45 Case Manager Spinal Programme Management jobs in South Africa

Patient Care Manager - Registered Nurse


What You Must Have:

• Current State Registered Nurse License
• Current State Driver’s License, reliable transportation, and provide ongoing valid and current auto liability insurance
• Two years of experience as a Hospice Registered Nurse in a clinical care setting, or home health
• Must be highly motivated, self-directed, flexible, and able to work well and participate in a multidisciplinary group setting
• Possess good organization, people and problem solving skills and the ability to multi-task many projects and strategies simultaneously
• Strong critical thinking, organizational, interpersonal, and communication skills

• Competitive Pay
• Medical, Dental & Vision insurance
• Paid Time Off
• Paid holidays
• 401k with up to 4% employer matching
• Tuition reimbursement
• Company car for qualifying individuals
• Mileage reimbursement

• Direct and coordinate clinical departments and sites; assumes responsibility for continuity, quality, and safety of services delivered in compliance with State and federal regulations (Conditions of Participation).

• Supervise and provide direction to nursing staff and team members, in an effort to ensure quality, compliance with Plan of Care, assessment and reassessment of patient's needs and continuity of services by appropriate health care personnel.
• Supports employee and patient education to enhance knowledge, skills and achieve quality experiences. Continuously trains nursing staff to retain employees with the highest quality of patient care.

• Provide coaching, development, feedback and annual evaluations to team members in a professional and timely manner.
• Performance of other duties as required
• Ensure overall compliance with local, state and federal laws, Medicare regulations, and established personnel policies and procedures

Working with Heart to Heart Hospice

We are looking for a compassionate, talented and experienced Patient Care Manager that is experienced in customer service and eager to join an exciting organization.

You can Make A Difference in the lives of others!

At Heart to Heart Hospice, our employees enhance the lives of patients with life-limiting illnesses and their loved ones during a time when compassionate care is needed most. We are dedicated to making a difference in the lives of our patients and their families, and we offer individuals the opportunity to be associated with a caring staff and organization, while creating positive contributions in their community.

It is this Agency's policy to provide equal employment opportunities without regard to age, race, color, religion, military status, gender preference, sex, marital status, national origin or disability.
indeed123

This is a management position
This is a full time position

Leave this field blankPersonal Information * First name
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Attachments * Attach your Resume Attach Paste Attach a Cover letter AttachOther Information * Do you have an active RN license in the state you will work? Yes No * Do you have 2 years previous experience as a Hospice Registered Nurse? Yes No * Were you referred by someone with Heart to Heart Hospice? If yes, please provide name: If no, please select from below list on how you heard about the position * Desired Salary?

• Minimum: Grade 12 or equivalent NQF level 4
• Minimum: Basic Life Support accreditation / equivalent
  
  

• Minimum of 2 years’ working experience in relevant field
• Call center experience will be an advantage
• Medical and Insurance background will be an advantage
  
  

• Strong clinical background
• Excellent telephonic and written communication skills
• Multilingual
• Proficiency in Microsoft Office suite
• Knowledge of local medical aid and medical insurance and international patient case management principles and healthcare management
• Short-Term Insurance principles and workings
  
  

• Provide compassionate, caring and friendly care and guidance to clients.
• Coordinate emergency medical services.
• Coordinate GP, emergency room and hospital pre-authorization.
• Facilitate health advisory services according to prescribed protocols.
• Facilitate counseling services according to prescribed protocols.
• Coordinate international case management, medical repatriations and the repatriation of mortal remains.
• Adjudicate cases as per product benefits, limits and conditions.
• Maintain detailed and accurate records of client interactions, appointments, and treatment outcomes.
• Facilitate the repatriation of mortal remains.
• Administrative tasks.
• Call taking and other ad hoc duties.
  
