17 Care Management jobs in South Africa

The Western Cape Government, Department of Social Development has an opportunity for a suitably qualified and competent individual to be responsible for the management of a residential facility in an efficient, effective and economical way in terms of various relevant legislative requirements.

Appropriate 3-year National Diploma/B- Degree (equivalent or higher qualification); A minimum of 3 years middle management level experience in a secure or substance treatment residential care or related environment; A valid (Code B or higher) driving licence. NB: People with disabilities that restrict driving abilities, but who have reasonable access to transport, may also apply.

None.

Effective service delivery in terms of National, Provincial frameworks and International accords / models of residential care standard operating procedures; Ensure effective, efficient and economic use of appropriate funds and physical resources; Effective people management; Operational management of the facility.

Knowledge of the following: Analytic, diagnostic, assessment tools, evaluation methods and processes (Social Worker); Personnel Management; Supervision Framework for Social Workers; Social Work legislation related to children; Social work theory and interventions; Information and Knowledge Management; Protocol and professional ethics.

Skills needed: Organising and planning; Project planning; Psycho social intervention; Communication and language; People management practices; Conflict management; Interpersonal; Report-writing; Computer literacy; Presentation and facilitation; Problem solving and analytical; Client orientation and customer focus.

All-inclusive salary package of R per annum (Salary Level 11)

Note on remuneration: Cost-to-employer (CTE) remuneration packages for certain occupation-specific dispensations (OSD), the middle-management service (MMS) and contract positions are inclusive of all costs related to service benefits or obligations including basic salary, 13th cheque, medical assistance, housing assistance, pension-fund contributions, etc. MMS remuneration packages are flexible and may be individually structured as prescribed. Where remuneration is not indicated as CTE, employees' service benefits or obligations are funded or co-funded in terms of the applicable prescripts or collective agreements.

Shortlisted candidates will be required to submit documentation for verification purposes and criminal record vetting. These candidates will be required to do a practical and attend interviews on a date and time determined by the department and may also be required to undergo competency assessments/proficiency tests. The selection process will be guided by the EE targets of the employing department.

By applying for this position, you are consenting to the Western Cape Government contacting your previous employers/managers for an employment reference. Reference checks will include enquiries relating to your disciplinary records and reasons for leaving.

Should you experience difficulties with your online application, technical support is available from Monday to Friday from 08:00 to Contact the helpline at For all other queries relating to the position kindly contact the enquiries person as indicated in the advert. Please ensure that you submit your application before the closing date as no late applications will be considered.

This position will be based in Durban reporting to the Sales Manager

The successful candidate will be responsible for, but not limited to:

Minimum requirements:

Necessary skills and qualifications required:

About Janie:

Janie is a back office workflow provider that offers medical billing, insurance coordination, and scheduling services to medical groups and practices across the United States. We serve a wide range of medical specialties.

We are seeking talented individuals who are passionate about patient care and making a meaningful impact on people's lives. Our mission is to recruit and train exceptional individuals worldwide to support US medical patients.

About the Position:

This is your opportunity to transition into the healthcare freelancing world Collaborate with onsite medical staff to manage patient scheduling, confirm appointments, and liaise with insurance providers, all while ensuring an excellent patient experience. We offer competitive pay, RAISES, PTO, incentives, health allowances, and more. Don't miss out on this chance to make a difference in healthcare

Primary Responsibilities:

• Answer phone calls and address patient inquiries
• Schedule and confirm appointments
• Pre-screen calls (triage) and direct patients accordingly
• Work with insurance and medical records
• Assist with various administrative tasks as needed

Requirements:

• Fluent in English
• Great personality
• Customer service mindset
• Experience in Healthcare (US)

We are seeking an assertive, highly organized Team Leader to guide a case management team in the healthcare and insurance sector. This role requires someone who is both a strong people manager and a disciplined, results-driven leader someone who ensures cases move forward with precision, urgency, and accountability.

Beyond process oversight, this leader must be able to think critically, apply judgment in complex situations, and actively develop the team through training and coaching.

