7 Healthcare Facilities jobs in South Africa

Hospital Risk Management Manager

Bryanston, Gauteng R180000 - R540000 Y CAMAF

Posted today

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Job Description

Duties & Responsibilities Education & Experience: Nursing qualification (Diploma/Degree) with SANC registration (essential). Experience in pre-authorisation, case management, and clinical auditing within a managed healthcare/medical scheme environment (essential). Technical proficiency in managed healthcare systems, case management modules, and claims processing. Previous training, coaching, or mentoring experience. Supervisory/leadership background in clinical risk management (advantageous). Knowledge & Skills: Strong knowledge of ICD-10, CPT-4 coding, PMB legislation, tariffs, and scheme rules. Ability to identify non-chargeable and overcharged items in hospital accounts. Knowledge of adult learning principles and training methodologies (advantageous). Key Responsibilities Team Leadership: Mentor and support staff, oversee workloads and SLA compliance, ensure quality standards, and deliver performance reports. Training Coordination: Design and deliver training programmes, conduct assessments, identify development needs, and align content with regulatory/industry changes. Clinical Governance & Systems: Handle complex clinical queries, ensure compliance in reconciliations, support data analysis and cost containment, and participate in system testing. Process Improvement & Communication: Update SOPs and processes, drive operational efficiency, maintain stakeholder relationships, and contribute to strategic initiatives.

Job Type: Full-time

Work Location: In person

This advertiser has chosen not to accept applicants from your region.

Senior Officer: Hospital Case Management

R579259 Y Road Accident Fund

Posted today

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Job Description

Division: 3300

Reference No: 6037

Location:

Johannesburg, Gauteng, ZA

Employment Type: Permanent

Disability (EE targeted role): No

T.A.S.K Grade: 12

Job Posting Salary: R579,259.00

Job Posting End Date: 30 Sep 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:
The
Senior Officer: Hospital
Case Management
is accountable for the coordination of medical care for motor vehicle accident patients/claimants in Hospitals.

Key Performance Areas
Assessment Of Injuries

  • Assess extent of injuries on admitted patients.
  • Daily assessment of patient according to prescribed measurements.
  • Conduct daily patient scoring and data collecting.
  • Monitor quality of care.
  • Select and monitor clinical pathways.
  • Identify patients' needs.
  • Identify and record pre-existing conditions.

Facilitate Patient Care

  • Facilitate multi-disciplinary patient care where appropriate.
  • Facilitate timely transfers into the appropriate levels of care.
  • Coordinate the admission and pre authorisations of the transfers.
  • Coordinate and provide neccessary health education.
  • Discharge planning and vocational guidance for the afterlife changing event for client.
  • Drug utilization review.
  • Proper handover to Field Case Management for continuation of care.

Patient Advocacy

  • Cost Benefits analysis of the medical services.
  • Liason between patient and care team to ensure common understanding and conflict resolution.
  • Negotiate and procure resource services from providers.
  • Ensure that patient confidentiality is maintained by all parties.

Facilitate the Accuracy and Effective Submission of Invoices

  • Ensure that accounts submitted to the fund from service providers are valid in terms of RAF guidelines and the Road Accident Fund Act.
  • Assess and monitor claims invoices to curb over servicing or abuse and fraudulent claims.
  • Ensure that the accounts are paid timeously, according to service level agreements.
  • Ensure that services and treatments claimed for are accident related (related to the accident under consideration).
  • Compare outcomes and cost of different therapeutic modalities and surgical techniques and the information provided is invaluable in developing guidelines for clinical management.

Reporting

  • Compile and update Hospital Case Management reports.
  • Recommend issuing of Undertaking Certificate.
  • Provide a reasonableness report of patient care in preparation of the rehabilitation post discharge.

Stakeholder Management

  • Communicate with all levels of stakeholders.
  • Participate in relevant external RAF activities and events
  • Ongoing engagements with service providers.

Qualifications

  • Bachelor's Degree/ Advanced Diploma in Nursing/ Allied Health Professions or related qualification
  • Registration with the relevant Health Professional Council body

Experience

  • Relevant 4 years' experience in the Medical environment.
  • Experience in Managed Healthcare.
  • Knowledge of ICD and CPT coding will be an advantage.
  • Valid code 08 driving license.

