Clinix Health Group (Pty) Ltd is hiring two Case Managers at Dr SK Matseke Memorial Private Hospital. Permanent healthcare roles focused on clinical coding, case management, and reimbursement coordination.
Healthcare professionals with clinical coding and case management experience now have an opportunity to join Clinix Health Group (Pty) Ltd, which is currently recruiting two Case Managers for permanent positions. The roles are based at Dr SK Matseke Memorial Private Hospital and fall within the finance division of the hospital.
This opportunity is suited for qualified nurses with experience in hospital case management who are interested in combining clinical knowledge with financial coordination and patient care optimization. The successful candidates will play a critical role in ensuring accurate clinical coding, effective patient case management, and timely reimbursement from funders.
Role Overview
The Case Manager position focuses on planning, coordinating, and executing case management activities at hospital level. The role requires a strong understanding of clinical processes, coding standards, and healthcare funding mechanisms. The incumbent will utilize clinical expertise to minimize financial risk for the hospital while ensuring accurate billing and proper documentation of patient care.
This role bridges clinical services and financial administration, ensuring that patient treatment is appropriately documented, coded, and communicated to funders. By doing so, the Case Manager supports efficient hospital operations and enhances revenue cycle management.
Key Responsibilities
Case Managers will be responsible for coordinating clinical coding processes in accordance with organizational standards and protocols. This includes ensuring accurate and complete diagnostic and procedural coding for all patient records. Correct coding is essential for billing accuracy and reimbursement from medical funders.
The role also requires close liaison with reception staff to obtain necessary authorizations for patient admissions and treatments. Maintaining compliance with case management procedures, standards, and protocols is a critical aspect of the job.
Another important responsibility involves communicating with funders such as medical aids, compensation bodies, and government institutions. Case Managers must provide clinical information to update funders on length of stay, level of care, diagnostic procedures, therapy interventions, and any changes in treatment plans.
Daily consultation with healthcare providers forms part of the role. Case Managers will work closely with doctors, nurses, and allied healthcare professionals to monitor patient progress and ensure that treatment aligns with funder requirements. This coordination ensures that care is clinically appropriate while remaining financially sustainable.
The position also involves managing patient accounts to facilitate reimbursement. Case Managers must ensure that accounts are correctly categorized and finalized within required timelines. This includes minimizing work in progress (WIP) and discharged-not-yet-billed (DNYB) cases.
Additionally, the incumbent will follow established escalation processes when funders decline payment. By addressing payment challenges proactively, Case Managers help minimize financial risk and ensure smooth revenue flow for the hospital.
Qualifications and Experience
Candidates applying for the Case Manager role must hold a Nursing Diploma and be registered as a professional nurse. Clinical knowledge is essential, as the position requires interpretation of patient treatment and medical documentation.
Applicants must also demonstrate knowledge of ICD coding and CPT coding systems. These coding frameworks are vital for accurate classification of diagnoses and procedures.
The role requires three to five years of experience as a hospital case manager. This experience ensures that candidates are familiar with healthcare funding systems, patient case coordination, and clinical documentation requirements.
Skills and Competencies
The ideal candidate should possess strong analytical and organizational skills. Attention to detail is critical, particularly when handling clinical coding and financial documentation.
Communication skills are equally important. Case Managers must interact with healthcare professionals, funders, and administrative staff. The ability to convey clinical information clearly and accurately supports effective coordination.
Candidates should also demonstrate problem-solving abilities, as they may need to address reimbursement challenges and manage complex patient cases. Time management is essential to ensure that cases are finalized within specified targets.
Performance Expectations
Case Managers will be expected to meet organizational targets, including maintaining a maximum of three days for work in progress (WIP) and discharged-not-yet-billed (DNYB) cases. Meeting these targets helps ensure efficient revenue cycle management and reduces delays in reimbursement.
The role also emphasizes minimizing financial risk through effective management of patient hospitalization. Accurate coding, timely communication, and proper documentation contribute to achieving this objective.
Why Apply for This Role?
Joining Clinix Health Group provides healthcare professionals with an opportunity to work in a structured hospital environment focused on quality patient care and operational excellence. The Case Manager role allows nurses to expand their expertise beyond bedside care into healthcare administration and financial coordination.
This position offers career growth for professionals interested in revenue cycle management, clinical auditing, and healthcare operations. The experience gained in this role can open doors to senior case management or hospital administration positions.
Application Details
- Position: Case Manager (2 vacancies)
- Company: Clinix Health Group (Pty) Ltd
- Location: Soweto, Gauteng
- Facility: Dr SK Matseke Memorial Private Hospital
- Employment Type: Permanent
- Posted Date: 23 March 2026
- Closing Date: 07 April 2026
- Industry: Hospital and Healthcare
Healthcare professionals who meet the requirements are encouraged to apply before the closing date. These roles offer an opportunity to contribute to patient care coordination while supporting efficient hospital financial management.
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