Circular 29 of 2026 · Post 29/286
CASE MANAGER Chief
Western Cape Department of Health and Wellness
- CentreKhayelitsha District Hospital
- ProvinceWestern Cape
Job details
- Circular
- 29 of 2026
- Page No.
- 11–12
- Circular Post
- 29/286
- Department
- Western Cape Department of Health and Wellness
- Province
- Western Cape
- Centre
- Khayelitsha District Hospital
- Salary
- R413 001 per annum
- Closing date
- 28 August 2026
About this vacancy
Review the complete requirements and application instructions for this vacancy at Western Cape Department of Health and Wellness.
The listed centre is Khayelitsha District Hospital.
Applications close on 28 August 2026.
Application and salary information
Salary
R413 001 per annum
Application route
Complete submission instructions are provided under How to apply.
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 (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
How to apply
Where and how to submit your application.
Applications are submitted online via www.westerncape.gov.za/health-jobs (click “online applications”).
Notes and Z83 guidance
No payment of any kind is required when applying for this post.
Z83 form: Government job applications usually require the Z83 application form. Download the Z83 application form before applying.
Do you qualify?
Use this private checklist after reviewing the vacancy details and application instructions.
0 of 5 items checked
This checklist is only a guide and does not confirm eligibility. The recruiting department makes the final decision.
Your checklist progress stays in this page only. Nothing is saved, sent or shared, and it clears when you refresh or leave the page.
Official source
This vacancy was imported from DPSA Circular 29 of 2026 for reference.
Disclaimer: SA Gov Jobs is an independent job information service and is not a government department. This vacancy was imported from the official DPSA circular PDF. Please confirm the reference number, closing date, and application instructions in the original circular before applying. View the official DPSA vacancy circulars.
Original Text
SALARY : R413 001 per annum
CENTRE : Khayelitsha District Hospital
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
(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
NOTE : No payment of any kind is required when applying for this post.