Competencies

  • Behavioural

  • Planning, Organising and Coordinating

  • Personal Mastery
  • Emotional wisdom and decision making
  • Ethics and Values
  • Client Service Orientation

  • Technical

  • Core specialities in the case management process.

  • Knowledge of healthcare operations.
  • Ability to maintain patient confidentiality.
  • Full knowledge of medical tariffs, treatment plans.
  • Coding standards and protocols.
  • Knowledge of PFMA to be able to analyse different requirements as per the claimants.

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.

This advertiser has chosen not to accept applicants from your region.

Senior Officer: Hospital Case Management

East London, Eastern Cape R579259 Y Road Accident Fund

Posted today

Job Viewed

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Job Description

Division: 3300

Reference No: 6080

Location:

East London, Eastern Cape, ZA

Employment Type: Permanent

Disability (EE targeted role): No

T.A.S.K Grade: 12

Job Posting Salary: R579,259.00

Job Posting End Date: 26 Sep 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.
SENIOR OFFICER: HOSPITAL CASE MANAGEMENT (X3) – TASK GRADE 12

Locations:

  • East London (2 positions)
  • Mthatha (1 position)

Purpose of the job: The Senior Officer: Hospital Case Management is responsible for the coordination of medical care for motor vehicle accident patients/claimants in Hospitals.

Key Performance Areas

Assessment of Injuries

  • Assess extent of injuries on admitted patients.
  • Daily assessment of patient according to prescribed measurements.
  • Conduct daily patient scoring and data collecting.
  • Monitor quality of care.
  • Select and monitor clinical pathways.
  • Identify patients' needs.
  • Identify and record pre-existing conditions.

Facilitate patient care

  • Facilitate multi-disciplinary patient care where appropriate.
  • Facilitate timely transfers into the appropriate levels of care.
  • Coordinate the admission and pre authorisations of the transfers.
  • Coordinate and provide necessary health education.
  • Discharge planning and vocational guidance for the afterlife changing event for client
  • Drug utilization review.
  • Proper handover to Field Case Management for continuation of care.

Patient advocacy

  • Cost Benefits analysis of the medical services.
  • Liaison between patient and care team to ensure common understanding and conflict resolution.
  • Negotiate and procure resource services from providers.
  • Ensure that patient confidentiality is maintained by all parties.

Facilitate the accuracy and effective submission of invoices

  • Ensure that accounts submitted to the fund from service providers are valid in terms of RAF guidelines and the Road Accident Fund Act.
  • Assess and monitor claims invoices to curb over servicing or abuse and fraudulent claims.
  • Ensure that the accounts are paid timeously, according to service level agreements.
  • Ensure that services and treatments claimed for are accident related (related to the accident under consideration).
  • Compare outcomes and cost of different therapeutic modalities and surgical techniques and the information provided is invaluable in developing guidelines for clinical management.

Reporting

  • Compile and update Hospital Case management reports.
  • Recommend issuing of Undertaking Certificate.
  • Provide a reasonableness report of patient care in preparation of the rehabilitation post discharge.

Stakeholder management

  • Communicate with all levels of stakeholders.
  • Participate in relevant external RAF activities and events.
  • Ongoing engagements with service providers.

Qualifications

  • Bachelor's Degree or Advanced Diploma in Nursing/ Allied Health Professions or related qualification.
  • Registration with the relevant Health Professional Council Body.

Experience

  • Relevant 4 years' experience in the medical environment.
  • Experience in Managed Healthcare.
  • Knowledge of ICD and CPT coding will be an advantage.
  • Valid code 8 driving license.

Technical and behavioural competencies required

Behavioural

  • Planning Organising and Coordinating.
  • Personal Mastery.
  • Judgment and Decision Making.
  • Ethics and Values.
  • Client Service Orientation.

