Circular 29 of 2026 · Post 29/287
CASE MANAGER
Western Cape Department of Health and Wellness
- CentreHead Office, Cape Town (Metropole Managed Healthcare)
- ProvinceWestern Cape
Job details
- Circular
- 29 of 2026
- Page No.
- 12
- Circular Post
- 29/287
- Department
- Western Cape Department of Health and Wellness
- Province
- Western Cape
- Centre
- Head Office, Cape Town (Metropole Managed Healthcare)
- 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 Head Office, Cape Town (Metropole Managed Healthcare).
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: An Appropriate three-year health related National Diploma/Degree or equivalent registrable with the Health Professions Council of South Africa (HPCSA) or South African Nursing Council (SANC).
- Experience: Appropriate experience in Case Management/Medical Aid Environment or Revenue Generation.
- Appropriate experience in ICD-10 Code assignment and the ability to link patient diagnosis with procedural codes.
- Inherent requirements: Willingness to travel and spend long periods away from the office.
- A valid Code 08 Driver’s Licence.
- Competencies (knowledge/skills): Good knowledge of the Uniform Patient Fees Schedule (UPFS)and or other tariff structures, Managed Health Care or Hospital Information Systems and EDI (Electronic Data Interchange).
- Knowledge of the Medical Schemes Act 131 of 1998 and the application of Prescribed Minimum Benefit (PMB) legislation i.e. the Chronic Disease List (CDL) and Diagnostic Treatment Pairs (DTP).
- Ability to work with Excel spread sheets, Microsoft Word and web-based programs (medical aids).
Duties
- Assist various institutions with clearing of externally funded revenue back logs related to ICD-10 code assignment, UPFS assignment and the management of PMB conditions.
- Assist various Hospital Fees Departments with follow-up of outstanding medical scheme and state department balances and account queries.
- Conduct clinical audits of patient accounts to ensure accuracy of invoices for submission to medical aids and state departments.
- Perform operational Case Management functions at various institutions inclusive of preauthorisation and clinical review to ensure compliance with Case Management policies and procedures.
- Assist with EDI rejections to ensure timeous submission of medical scheme invoices.
- Provide quotations to H2, H3 and Foreign patients.
- Assist with the implementation of departmental case management policies and procedures by providing onsite skills development and training of relevant role players in matters relating to Case management.
- Supervision and development of staff to ensure fully functional effective staff able to meet performance targets.
Enquiries
Ms L Ismail at (069) 245-5927
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. This post will not be linked to any of the Occupational Specific Dispensations.
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 : Head Office, Cape Town (Metropole Managed Healthcare)
REQUIREMENTS : Minimum educational qualification: An Appropriate three-year health related National Diploma/Degree or equivalent registrable with the Health Professions
Council of South Africa (HPCSA) or South African Nursing Council (SANC).
Experience: Appropriate experience in Case Management/Medical Aid
Environment or Revenue Generation. Appropriate experience in ICD-10 Code assignment and the ability to link patient diagnosis with procedural codes.
Inherent requirements: Willingness to travel and spend long periods away from the office. A valid Code 08 Driver’s Licence. Competencies (knowledge/skills):
Good knowledge of the Uniform Patient Fees Schedule (UPFS)and or other tariff structures, Managed Health Care or Hospital Information Systems and
EDI (Electronic Data Interchange). Knowledge of the Medical Schemes Act 131 of 1998 and the application of Prescribed Minimum Benefit (PMB) legislation
i.e. the Chronic Disease List (CDL) and Diagnostic Treatment Pairs (DTP).
Ability to work with Excel spread sheets, Microsoft Word and web-based programs (medical aids).
DUTIES : Assist various institutions with clearing of externally funded revenue back logs related to ICD-10 code assignment, UPFS assignment and the management
of PMB conditions. Assist various Hospital Fees Departments with follow-up of outstanding medical scheme and state department balances and account
queries. Conduct clinical audits of patient accounts to ensure accuracy of invoices for submission to medical aids and state departments. Perform
operational Case Management functions at various institutions inclusive of preauthorisation and clinical review to ensure compliance with Case Management policies and procedures. Assist with EDI rejections to ensure timeous
submission of medical scheme invoices. Provide quotations to H2, H3 and
Foreign patients. Assist with the implementation of departmental case management policies and procedures by providing onsite skills development
and training of relevant role players in matters relating to Case management.
Supervision and development of staff to ensure fully functional effective staff able to meet performance targets.
ENQUIRIES : Ms L Ismail at (069) 245-5927
NOTE : No payment of any kind is required when applying for this post. This post will not be linked to any of the Occupational Specific Dispensations.