16 Case Management jobs in South Africa

Cape Town, South Africa | Posted on 03/07/2025

We are seeking a seasoned SAP Case Management Developer (Principal Level) with strong development and architecture experience, especially within SAP Public Sector and Real Estate modules. The ideal candidate should have extensive technical experience, preferably in Local Government environments.

Core Responsibilities

• Analyse and translate business requirements into technical solutions
  
• Develop, configure, and enhance SAP Case Management modules
  
• Perform unit testing, integration testing, and debugging of SAP modules
  
• Implement secure programming practices and user role management
  
• Design and maintain technical documentation
  
• Collaborate with SAP RE_FX (especially SAP LUM) and other functional teams
  

Minimum Qualifications

• Developer-specific SAP Certification (all levels accepted)
  

• 8+ years SAP Development Experience
  
• SAP Case Management Programming
  
• Software architecture/design (e.g., DAMS)
  

• Experience in Local Government is highly beneficial
  

• Municipal Acquisition, Disposal & Optimisation of Immovable Property Assets
  
• Generic Case Framework for Public Sector Records Management (PSRM)
  
• SAP RE_FX, specifically SAP LUM
  
• Integration between SAP PSRM, SAP Portal, UI5 Mobile, and BW/4HANA
  
• It is strongly recommended that the candidate resides in Cape Town
  

• Strong problem-solving and analytical thinking
  
• Excellent communication and documentation skills
  
• Ability to work independently and collaboratively within a project team
  

Cape Town, South Africa | Posted on 03/07/2025

We are seeking a seasoned SAP Case Management Developer (Principal Level) with strong development and architecture experience, especially within SAP Public Sector and Real Estate modules. The ideal candidate should have extensive technical experience, preferably in Local Government environments.

Core Responsibilities

• Analyse and translate business requirements into technical solutions
  
• Develop, configure, and enhance SAP Case Management modules
  
• Perform unit testing, integration testing, and debugging of SAP modules
  
• Implement secure programming practices and user role management
  
• Design and maintain technical documentation
  
• Collaborate with SAP RE_FX (especially SAP LUM) and other functional teams
  

Minimum Qualifications

• Developer-specific SAP Certification (all levels accepted)
  

• 8+ years SAP Development Experience
  
• SAP Case Management Programming
  
• Software architecture/design (e.g., DAMS)
  

• Experience in Local Government is highly beneficial
  

• Municipal Acquisition, Disposal & Optimisation of Immovable Property Assets
  
• Generic Case Framework for Public Sector Records Management (PSRM)
  
• SAP RE_FX, specifically SAP LUM
  
• Integration between SAP PSRM, SAP Portal, UI5 Mobile, and BW/4HANA
  
• It is strongly recommended that the candidate resides in Cape Town
  

• Strong problem-solving and analytical thinking
  
• Excellent communication and documentation skills
  
• Ability to work independently and collaboratively within a project team
  

A well-established company is recruiting for a
HOSPITAL BENEFIT MANAGEMENT CASE MANAGER
PRETORIA

Purpose of the position:
To actively manage the clinical appropriateness and risk (both financial and clinical) of all hospital events and associated healthcare services in accordance with the relevant scheme rules, clinical protocols and funding guidelines. To participate in the clinical review of exceptional cases and to engage with various stakeholders including treating providers, hospital case managers, medical advisors and colleagues.

KEY FUNCTIONS:

• Perform Clinical coding in accordance with CPT and ICD requirements and as per client standards
• Maintaining patient's clinical status in accordance with funder approval requirements for the duration of hospitalisation; keeping patients informed and managing the entire hospital stay's financial risk
• Provide complete and accurate updates and discharge information
• Receive hospital updates and assess each case based on clinical information - allocation of appropriate Length of Stay if clinically necessary
• Update Level of Care based on clinical information
• Review the costs to ensure cost effective and necessary care; balance cost and effectiveness of treatment to reduce re-admission
• Investigate and prepare cases for communication to the medical advisors, scheme, providers and members
• Member management of hospitalised patients with Chronic conditions who are registered on the active disease management programmes.
• Facilitation of the chronic and active disease registration of hospitalised beneficiaries who are diagnosed with one or more CDL conditions
• Escalation and resolution of unresolved high-cost cases
• Identification and preparation of high cost / high risk incidents and reported weekly to Clinical Specialist
• Discharge planning
• Communication with and support to Medical Advisors
• Call and written contact with Members and Providers
• Follow up on active cases with service providers relating to funding levels and updates (daily)
• Interpretation of medical reports
• Clinical decision making

ESSENTIAL REQUIREMENTS:

• 3 to 5 years' experience within a managed healthcare or medical scheme environment
• Thorough, well-grounded clinical knowledge of hospital admissions, Length of Stay and Level of Care
• Excellent knowledge of the South African Healthcare industry and prevailing legislation, current coding structures i.e. ICD10's, CPT4, NRPL, PMB conditions and clinical protocols
• Extensive clinical knowledge related to all aspects of patient management.
• Solid understanding of value-based care
• Demonstrated ability to manage a portfolio of hospital cases
• Outcome focused with the ability to manage competing demands
• Establishing and maintaining effective relationships with key stakeholders.
• Ability to accurately update and maintain cases information.
• Excellent telephonic and written communication skills (will be tested)
• Computer literate - MIP/ Medcaps Application System (knowledge/ experience will be advantageous) and MS Office Suite of Products
• Reporting - MS Excel basic knowledge required (will be tested)
• Proficiency in English - verbal and written
• Verbal proficiency in additional languages will be advantageous
• Compassionate and attentive listener - you will need to interact with the family/ loved ones of members with long-stay hospital events
• Demonstrated ability to effectively deal with emotionally charged and stressful situations
• Self-motivator and the ability to work effectively in an independent environment
• Strong organisational and task prioritisation skills
• Outstanding multitasking skills
• Ability to research and analyse information
• High degree of accuracy and attention to detail
• Maintaining confidentiality of information
• Knowledge of medical aid policies and procedures
• Decision making skills
• Following through on commitments
• Flexibility to travel and a valid driver's license
• Hospital case management experience will be advantageous
• Nursing experience in an ICU setting will be a big advantage

Please send your cv and supporting to (Email Address Removed).
If you have not received any feedback within 2 weeks' please assume that your application was not successful

Desired Skills:

• case manager
• hospital benefit management

A well-established company is recruiting for a

HOSPITAL BENEFIT MANAGEMENT CASE MANAGER

PRETORIA

Purpose Of The Position

To actively manage the clinical appropriateness and risk (both financial and clinical) of all hospital events and associated healthcare services in accordance with the relevant scheme rules, clinical protocols and funding guidelines. To participate in the clinical review of exceptional cases and to engage with various stakeholders including treating providers, hospital case managers, medical advisors and colleagues.

Key Functions

• Perform Clinical coding in accordance with CPT and ICD requirements and as per client standards
• Maintaining patient's clinical status in accordance with funder approval requirements for the duration of hospitalisation; keeping patients informed and managing the entire hospital stay's financial risk
• Provide complete and accurate updates and discharge information
• Receive hospital updates and assess each case based on clinical information - allocation of appropriate Length of Stay if clinically necessary
• Update Level of Care based on clinical information
• Review the costs to ensure cost effective and necessary care; balance cost and effectiveness of treatment to reduce re-admission
• Investigate and prepare cases for communication to the medical advisors, scheme, providers and members
• Member management of hospitalised patients with Chronic conditions who are registered on the active disease management programmes.
• Facilitation of the chronic and active disease registration of hospitalised beneficiaries who are diagnosed with one or more CDL conditions
• Escalation and resolution of unresolved high-cost cases
• Identification and preparation of high cost / high risk incidents and reported weekly to Clinical Specialist
• Discharge planning
• Communication with and support to Medical Advisors
• Call and written contact with Members and Providers
• Follow up on active cases with service providers relating to funding levels and updates (daily)
• Interpretation of medical reports
• Clinical decision making
  
  

• 3 to 5 years' experience within a managed healthcare or medical scheme environment
• Thorough, well-grounded clinical knowledge of hospital admissions, Length of Stay and Level of Care
• Excellent knowledge of the South African Healthcare industry and prevailing legislation, current coding structures i.e. ICD10's, CPT4, NRPL, PMB conditions and clinical protocols
• Extensive clinical knowledge related to all aspects of patient management.
• Solid understanding of value-based care
• Demonstrated ability to manage a portfolio of hospital cases
• Outcome focused with the ability to manage competing demands
• Establishing and maintaining effective relationships with key stakeholders.
• Ability to accurately update and maintain cases information.
• Excellent telephonic and written communication skills (will be tested)
• Computer literate - MIP/ Medcaps Application System (knowledge/ experience will be advantageous) and MS Office Suite of Products
• Reporting - MS Excel basic knowledge required (will be tested)
• Proficiency in English - verbal and written
• Verbal proficiency in additional languages will be advantageous
• Compassionate and attentive listener - you will need to interact with the family/ loved ones of members with long-stay hospital events
• Demonstrated ability to effectively deal with emotionally charged and stressful situations
• Self-motivator and the ability to work effectively in an independent environment
• Strong organisational and task prioritisation skills
• Outstanding multitasking skills
• Ability to research and analyse information
• High degree of accuracy and attention to detail
• Maintaining confidentiality of information
• Knowledge of medical aid policies and procedures
• Decision making skills
• Following through on commitments
• Flexibility to travel and a valid driver's license
• Hospital case management experience will be advantageous
• Nursing experience in an ICU setting will be a big advantage
  