• Lead, mentor, and evaluate a team of case managers and support staff.
• Drive accountability, ensuring every case is handled accurately, on time, and to the highest standard.
• Act as the primary escalation point for clients, clinics, and insurance providers.
• Design and deliver training to upskill team members and ensure consistent standards.
• Use strategic judgment to resolve issues quickly and effectively, even when clear procedures dont exist.
• Set clear expectations, monitor performance, and provide coaching for continuous improvement.
• Streamline workflows to increase efficiency and client satisfaction.
• Represent the team in client meetings and management reviews with confidence and professionalism.

• 5+ years experience in healthcare administration, insurance verification, or case management.
• 2+ years in a leadership, supervisory, or operations role.
• Proven experience training, coaching, and developing staff.
• Strong knowledge of case management processes, insurance workflows, and compliance requirements.
• Demonstrated success in problem-solving and decision-making under pressure.
• Excellent communication skills, with the ability to influence and guide both clients and staff.

• Proactive, disciplined, and detail-oriented, with a nothing slips through the cracks mindset.
• Thinks strategically, trains effectively, and develops others to reach higher performance levels.
• Confident holding others accountable while motivating them to excel.
• Thrives under pressure and maintains a structured, solution-focused approach in all situations.

We are seeking a driven, detail-oriented, and highly organized Team Leader to oversee a case management team within the healthcare and insurance space. The ideal candidate is proactive, strategic, and accountable, with proven experience managing people and processes in case management, healthcare administration, or insurance operations.

This leader will be responsible for ensuring cases move forward accurately and on time, guiding the team, and serving as the key point of escalation for clients and stakeholders.

• Lead, supervise, and mentor a team of case managers and support staff.
• Oversee the full case management process from intake to resolution ensuring accuracy, compliance, and efficiency.
• Act as the main escalation point for clients, clinics, and insurance providers.
• Establish clear workflows, priorities, and performance standards for the team.
• Conduct quality checks to ensure meticulous handling of cases and documentation.
• Report regularly to management on team performance, case progress, and client satisfaction.
• Train and develop staff to strengthen process knowledge and case handling.

• 5+ years experience in healthcare administration, medical case management, insurance verification, or clinic operations.
• 2+ years in a leadership/supervisory role with responsibility for team performance.
• Strong knowledge of case management systems, insurance processes, and compliance requirements.
• Proven ability to think strategically, solve problems, and make sound decisions under pressure.
• Exceptional attention to detail and organizational skills.
  Excellent communication skills confident, professional, and client-facing.

• Meticulous and proactive, with a natural ability to spot gaps and ensure follow-through.
• Balances hands-on involvement with strategic leadership.
• Motivates others while holding them accountable.
• Thrives in a structured environment and ensures nothing falls through the cracks.

Why Join

• Lead a growing, high-impact healthcare/insurance operations team.
• Opportunity to shape workflows and establish best practices.
• Clear growth path into senior operations or client management roles.

Position Purpose:

To manage the clinical operations to ensure best clinical practice and success is achieved for members and that Service Level Agreements are met in order for the scheme and organisation to remain sustainable and stable

Experience:

8 years experience including:

Medical industry experience in Renal, Mental Health and Alternative to hospital.

4 years medical industry experience.

4 years management experience in medical industry.

Qualifications:

Registered Nurse with professional membership. Post basic qualification in management.

Accountabilities:

Compliance & Risk Management

• Ensure legal and regulatory compliance is upheld.
• Monitor and address operational risks and governance issues.

Financial Management

• Control expenses and identify cost-saving opportunities to meet financial targets.

Operating Model

• Develop and execute operational plans aligned with delivery goals.
• Improve internal processes and resolve operational conflicts.
• Drive performance against service level agreements and quality standards.
• Provide clinical oversight and manage clinical risks and outcomes.

Strategy Implementation

• Translate departmental business plans into actionable team strategies.
• Implement changes in response to external factors while maintaining best practices.
• Align team plans with Medscheme's strategic direction.

Operational Leadership

• Build and retain high-performing, motivated teams.
• Manage team performance and support staff development.
• Promote diversity and uphold Medscheme values.

Stakeholder Management

• Maintain strong relationships with customers and stakeholders.
• Address stakeholder needs and ensure effective treatment outcomes.
• Respond to queries from bodies like the Council of Medical Schemes and Marketing.

