Case Manager

Melomed Private Hospitals SA · Cape Town, Western Cape, South Africa

Location
Cape Town
Job Type
fulltime
Posted
June 27, 2026

Job Description


  • Assess patient conditions and needs to develop appropriate care plans

  • Interact with patients and medical aid schemes

  • Resolve patient and medical aid scheme queries

  • Update all information timeously and accurately

  • CPT and ICD coding

  • Obtain doctors letters, motivations, and justifications in all appropriate cases under managed care of where medical aids request them from their hospitals as part of their assessing process

  • Monitor patient admissions and identify those who have limitations, restrictions, place by their managed care/ medical aid structures e.g. length of stay, cost restrictions, fixed fees, per diem and other limiting fees or drugs and/ or formularies

  • Maintain a control system that ens...

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