  

• case manager
• hospital benefit management

• A PhD in Social Work
• Areas of research should include but not limited to child protection, vulnerable children, early childhood, social work education.
• Show evidence of previous publications in these areas of research
• Applicants must have completed their doctoral degree within the last five years.
• Preference will be given to South African citizens.
• Grounded in qualitative research methodology.
• Ability to publish at least 2 units in DHET accredited journals.
• Successful candidate will be required to relocate to University of Fort Hare, East London campus

Responsible for clinically and financially managing hospital admissions and associated healthcare

POSITION INFO :

Career Opportunity : Case Manager (Hospital Benefit Management)

Contract Type : Permanent

Salary : Market-related Cost to Company (includes benefits such as medical aid & pension)

Are you a clinically skilled and compassionate Registered Nurse with a deep understanding of hospital benefit management? Join our client's team, a leading accredited managed healthcare organisation, and play a key role in managing hospital events and promoting cost-effective, high-quality care for medical scheme members.

They are expanding alongside one of South Africa’s fastest-growing medical schemes and are seeking an experienced Case Manager to join their dedicated team.

Key Purpose of the Role

This role is responsible for clinically and financially managing hospital admissions and associated healthcare services. You will ensure all interventions are aligned with scheme rules, clinical protocols, and funding guidelines. You’ll be working closely with medical advisors, treating providers, and internal teams, actively engaging in clinical case reviews and risk management.

• Registered Nurse with valid SANC registration (proof required)
• 3–5 years’ experience in managed healthcare or medical scheme environment
• In-depth clinical knowledge of hospital admissions, Length of Stay, and Level of Care
• Familiarity with healthcare legislation, ICD10, CPT4, NRPL, and PMB coding
• Strong understanding of value-based care and patient outcomes

Preferred Experience & Skills

• ICU nursing or hospital case management experience (highly advantageous)
• Knowledge of MIP / Medcaps systems and MS Office (Excel proficiency will be tested)
• Exceptional written and verbal communication skills (English essential; additional languages advantageous)
• Sound decision-making, emotional resilience, and stakeholder engagement
• Able to navigate sensitive member cases with empathy and professionalism
• Able to prioritise, multitask, and manage administrative processes efficiently

Core Responsibilities

• Perform clinical coding aligned with CPT / ICD standards and internal protocols
• Monitor hospitalised members, manage updates, and coordinate discharge planning
• Evaluate clinical updates and determine appropriate funding / Length of Stay
• Liaise with healthcare providers, members, and internal stakeholders to ensure timely updates and resolution
• Manage hospitalised members with chronic conditions, ensuring correct programme registration
• Flag and escalate high cost / high-risk cases for specialist review
• Maintain accurate case information, conduct clinical decision-making, and support provider relationships
• Provide written and telephonic feedback to all parties involved in the care cycle
• Participate in reporting and case risk reviews with Clinical Specialists

What We Offer

• A supportive and collaborative team environment
• Opportunity to work at the forefront of healthcare management
• Structured development and continuous learning opportunities
• Competitive benefits and long-term career growth potential

To Apply

Please submit your CV and certified copy of your current SANC registration. If you’re ready to make an impact in patient-centered care and managed healthcare, we look forward to receiving your application.

As the leading medical recruitment agency in South Africa, our client has an exciting opportunity for a Case Manager (Hospital Benefit Management) based in Pretoria, South Africa. The Case Manager (Hospital Benefit Management) is to To actively manage the clinical appropriateness and risk (both financial and clinical) of all hospital events and associated healthcare services in accordance with the relevant scheme rules, clinical protocols and funding guidelines. To participate in the clinical review of exceptional cases and to engage with various stakeholders including treating providers, hospital case managers, medical advisors and colleagues.