Technical

  • Core specialities in the case management process.
  • Knowledge of healthcare operations.
  • Ability to maintain patient confidentiality.
  • Full knowledge of medical tariffs, treatment plans.
  • Coding standards and protocols.
  • Knowledge of PFMA to be able to analyse different requirements as per the claimants.

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.

This advertiser has chosen not to accept applicants from your region.

Senior Officer: Hospital Case Management X6

Bellville, Western Cape R550000 - R600000 Y Road Accident Fund

Posted today

Job Viewed

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Job Description

Division: 3300

Reference No: 5998

Location:

Bellville, Western Cape, ZA

Employment Type: Permanent

Disability (EE targeted role): No

T.A.S.K Grade: 12

Job Posting Salary: R579,259.00

Job Posting End Date: 23 Sep 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: The Senior Officer: Hospital Case Management is responsible for the coordination of medical care for motor vehicle accident patients/claimants in Hospitals.

Key Performance Areas

Assessment of Injuries

  • Assess extent of injuries on admitted patients.
  • Daily assessment of patient according to prescribed measurements.
  • Conduct daily patient scoring and data collecting.
  • Monitor quality of care.
  • Select and monitor clinical pathways.
  • Identify patients' needs.
  • Identify and record pre-existing conditions.

Facilitate patient care

  • Facilitate multi-disciplinary patient care where appropriate.
  • Facilitate timely transfers into the appropriate levels of care.
  • Coordinate the admission and pre authorisations of the transfers.
  • Coordinate and provide necessary health education.
  • Discharge planning and vocational guidance for the afterlife changing event for client
  • Drug utilization review.
  • Proper handover to Field Case Management for continuation of care.

Patient advocacy

  • Cost Benefits analysis of the medical services.
  • Liaison between patient and care team to ensure common understanding and conflict resolution.
  • Negotiate and procure resource services from providers.
  • Ensure that patient confidentiality is maintained by all parties.

Facilitate the accuracy and effective submission of invoices

  • Ensure that accounts submitted to the fund from service providers are valid in terms of RAF guidelines and the Road Accident Fund Act.
  • Assess and monitor claims invoices to curb over servicing or abuse and fraudulent claims.
  • Ensure that the accounts are paid timeously, according to service level agreements.
  • Ensure that services and treatments claimed for are accident related (related to the accident under consideration).
  • Compare outcomes and cost of different therapeutic modalities and surgical techniques and the information provided is invaluable in developing guidelines for clinical management.

Reporting

  • Compile and update Hospital Case management reports.
  • Recommend issuing of Undertaking Certificate.
  • Provide a reasonableness report of patient care in preparation of the rehabilitation post discharge.

Stakeholder management

  • Communicate with all levels of stakeholders.
  • Participate in relevant external RAF activities and events.
  • Ongoing engagements with service providers.

Qualifications

  • Bachelor's Degree or Advanced Diploma in Nursing/ Allied Health Professions or related qualification.

  • Registration with the relevant Health Professional Council body.

Experience

  • Relevant 4 years' experience in the medical environment.
  • Experience in Managed Healthcare.
  • Knowledge of ICD and CPT coding will be an advantage.
  • Valid code 8 driving license.

Technical and behavioural competencies required

Behavioural

  • Planning Organising and Coordinating.
  • Personal Mastery.
  • Judgment and Decision Making.
  • Ethics and Values.
  • Client Service Orientation.

Technical

  • Core specialities in the case management process.
  • Knowledge of healthcare operations.
  • Ability to maintain patient confidentiality.
  • Full knowledge of medical tariffs, treatment plans.
  • Coding standards and protocols.
  • Knowledge of PFMA to be able to analyse different requirements as per the claimants.

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.

This advertiser has chosen not to accept applicants from your region.

Senior Officer: Hospital Case Management x3

R400000 - R700000 Y Road Accident Fund

Posted today

Job Viewed

Tap Again To Close

Job Description

Division: 3300

Reference No: 6038

Location:

Johannesburg, Gauteng, ZA

Employment Type: Permanent

Disability (EE targeted role): No

T.A.S.K Grade: 12

Job Posting Salary: R579,259.00

Job Posting End Date: 21 Oct 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:
The
Senior Officer: Hospital
Case Management
is accountable for the coordination of medical care for motor vehicle accident patients/claimants in Hospitals.