  

• Showing Composure: Remains calm and does not get anxious before or during important events. Works well under pressure.
• Examining Information: Analyses and processes information very effectively when solving problems. Very curios and good at asking probing questions.
• Conveying Self Confidence: Self-confident and positive about themselves. Strong sense of own worth and feels in control of their future.
• Documenting Facts: Communicates well in writing, readily understand the logic behind an argument and will ensure that all the relevant facts are taken into consideration.
• Checking Things: Very thorough and even perfectionistic, ensures that things are done properly, delivering high quality work with great attention to detail.
• Producing Output: Works at a fast pace, works well when busy and copes well with multi-tasking.
• Managing Tasks: Very effective at planning and organizing, identifies clear priorities and milestones.
• Articulating Information: Is articulate in giving presentations; is eloquent and explains things well; projects social confidence when articulating information.
• Following Procedure: Extremely rule following, procedural and risk averse.
• Understanding People: Good at listening and understanding how others are feeling and why people behave as they do. Is attentive and understands what motivate others.
  
  

Division: 3300

Reference No: 5879

Location:

Cape Town, Western Cape, ZA

Employment Type: Permanent

Disability (EE targeted role): No

T.A.S.K Grade: 16

Job Posting Salary: R1,028,791.00

Job Posting End Date: 12 Aug 2025

The Road Accident Fund's mission is to provide appropriate cover to all road users within the borders of South Africa; to rehabilitate and compensate persons injured as a result of motor vehicle accidents in a timely and caring manner; and to actively promote safe use of our roads.
Purpose of the Job:
To manage the provision of coordinated and appropriate medical care for the motor vehicle accident patients/claimants in hospitals.

Key Performance Areas
Policy review and implementation.

• Provide input into the enhancement and implementation of the case management policies and strategy and plan to ensure an alignment with short term and long-term objectives
• Manage the implementation of the case management strategy approved, including as appropriate any special tasks or projects requested by management

Clinical care management

• Manage the clinical status of claimants in accordance with the prescribed requirements throughout the case management process
• Manage the provision of clinical assessments to ensure that admissions adhere to approved criteria
• Ensure an accurate, appropriate, and complete diagnostic and procedural coding of all claimants' records
• Manage the assessment of medical problems of the injured and the provision of quality of care
• Identify training needs of the Senior Officers: Hospital Case Management in line with the scope of work and the changes in the processes.

Manage the provision of patient care

• Substantiate claimant hospitalization in terms of treatment, length of stay and level of care
• Ensure that a comprehensive assessment for claimants is performed and that a follow-up in accordance with the schedule determined/ agreed is undertaken.
• Ensure the monitoring of claimant treatment recovery progress to recommend adjustments where necessary
• Ensure that the claimants focused plan of care is coordinated and communicated to ensure attention is being focused on progression towards discharge.
• Ensure that the quality of health care provided to claimant is monitored to ensure they are up to acceptable standards.
• Manage and ensure that the discharge plan for the claimant is effective and allows for continued treatment after hospital discharge
• Ensure that claimants have the necessary utilities and amenities required for complete recovery
• Provide alternative treatment options to ensure a cost effective and efficient plan of care
• Manage and fast track case management reports and recommendations relating to the issuing of Undertaking Certificate and Interim Undertaking Certificates.
• Analyze and approve the recommendations for the transfer of claimants to better facilities of care

Case management and administration

• Manage all assigned cases
• Manage the development of practice and/or clinical guidelines for cost effective care
• Intervene on clinical discussion relating to the care of MVA claimants as per the SLA and MOU
• Present cases at case rounds/ conferences to obtain multidisciplinary perspective and recommendations to achieve optimal outcomes
• Manage the provision of claimants care plan and compliance reporting
• Manage claimants case management plans, authorizations, assessment, and levels of care
• Manage the review of medical records to identify specific medical issues
• Identify financial and business risks to the Fund and escalate accordingly
• Analyze claimants care reports and make recommendation in preparation of the rehabilitation handover post discharge
• Manage high cost hospital cases and establish a forum for case managers to present high cost cases

Manage the submission of invoices

• Validate and quality assure invoices submitted to ensure that they are aligned to the services and treatments claimed for
• Ensure financial and case management documentation supports accurate record-keeping and future requirements
• Put measures in place to safeguard against the submission of fraudulent invoices
• Manage the compliance of invoiced services from service providers and ensure validity in line with RAF Act and guidelines
• Manage timeous payment of healthcare professionals for service rendered

Reporting

• Prepare and submit monthly and quarterly performance reports or as and when required to provide progress updates and/or inform management decisions
• Develop functional reporting systems for case management, projects or performance reporting
• Prepare proposals, briefings, presentations, reports, and other documentation and provide management information both verbally and in report format.