Responsibilities

• Perform Clinical coding in accordance with CPT and ICD requirements and as per client standards
• Maintaining patient’s clinical status in accordance with funder approval requirements for the duration of hospitalisation; keeping patients informed and managing the entire hospital stay’s financial risk
• Provide complete and accurate updates and discharge information
• Receive hospital updates and assess each case based on clinical information - allocation of appropriate Length of Stay if clinically necessary
• Update Level of Care based on clinical information
• Review the costs to ensure cost effective and necessary care; balance cost and effectiveness of treatment to reduce re-admission
• Investigate and prepare cases for communication to the medical advisors, scheme, providers and members
• Member management of hospitalised patients with Chronic conditions who are registered on the active disease management programmes.
• Facilitation of the chronic and active disease registration of hospitalised beneficiaries who are diagnosed with one or more CDL conditions
• Escalation and resolution of unresolved high-cost cases
• Identification and preparation of high cost / high risk incidents and reported weekly to Clinical Specialist
• Discharge planning
• Communication with and support to Medical Advisors
• Call and written contact with Members and Providers
• Follow up on active cases with service providers relating to funding levels and updates (daily)
• Interpretation of medical reports
• Clinical decision making
  
  

• Qualified Registered Nurse with a valid SANC
• 3 to 5 years’ experience within a managed healthcare or medical scheme environment
• Thorough, well-grounded clinical knowledge of hospital admissions, Length of Stay and Level of Care
• Excellent knowledge of the South African Healthcare industry and prevailing legislation, current coding structures i.e. ICD10’s, CPT4, NRPL, PMB conditions and clinical protocols
• Extensive clinical knowledge related to all aspects of patient management.
• Solid understanding of value-based care
• Demonstrated ability to manage a portfolio of hospital cases
• Outcome focused with the ability to manage competing demands
• Establishing and maintaining effective relationships with key stakeholders.
• Ability to accurately update and maintain case information.
• Excellent telephonic and written communication skills (will be tested)
• Computer literate - MIP/ Medcaps Application System (knowledge/ experience will be advantageous) and MS Office Suite of Products
• Reporting - MS Excel basic knowledge required (will be tested)
• Proficiency in English - verbal and written
• Verbal proficiency in additional languages will be advantageous
• Compassionate and attentive listener - you will need to interact with the family/ loved ones of members with longstay hospital events
• Demonstrated ability to effectively deal with emotionally charged and stressful situations
• Self-motivator and the ability to work effectively in an independent environment
• Strong organisational and task prioritisation skills
• Outstanding multitasking skills
• Ability to research and analyse information
• High degree of accuracy and attention to detail
• Maintaining confidentiality of information
• Knowledge of medical aid policies and procedures
• Decision making skills
• Following through on commitments
• Flexibility to travel and a valid driver’s license
• Hospital case management experience will be advantageous
• Nursing experience in an ICU setting will be a big advantage
  
  

Chido Nenguke

12 September 2024

TEMPORARY SOCIAL WORK SUPERVISOR - (12 - MONTHS FIXED TERM CONTRACT)

Chido Nenguke

12 September 2024

Make a difference

The Haven Night Shelter Organisation’s method is to offer social work services, rehabilitation opportunities, family reunification services, physical care and support to adult people living on the streets who are committed to reintegration.

The Haven Night SHELTER ORGANISATION, NAPIER STREET, GREENPOINT requires the services of a DYNAMIC SOCIAL WORK SUPERVISOR who will report directly to the CEO.

The Social Work Supervisor will assist in supervising Social Workers; Social Auxiliary workers and Community Development workers working at partner NGO’s that will be based at the Head Office, 2 Napier Street, Cape Town.

NGO’s funded by the Families program of the Department of Social Development make use of supervision services provided by The Haven. These NGO’s focus on family reunification services, physical care, and support to families with the focus on preventing disintegration of family life and reunification of families.

The role of the Social Work Supervisor is for the improvement of the lives of the people whom these NGO’s serve. Effective functioning of the social work aspect is pivotal to the success of the organisations fulfilling its Mission and reaching its objectives.

MINIMUM REQUIREMENTS: -

• Qualified Social Worker registered with SACSSP in South Africa.
• Seven years’ work experience.
• Code 08 driver’s licence (non-negotiable).
• Ability to work well with people as a team.
• Computer literacy – MS Outlook, MS Word and Excel.
• Ability to work under minimal supervision.
• Experience in the NGO sector will be an advantage.
• Training or experience in Supervision will be beneficia.
  
  

• Supervise and advise social workers, social auxiliary workers and social worker volunteers to ensure an effective social work service for the Organisations. Be a resource to others and an advocate in the Sector for best practice in social reintegration and strengthening of families.
• Professional and general supervision of the Social Work staff assigned to you.
• Quality control of the work delivered by supervisees
• Advise supervisees with regard to all aspects of the work.
• Manage performance and assist with conduct and discipline of supervisees.
• Debrief and support supervisees to manage occupational stress and related issues to promote a sound and effective social work service.
• Ensure that all supervisees are trained and developed to be able to deliver work of the required standard efficiently and effectively, by inter alia, mentoring and coaching. This includes continuous professional development activities as prescribed.
• Ensure that the requirements as stated in the Transfer Payment Agreements, organisational directives and third-party contracts relating to social work are met and correctly reported on to the stakeholders.