Key Performance Areas
Assessment Of Injuries

  • Assess extent of injuries on admitted patients.
  • Daily assessment of patient according to prescribed measurements.
  • Conduct daily patient scoring and data collecting.
  • Monitor quality of care.
  • Select and monitor clinical pathways.
  • Identify patients' needs.
  • Identify and record pre-existing conditions.

Facilitate Patient Care

  • Facilitate multi-disciplinary patient care where appropriate.
  • Facilitate timely transfers into the appropriate levels of care.
  • Coordinate the admission and pre authorisations of the transfers.
  • Coordinate and provide neccessary health education.
  • Discharge planning and vocational guidance for the afterlife changing event for client.
  • Drug utilization review.
  • Proper handover to Field Case Management for continuation of care.

Patient Advocacy

  • Cost Benefits analysis of the medical services.
  • Liason between patient and care team to ensure common understanding and conflict resolution.
  • Negotiate and procure resource services from providers.
  • Ensure that patient confidentiality is maintained by all parties.

Facilitate the Accuracy and Effective Submission of Invoices

  • Ensure that accounts submitted to the fund from service providers are valid in terms of RAF guidelines and the Road Accident Fund Act.
  • Assess and monitor claims invoices to curb over servicing or abuse and fraudulent claims.
  • Ensure that the accounts are paid timeously, according to service level agreements.
  • Ensure that services and treatments claimed for are accident related (related to the accident under consideration).
  • Compare outcomes and cost of different therapeutic modalities and surgical techniques and the information provided is invaluable in developing guidelines for clinical management.

Reporting

  • Compile and update Hospital Case Management reports.
  • Recommend issuing of Undertaking Certificate.
  • Provide a reasonableness report of patient care in preparation of the rehabilitation post discharge.

Stakeholder Management

  • Communicate with all levels of stakeholders.
  • Participate in relevant external RAF activities and events
  • Ongoing engagements with service providers.

Qualifications

  • Bachelor's Degree/ Advanced Diploma in Nursing/ Allied Health Professions or related qualification
  • Registration with the relevant Health Professional Council body

Experience

  • Relevant 4 years' experience in the Medical environment.
  • Experience in Managed Healthcare.
  • Knowledge of ICD and CPT coding will be an advantage.
  • Valid code 08 driving license.

Competencies

  • Behavioural

  • Planning, Organising and Coordinating

  • Personal Mastery
  • Emotional wisdom and decision making
  • Ethics and Values
  • Client Service Orientation

  • Technical

  • Core specialities in the case management process.

  • Knowledge of healthcare operations.
  • Ability to maintain patient confidentiality.
  • Full knowledge of medical tariffs, treatment plans.
  • Coding standards and protocols.
  • Knowledge of PFMA to be able to analyse different requirements as per the claimants.

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.

This advertiser has chosen not to accept applicants from your region.

Senior Officer: Hospital Case Management x2

Emalahleni, Mpumalanga R1200000 - R3000000 Y Road Accident Fund

Posted today

Job Viewed

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Job Description

Division: 3300

Reference No: 6149

Location:

Witbank, Mpumalanga, ZA

Employment Type: Permanent

Disability (EE targeted role): No

T.A.S.K Grade: 12

Job Posting Salary: R579,259.00

Job Posting End Date: 26 Sep 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:
The Senior Officer: Hospital Case Management is responsible for the coordination of medical care for motor vehicle accident patients/claimants in Hospitals.

Key Performance Areas
Assessment of Injuries

  • Assess extent of injuries on admitted patients.
  • Daily assessment of patient according to prescribed measurements.
  • Conduct daily patient scoring and data collecting.
  • Monitor quality of care.
  • Select and monitor clinical pathways.
  • Identify patients' needs.
  • Identify and record pre-existing conditions.

Facilitate patient care

  • Facilitate multi-disciplinary patient care where appropriate.
  • Facilitate timely transfers into the appropriate levels of care.
  • Coordinate the admission and pre authorisations of the transfers.
  • Coordinate and provide necessary health education.
  • Discharge planning and vocational guidance for the afterlife changing event for client
  • Drug utilization review.
  • Proper handover to Field Case Management for continuation of care.