Generic Objectives

Specific Deliverables

Operational Leadership

• Select, retain and grow high performing teams
• Create highly motivated and engaged operating environments

Stakeholder Management

• Ensure stakeholder queries, clinical needs and amendments are implemented to maintain a successful relationship and ensure maximum effectiveness of treatments paid for
• Resolve queries and provide feedback for stakeholders such as the Council of Medical Schemes, Marketing and fund management

Operating Model

• Track and drive team to achieve and maintain defined service level agreements and turnaround times at the defined and approved quality standards
• Evaluate, enhance and implement processes and systems to improve profitability, effectiveness and organisational risk
• Provide clinical management, support and analysis where appropriate
• Analyse, assess and manage clinical outcomes and risks

Knowledge

-Understand and demonstrate agile development life cycles

-Knowledge and application of relevant legislation

Skills

• Ability to manage Clinical and Financial risks effectively
• Communication Skills
• Innovates and Takes Risks
• Task Management
• Executive Business Writing Skills
• Financial Acumen
• Neural Network Architecture
• Change Management
• Ability to evaluate clinical challenges and needs
• Quality Driven
• Computer Technology Skills

Turnaround Time

The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of line managers.

Our Commitment to Transformation

AfroCentric is committed to transformation and embracing diversity. Our Employment Equity plan and targets will be considered as part of the recruitment process. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create

Should you not receive feedback within a month of applying, please consider your application unsuccessful

?Assessment on all applications for dispute resolution to determine jurisdiction.

?Identification of issues in dispute in terms of Section 39 of the CSOS Act.

?Prepare Notice 43 and 44 in terms of the CSOS Act.

?Facilitate submissions received from various interested parties in terms of Section 44 of the CSOS Act.

?Set the matter down for a Conciliation hearing in terms of Section 47 of the CSOS Act.

?Prepare file for Conciliation hearing.

?Managing and capturing reports on case management system in the division.

?Assist with telephone complaints as well as walk-in applicants.

?Provide weekly feedback to complainants.

?Prepare monthly reports on all matters.

?Maintain diary of all matters.

?Assist with ad hoc administrative support and duties within the division.

?Degree in Law (NQF 7).

?2 ? 3 Years experience in Dispute Resolution processes or the legal environment,

?Knowledge of the Dispute Resolution process and Community Schemes.

?Deadline focused.

?Strong work ethic.

?Team player.

?Knowledge of computerized telephone management system.

?Basic administrative functional knowledge (typing and filing).

Position Purpose:

To lead the team and drive end to end processes in order to deliver a customer-centric business environment. Ensure that the operational area is aligned to Medscheme and client schemes strategic objectives. Provide holistic care that is personalised and accessible, managing the journey end to end. Commit to our service care charter striving to continuously make a positive difference.

Experience:

2 - 3 Years Operational experience and 2 years management experience advantageous

2 years Leadership experience

1 year Experience in Quality Assurance, Workforce Planning and Recruitment

Qualifications:

Diploma in General Nursing and a Degree/Diploma in ICU

Compliance and Risk Management

• Defined legal, statutory and regulatory compliance is appropriately implemented and maintained at the required standards for the team

• Implemented team operational risk and governance structures, measures and frameworks are monitored and necessary action is taken to address issues, when necessary

Financial Management

• Manage expenses and costs and identify cost saving opportunities to support the department in achieving its financial goals and targets

Operating Model

• Implement team operational plans and manage that the defined delivery objectives are met through supporting, and being supported by other teams within and linked to the department / project

• Identify opportunities to improve the team's core operational internal processes and internal supply chain

• Resolve team operational conflicts

• Ensure delivery targets/objectives are met and motivate the team to operate in a mutually supportive manner to achieve successful delivery

Operational Implementation of Strategy

• Plan and implement daily, weekly and/or quarterly operational changes within the team to respond to important external influences

• Ensure relevant sections of the business plan are implemented in a manner that supports operational quality and meets the defined departmental priorities

• Communicate the relevant sections of the team operational plan to facilitate buy-in of the employees

• Ensure implementation of workplans in a way that maintains operational best practice and leads to continuous delivery improvement

