CASE MANAGER is a South African government vacancy at Western Cape Department of Health and Wellness. This job is part of Circular 19 of 2026 from the DPSA. centre: Groote Schuur Hospital, Observatory | closing date: 22 June 2026. Use this page to review the requirements, duties, application instructions and official source links before applying.
Job details
Applications
Where to send your application.
Applications are submitted online via www.westerncape.gov.za/health-jobs (click “online applications”).
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 Case Management/Medical Aid Environment.
- Appropriate experience in ICD 10 codes assigned.
- Appropriate experience in liaison with medical aid (funders) and managed care organisations with regards to MHC policies, protocols, optimal fund utilisation and updated clinical information.
- Competencies (knowledge/skills): Knowledge of the Uniform Patient Fees Schedule, Hospital Information Systems and EDI (Electronic Data Interchange).
- Knowledge of Medical Aid Act 131 of 1998 and the application of Prescribed Minimum Benefit (PMB) legislation i.e. the Chronic Disease List (CDL) and the Diagnostic Treatment Pairs (DTP).
- Ability to work with MS Excel and Web-based Programmes (medical aids).
- Ability to link patient diagnosis with procedure codes.
- Good communication skills (verbal and written).
Duties
- Conduct clinical audits of Medical Aids and State Department, eg.
- RAF and COIDA to ensure accuracy of invoices.
- Co-ordinate the workflow process between clinical and admin personnel supporting various role players within the hospital wrt ICD-10 codes, prescribed minimum benefits and account queries.
- Implement Case Management policies, protocols and procedures within the hospital.
- Perform hospital Case Management functions wrt authorisation, benefit management, and review of clinical information for externally funded clients.
- Provide quotations to privately funded and foreign patients and compile statistical reports.
- Relief colleagues.
- Relief colleagues.
- Supervision of staff and liaison with relevant role players in matters relating to Case Management.
Enquiries
Mr TJ Langenhoven Tel No: (021) 404-2358
Notes
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.
Original Text
SALARY : R413 001 per annum
CENTRE : Groote Schuur Hospital, Observatory
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 Case Management/Medical Aid Environment.
Appropriate experience in ICD 10 codes assigned. Appropriate experience in liaison with medical aid (funders) and managed care organisations with regards
to MHC policies, protocols, optimal fund utilisation and updated clinical information. Competencies (knowledge/skills): Knowledge of the Uniform
Patient Fees Schedule, Hospital Information Systems and EDI (Electronic Data
Interchange). Knowledge of Medical Aid Act 131 of 1998 and the application of
Prescribed Minimum Benefit (PMB) legislation i.e. the Chronic Disease List
(CDL) and the Diagnostic Treatment Pairs (DTP). Ability to work with MS Excel and Web-based Programmes (medical aids). Ability to link patient diagnosis
with procedure codes. Good communication skills (verbal and written).
DUTIES : Conduct clinical audits of Medical Aids and State Department, eg. RAF and
COIDA to ensure accuracy of invoices. Co-ordinate the workflow process between clinical and admin personnel supporting various role players within
the hospital wrt ICD-10 codes, prescribed minimum benefits and account queries. Implement Case Management policies, protocols and procedures
within the hospital. Perform hospital Case Management functions wrt authorisation, benefit management, and review of clinical information for
externally funded clients. Provide quotations to privately funded and foreign patients and compile statistical reports. Relief colleagues. Relief colleagues.
Supervision of staff and liaison with relevant role players in matters relating to
Case Management.
ENQUIRIES : Mr TJ Langenhoven Tel No: (021) 404-2358
NOTE : No payment of any kind is required when applying for this post.
Official source
This vacancy was imported from DPSA Circular 19 of 2026 for reference.
Disclaimer: 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.