Patient Advocacy

  • Cost Benefits analysis of the medical services.
  • Liaison between patient and care team to ensure common understanding and conflict resolution.
  • Negotiate and procure resource services from providers.
  • Ensure that patient confidentiality is maintained by all parties.

Facilitate the accuracy and effective submission of invoices

  • Ensure that accounts submitted to the fund from service providers are valid in terms of RAF guidelines and the Road Accident Fund Act.
  • Assess and monitor claims invoices to curb over servicing or abuse and fraudulent claims.
  • Ensure that the accounts are paid timeously, according to service level agreements.
  • Ensure that services and treatments claimed for are accident related (related to the accident under consideration).
  • Compare outcomes and cost of different therapeutic modalities and surgical techniques and the information provided is invaluable in developing guidelines for clinical management.

Reporting

  • Compile and update Hospital Case management reports.
  • Recommend issuing of Undertaking Certificate.
  • Provide a reasonableness report of patient care in prepation of the rehabilitation post discharge.

Stakeholder Management

  • Communicate with all levels of stakeholders.
  • Participate in relevant external RAF activities and events.
  • Ongoing engagements with service providers.

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.

This advertiser has chosen not to accept applicants from your region.

Facility Management Specialist

Midrand, Gauteng R250000 - R750000 Y Accenture in South Africa

Posted today

Job Viewed

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Job Description

Job Summary:
The Workplace Specialist supports the daily operation, maintenance, and improvement of the organization's physical infrastructure and facilities. This role ensures facilities are safe, functional, efficient, and compliant with regulatory standards. The specialist works closely with internal teams, suppliers, and contractors to coordinate maintenance activities, oversee facility projects, and resolve facility-related issues.

They oversee and manage Office-related projects in a manner consistent with the Company's financial and operational objectives, while assuring quality and efficient service.

Key Responsibilities:- Plan, manage, monitor and control multiple FM processes, budgets and policies to meet business objectives.
- Account for results of work and customer satisfaction across areas of responsibility.
- Lead and manage a team
- Participate in the strategic review of business operations and implement subsequent outsourcing decisions.
- Develop and manage contract relationships with external service providers (negotiate and manage contracts, review performance against strategy and budget).
- Evaluate direct reports and provide formal counseling and mentoring to staff.
- Contribute to department's strategic plans.
- Develop and lead programs/projects with high complexity.
- Design and implement programs and processes to deliver operational effectiveness targets.
- Actively participate in sharing best practices across departments.
- Manage budgets ($1M).
- Manage and ensure consistent application of human resource processes including career development, salary review, recruiting and performance management within area of responsibility and in accordance with local legislations and rules.
Knowledge and Skill Requirements:- Knowledge of facility operations and/or customer service delivery.
- Strong commercial skills
- Superior interpersonal and customer relationship skills.
- Strong leadership and motivational skills.
- Strong written and oral communication skills.
- Excellent problem solving and decision-making skills.
- Ability to manage operating and capital budgets.
- Strong time management skills.
- Strong program/project management skills.
- Knowledge and experience using various computer systems.
- Strong contract management skills.
Work Environment:- Primarily on-site role.
- May require lifting, standing, or walking for extended periods.
- Occasional evening or weekend work for emergencies or special projects
Qualifications:- Education: Associate's or Bachelor's degree in Facilities Management, Business Administration, or related field preferred.
- Experience: 5 years of experience in facilities operations or building maintenance.
- Skills:
- Strong problem-solving and organizational skills.
- Familiarity with building systems (HVAC, electrical, plumbing).
- Proficiency with facility management software (e.g., CMMS).
- Basic knowledge of OSHA and local building codes.
- Excellent communication and interpersonal skills.
- Certifications (preferred):
- Facilities Management Professional (FMP)
- Certified Facility Manager (CFM)
- OSHA 10/30 Certification
- Project Management

This advertiser has chosen not to accept applicants from your region.
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