Operational Leadership

• Manage the operational performance of the team as per HR frameworks and policies to ensure delivery to agreed standards and objectives

• Provide appropriate staff development, coaching and mentoring and retain skilled and engaged employees within the team and Medscheme

• Support transformation through valuing diversity within the team and department

• Behave in alignment with the Medscheme values

Stakeholder Management

-We are looking for a dynamic and results-driven leader to join our team, someone who can drive operational excellence, stakeholder engagement, and strategic delivery. The ideal candidate will ensure legal, statutory, and regulatory compliance is upheld, while implementing effective risk and governance frameworks. You will manage departmental expenses, identify cost-saving opportunities, and support financial targets. This role requires strong operational leadership, including the implementation of team plans, resolution of conflicts, and continuous improvement of internal processes. You will lead daily, weekly, and quarterly operational changes aligned with business priorities, ensuring best practices and consistent delivery. A key part of the role involves managing team performance, coaching and mentoring staff, fostering diversity, and creating a safe, engaging work environment. You will build and maintain strong relationships with internal and external stakeholders, address concerns professionally, and collaborate across departments to ensure timely resolutions. Additional responsibilities include onboarding new employees, maintaining quality standards, supporting ISO and compliance requirements, conducting performance reviews, and representing business capabilities in governance forums. You will also oversee resource planning, manage service levels, monitor trends, and drive customer satisfaction. Embracing digital transformation and agile methodologies is essential, as is the ability to adapt to changing business needs and ensure continuity during unplanned downtime. If you are passionate about leading teams, driving strategic outcomes, and making a meaningful impact, we invite you to apply.

Generic Objectives

People Leadership:

-Lead and inspire your people and drive team collaboration.

-Develop and support your people growth by focusing on their strengths

and styles.

-Coach and enable team to maximise their potential.

-Empower your people with skills to improve confidence, knowledge and communication

skills.

-Amplify your people's imagination and self

-learning.

-Create a safe and happy working environment that inspires all, adapting to needs of

your people.

-Manage, monitor leave and wellness of your people.

-Recognise and appreciate excellence and team collaboration in real

-time.

Continuous improvement:

-Identify areas of improvement and solving for sustainable solutions through root cause analysis, lean six sigma methodologies

and feedback loops.

-Assist with user acceptance testing and coach your teams through changes.

-Demonstrate excellence in communication and daily

performance management.

Workforce Management:

-Perform Resource planning, forecasting and management across all channels and touch points.

-Manage and plan downtime when required.

-Manage work volume and ensure service levels are met and improved.

Business Continuity Management:

-Understand how to manage business continuity and unplanned downtime.

-Manage incidents and service level

continuity.

Manage and Maintain Operational Content:

-Represent the business capability in the organisation's governance model.

-Collaborate with solution

capabilities and product owners to ensure operational content enables the implementation of all business strategies.

-Manage and maintain consistency

of all Standard Operating Processes and Operational Resources by working collaboratively with capability owners and forums.

-Attend and participate

in all required forums in the governance model, supporting all roles in the business model.

Manage Performance:

-Motivate the team to achieve the organisational goals.

-Manage timelines and priorities to ensure business goals are met.

-Conduct performance reviews and align to frequent coaching.

-Provide exceptional organisation and focus for the team. Conduct performance management.

Recruitment Management:

-Manage and adhere to all recruitment policies and processes.

-Empower and enable new employees ensuring all resources are

ready to ensure a seamless and engaging on boarding.

Relationship Management:

-Collaborate and manage all stakeholders proactively.

-Understand your stakeholders needs.

-Build and establish relationships

at all levels with external partners and internal departments so ensure that timeous resolutions are found to any problems that may arise.

-Develop, maintain and improve consistent client communication and engagements. Be a brand ambassador.

Perception Management:

-Support the business objectives and drive customer satisfaction through the required metrics.

-Monitor trends and provide

possible improvements. Lead the delivery of excellence in customer satisfaction.

Quality Management:

-Manage the implementation of the Quality Management Framework with adherence to standards.

-Empower and drive the ISO and compliance requirements set by the business, monitor and improve.