Stakeholder management

• Engage in hospital visits where needed to build stakeholder relationships, proactively resolve queries and increase visibility to claimants
• Build productive relationship with healthcare professionals to ensure adequate referral rates to achieve budgeted occupancy level
• Build professional, long-term relationships with Funders and other stakeholders
• Ensure accurate service knowledge and advice and keep stakeholders informed of products and service options
• Manage the resolution of stakeholder queries and complaints promptly.

People Management

• Ensure the sourcing, development and retention of a high-performance team
• Manage the recruitment of the operational workforce in line with employment equity targets
• Manage staff in the department to ensure that they achieve their objectives in line with the strategic objectives of the RAF
• Manage the implementation of human capital processes and procedures to control/ regulate workplace conflict and/or institute corrective measures and consultation processes to address deviations from standards
• Allocate, direct, motivate and evaluate subordinates to help them achieve their individual goals.

Qualifications And Experience

• Bachelor's Degree / Advanced Diploma in a Health sciences or Medical related Degree.
• Postgraduate in Health Sciences or Medical related qualification will be an added advantage
• Registration with the relevant Health professional body
• Relevant 6-8 years' experience in Nursing or Case Management environment of which 2 years must have been on a management/supervisory level/area of expertise
• ICU/Theatre or High cost Case Management experience will be an advantage.

Competencies Required.
Behavioral

• Resilience
• Communication
• Working with people
• Network and Alliances
• Planning, Organizing and Coordinating
• Employee engagement
• Personal mastery
• Judgement and decision making
• Ethics and values
• Client services orientation

Managerial

• Change management
• Coaching and mentoring
• Conflict management
• Critical and innovative thinking
• Direction setting
• Facilitation and presentation skills
• People management
• Policy conceptualization and formulation
• Risk management
• Programme /project management
• Service delivery innovation
• Stakeholder development and relations
• Reporting

Technical

• Knowledge of claims management end to end management process and systems
• Coding standards and protocols
• Core specialities in the case management process
• Application of clinical intervention principles
• Knowledge and application of dispensing of medicine, surgical material and procedures.
• Knowledge of healthcare operations
• ICD and CPT coding
• Medical case management
• Knowledge of Motor Vehicle Accident legislation
• Knowledge of Public Finance Management Act

Road Accident Fund Values

• Integrity
• Compassion
• Accountability
• Respect
• Excellence
• Empathy

NB: "RAF offers Total Employment Cost packages with no additional contributions from the Employer, successful candidates are required to structure their packages in a manner that will suit their needs"
The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.
Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful
Security Vetting shall be conducted on all prospective employees
It is the applicants' responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.

Job Purpose:

The position of a Case Management Officer is required for the National Bargaining Council for the Private Security Sector in terms of its establishment Section 29(15)(a) of the Labour Relations Act as amended. The Case Management Officer will be responsible for the administrative processes of the Council’s Dispute Resolution with the use of the Case Management System.

• Minimum of an appropriate Grade 12 certificate and/or equivalent
• Post Matric Qualification in Labour Relations/Human Resources/Administration (or relevant equivalent)
• 2 - 3 years relevant working experience in Labour Relations/Dispute Resolution/Service/Human Resources/environment
• CCMA Case Management System (CMS) utilisation experience an added advantage

• Knowledge of Labour Legislation
• Knowledge of Collective Bargaining
• Knowledge of Dispute Resolution Processes
• Highly proficient in Microsoft Office applications
• Good Administration and Planning Skills
• Good Communication Skills (Written & Verbal)
• Deadline driven
• Self-Motivated
• Good Stakeholder Relations

