Ensure correct categorisation and management of patient accounts for reimbursement
  • Finalise cases accurately and timeously to facilitate payment
  • Minimise financial risk through effective management of patient hospitalisation
  • Follow approved escalation processes for declined funder payments

Clinical Collaboration & Compliance

  • Consult daily with healthcare providers regarding patient treatment plans
  • Ensure compliance with case management procedures, standards, and protocols
  • Maintain group and facility targets for WIP (Work in Progress) and DNYB (Discharged Not Yet Billed) within 3 days

Minimum Requirements

  • Diploma in General Nursing
  • Advanced Certification in Intermediate Coding
  • Proven competence in IDC and CPT coding
  • 3–5 years’ experience as a Hospital Case Manager
  • Strong understanding of hospital billing and reimbursement processes

Core Competencies

  • Strong clinical knowledge applied to financial risk management
  • High attention to detail and accuracy
  • Excellent communication and stakeholder engagement skills
  • Ability to work under pressure in a hospital environment
  • Strong organisational and time-management skills
  • Analytical and problem-solving ability
  • Commitment to compliance and ethical healthcare practices

Why Join Clinix Health Group?

  • Permanent opportunity within a respected private healthcare group
  • Work in a structured hospital finance and patient services environment
  • Opportunity to apply clinical expertise beyond bedside nursing
  • Collaborative multidisciplinary healthcare setting
  • Commitment to professional growth and operational excellence

POPIA Compliance

By applying for this position, you consent to Clinix Health Group processing your personal information for recruitment purposes in accordance with the Protection of Personal Information Act (POPIA).

How to Apply

Interested candidates should apply through the official Clinix Health Group careers platform before 09 March 2026.

APPLY HERE

If you do not receive feedback within a reasonable period after the closing date, please consider your application unsuccessful.

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