-Perform quality evaluations for team members and peer to peer

reviews. Understand and drive digital transformation:

-Understand and embrace technology and attributes required in a Digital Environment.

-Empower

the digital agile way of working to optimise efficiencies, improve communication and collaboration.

Knowledge

-Health Care Industry

-Knowledge and application of relevant legislation and regulations

-Knowledge, application and improvement of policies and procedures

Turnaround Time

The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of line managers.

Our Commitment to Transformation

AfroCentric is committed to transformation and embracing diversity. Our Employment Equity plan and targets will be considered as part of the recruitment process. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create

Should you not receive feedback within a month of applying, please consider your application unsuccessful

Job Description: K3 SAP Healthcare Consultant on Patient Management & Patient Billing
(Full-time, dedicated position) (Prev I.S.H. and )

Position Overview

We are seeking an experienced K3 SAP Healthcare (PM & BP) Consultant to join our SAP team. In this role, you will specialize in implementing, configuring, and optimizing SAP's Industry Solution for Healthcare and its medical extension for hospital and clinical environments. You will collaborate with cross-functional teams to integrate these modules with other SAP components and external systems, ensuring seamless operations in patient administration, clinical workflows, and resource management. This position requires deep expertise in healthcare industry standards and the ability to deliver solutions that enhance patient care efficiency while complying with regulatory requirements.

The ideal candidate will have hands-on experience in SAP healthcare implementations, with a focus on process design, system configuration, and stakeholder engagement. This is a full-time role based in Gauteng.

Key Responsibilities

Requirements Gathering and Analysis
: Conduct customer workshops to gather business requirements, perform gap analysis, and design solutions aligned with best practices and healthcare industry standards.

System Configuration and Implementation
: Provide extensive hands-on functional configuration in SAP Healthcare (PM & PB) modules, including clinical workstation, service management, Computerized Physician Order Entry (CPOE), electronic Medication Administration Record (eMAR), pharmacy, and Materials Management (MM) integration.

Integration Expertise
: Manage integrations between said modules and other SAP modules (e.g., FI/CO, SD, MM) as well as external healthcare systems like Laboratory (LAB) and Radiology (RAD) subsystems.

Development and Testing
: Create detailed functional specifications for ABAP development objects, conduct unit testing, and support end-to-end system testing to ensure reliability and performance.

Project Delivery and Support
: Lead or contribute to multiple SAP Healthcare implementations, including strategy influence, process optimization, and post-go-live support. Troubleshoot issues, train end-users, and ensure compliance with healthcare regulations.

Training:
Creation of Training documentation and presenting the training to the superusers or end users.

Documentation and Innovation
: Develop comprehensive documentation for system design, configurations, and processes. Stay updated on SAP innovations like Smart-UI, EMR, and Fiori for mobile applications to enhance solution adaptability.

Required Qualifications

Education:
Bachelor's degree in Computer Science, Information Technology, Healthcare Management, or a related field.

Experience:

5+ years in SAP consulting, with at least 3 years focused on SAP Healthcare implementations (configuration) in healthcare settings.

Proven track record of delivering multiple SAP Healthcare solutions, including integration with clinical systems.

Technical Skills:

Deep knowledge of SAP Healthcare core functionalities.

Expertise in SAP integration tools and methodologies; familiarity with ABAP development is a plus.

Experience with healthcare-specific processes and standards (e.g., HL7 interfaces, regulatory compliance).

Soft Skills:

Strong analytical and problem-solving abilities; excellent communication for workshops and stakeholder management; ability to work in fast-paced, project-driven environments.

Certifications:

SAP Certified Application Associate in SAP Procurement or equivalent; additional qualifications in SAP Healthcare or related modules preferred.

Preferred Qualifications:

Knowledge of emerging SAP technologies such as SAP S/4HANA for healthcare.

Project management experience (e.g., PMP certification) for leading small teams.

If you qualify and is interested, please send: Updated CV, certifications, availability, location, k-level, hourly rate and RSA ID to before Wednesday, 8 October. Please note only shortlisted candidates will be contacted. No communication via Whatsapp and Linkedin. E-mail only. Contractors to be appointed directly on Gijima payroll and not via a 3rd party company.