• Perform a client services function, receiving referred clients to enquire about specific cases and opening cases/files for those parties lodging a dispute if required.
• Capturing of daily applications on Case management system.
• Screening files/ referrals to ensure that all details are correct, that the stipulated timelines are adhered to, and that the required signatories have signed.
• Scheduling of cases in terms of date, venue and time and informing both parties.
• Booking of interpreters and commissioners for cases and ensuring that a venue is booked timeously.
• Once the commissioner has made an award/decision, send to senior personnel to check and then distribute outcome to all concerned parties.
• Coordinate and manage the rescission and review applications and assign commissioners and interpreters.
• Ensure that all recording equipment is in good working order and operational for all cases to be heard.
• Ensure all settlement agreements and compensation awards are loaded to the CMS system to record for performance stats and accreditation status.
• Administer all condonation applications in terms of the CCMA rules in consultation with the Commissioner and report to Senior any challenges experienced.
• Assist in all section 143 matters in respect of CCMA certification and ensure that the applicants follow the right process for enforcement.
• Coordinate the submission of Claims/Invoices Payments obtained from the commissioners/interpreters.
• Manage correspondence for the area including writing letters to parties, distribution of correspondence and responding to emails received from panellists and parties on a daily basis.
• Ensure files are filed in numerical order and retrieval of labour court files which need to be submitted to the legal department.
• Receive monthly statistics from the CCMA and create a report on all matters received.
• Compile all statistical reports and submit to senior timeously.

Applications:

To apply, follow one of the following two options.

• Click Apply for this Position Below; OR;
• Email a fully completed and signed NBCPSS Job Application Form and a comprehensive CV to . On the subject line of the email kindly write 'Application – Case Management Officer - Bloemfontein’ .

Should you not hear from us 60 days after the closing date, please consider your application unsuccessful.

At the NBCPSS we believe in creating and cultivating a positive, energised working environment that gives you every opportunity to achieve success. We are committed to transformation and embracing diversity.

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
  

Job title: Senior Specialist: Case Management & Litigation

Job Location: Gauteng, Johannesburg

Deadline: September 11, 2025

1. Matric / Grade 12 plus a Degree in Labour Relations Management, Human Resources Management or equivalent (NQF level 7);
2. 5 – 7 years’ working experience in the Labour Relations environment or related field, with at least 2 years in a specialized environment;
3. Proven track record in Labour Relations Management, managing external stakeholders, conflict resolution, change management, and organizational development;
4. Valid driver’s license.

Provide expert Labour Relations oversight, advisory, advocacy, counsel, and support, ensuring consistency and quality of collective agreements, labour policies, and procedures. Collaborate with Labour Relations Specialists, Human Resources professionals, and line managers to address relations issues, providing advice and support, including counseling managers on employee grievances.

1. Manage, facilitate, prepare, and control procedures related to Disciplinary and Grievance cases and inquiries;
2. Prepare and represent the Municipality in cases referred for Conciliation / Arbitration;
3. Support and assist in the City’s litigation processes;
4. Provide employee relations advisory services to promote labour peace and stability;
5. Offer practical training and guidance to Management on Labour Relations procedures and applications;
6. Maintain relationships with stakeholders such as SALGA, SAMWU, IMATU, and SALGBC;
7. Manage and monitor assets and resources of the Directorate;
8. Compile, analyze, and submit various reports;
9. Practice good governance and risk management;
10. Perform administrative tasks related to the role.

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
  

• Bachelors Degree/Advanced Diploma in Health Sciences /Medical related qualification.
• Registration with HPCSA/SANCA
• Medical management
• Conduct medical assessment and compile injury assessment reports.
• Conduct assessments and bill reviews on submitted claims, focusing on the appropriate level of care, the length of stay, and quality of care.
• Incorporate tariffs, cost savings initiative recording, and treatment protocol to ensure that all service providers adhere to the rules, and the tariff as guided by the RAF and / or any that is considered reasonable.
• Pre-authorise submitted claims
• Escalation of complex cases for multi-disciplinary review and adjudication.
• Participate in the consultations process on the implementation of medical claims processes.

• Relevant 3 years experience in a Medical related environment
• Claims management process/ processes and systems. - must be very strong on Claims Management
• Medical product management
• Medical bill reviewing
• Medical case management
• Complex problem identification, solving and decision making
• Customer value proposition
• Strong clinical analytical capabilities
• Knowledge of motor vehicle accident legislation
• Planning, Organising and Coordinating.
• Personal Mastery.
• Judgement and Decision Making.
• Ethics and Values.
• Client Service Orientation.