What Jobs are available for Social Service Professions in South Africa?

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The Department of Social Development, Western Cape Government has opportunities for suitably qualified and competent Social Auxiliary Workers to provide assistance and support to Social Workers with the promotion of social change, problem solving in human relationships and the empowerment and liberation of people to enhance social well-being under the guidance and supervision of the Social Worker.

Grade 1: Grade 10 plus completion of the learnership to allow registration with the South African Council for Social Service Professions (SACSSP) as Social Auxiliary Worker; Registration with the SACSSP as Social Auxiliary Worker; A valid code B driving licence.

None.

Provide assistance and support to social workers with the rendering of a social work service with regard to the care, support, protection and development of vulnerable individuals, groups, families and communities through the relevant departmental programmes; Assist social workers to attend to any other matters that could result in, or stem from, social instability in any form; Continuous professional development; Perform administrative support functions in support of social workers as required of the job.

Knowledge and basic understanding of the following: Human behaviour, relationship system and social issues; South African Social Welfare context the policy and practice of developmental social welfare services; South African judicial system and the legislation governing and impacting of social auxiliary work; Basic knowledge of financial matters related to social auxiliary work; Good communication (written and verbal); Proven computer literacy; Information and Knowledge Management (Keep precise records and compile accurate reports); Organising and planning skills; Presentation and facilitation skills; Report writing skills; Problem solving and analytical skills; Client orientation and customer focus skills.

Grade 1: R Grade 3: R per annum (as prescribed by OSD).

Note on remuneration: 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 copies of their documentation for verification purposes. These candidates will be required to complete a practical assessment and attend the interview on a date and time as determined by the department and may also be required to undergo competency assessments/proficiency test. 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, kindly note that technical support (challenges with online application) is only available from Monday to Friday from 08:00 to You may contact the helpline at Otherwise, 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.

Location: Durban, KwaZulu-Natal

Our client, a leading non-profit medical scheme , is seeking a dynamic and experienced Case Manager to join their physical rehabilitation hospital team. This role is ideal for a compassionate healthcare professional with strong clinical coding skills and a passion for patient advocacy and cost-effective managed care.

• Conduct clinical assessments of patients referred for admission, including on-site visits to hospitals.

• Build and maintain professional relationships with referring doctors, hospitals, and medical aid stakeholders.

• Manage and oversee all billing processes , ensuring accuracy and compliance with medical aid requirements.

• Submit and motivate for pre-authorisations and ex gratia benefits with medical schemes.

• Collaborate with therapists, doctors, and the nurse manager to develop and monitor care plans.

• Provide effective risk management to reduce hospitalisation costs while ensuring quality patient care.

• Deliver cost-effective managed healthcare services to maximise member satisfaction.

• Stay updated through ongoing training and development to maintain CPD compliance and clinical coding standards.

• Registered Nurse (SANC) or Physiotherapist with valid professional registration.

• Qualification or solid working knowledge in ICD-10 and CPT coding .

• Minimum 5 years clinical experience , preferably in Trauma, ICU, or Theatre.

• Strong ability to build and maintain relationships with doctors and healthcare professionals.

• Proficiency in MS Office Suite and hospital billing systems.

• Excellent English and Afrikaans communication skills (verbal and written).

• Valid drivers license and own transport (travel to hospitals required).

• Strong organisational skills and attention to detail with the ability to prioritise effectively .

• Excellent problem-solving techniques and a caring, patient-focused attitude.

• Leadership skills with the ability to take responsibility and work collaboratively in a multidisciplinary team.

• Flexibility to adapt to change and support management decisions to achieve common goals.

Market-related, commensurate with experience.

• Assess patient conditions and needs to develop appropriate care plans
• Interact with patients and medical aid schemes
• Resolve patient and medical aid scheme queries
• Update all information timeously and accurately
• CPT and ICD coding
• Obtain doctors letters, motivations, and justifications in all appropriate cases under managed care of where medical aids request them from their hospitals as part of their assessing process
• Monitor patient admissions and identify those who have limitations, restrictions, place by their managed care/ medical aid structures e.g. length of stay, cost restrictions, fixed fees, per diem and other limiting fees or drugs and/ or formularies
• Maintain a control system that ensures the systematic monitoring of managed care patients
• Handling patient queries

• Update hospital information

• Qualified Registered Nurse

• A qualified EN with relevant experience would be considered

• Both need to registered with SANC and proof of indemnity cover

• Minimum 3 years nursing experience in a multidisciplinary hospital.

• Experience and exposure in Theatre and/or ICU would be advantageous
• Hospital or Medical Aid scheme case management would be an advantage.
• Experience in ICD 10 and CPT coding is essential
• Knowledge of Prescribed Minimum Benefits (PMB) Scheme rules and policies
• Excellent communication skills (written and spoken)
• Excellent analytical and problem-solving skills
• Excellent MS Office computer skills, i.e. Outlook, Word, Excel, Kronos, Clinic Manager, etc.
• Attention to detail
• Ability to cope well under pressure

Case Manager

Unity Health is a well-established primary healthcare provider in the South African market. Our mission is to offer primary healthcare insurance solutions to the vast majority of South Africans who are unable to afford medical scheme coverage. We have an opening for a Case Manager to join our Clinical team who will be the liaison between Unity Health, providers, and members.

Qualifications:

• Matric
• Registered Nursing diploma
• Valid membership of SANC
• RE5 (advantageous)

Skills and Experience:

• At least 2-3 years' experience in a similar role
• MIP Application System experience an advantage
• Sound understanding of the South African Health Industry, benefits, etc.
• ICD codes, modifiers and RPL tariff knowledge and understanding
• Ability to liaise with external parties – clinicians and members
• Ability to work within an established team
• Excellent oral and written communication skills
• Customer centric attitude
• Excellent analytical skills and pays attention to detail
• Computer literate - MS Office suite, i.e., Word, Excel
• A good understanding of claims risk profiling
• Experience in claims auditing.

Scope of Responsibility:

• Responsible for incoming calls from Hospitals Case Managers relating to authorisations for procedures in hospitals, casualty, doctors, or dental providers rooms
• Hospital case management from issuing a pre-authorisation letter to final discharge and any follow up treatment where required
• Manage clinical risk by promoting sound principles and strategies to decrease claims over utilisation
• Pre-authorisation of GP visits per benefit option rules
• Classify and prioritise risks based on the frequency of member visits to a provider
• Ensure efficient Customer Service and compliance to agreed SLA's
• Follow up with healthcare practitioners and members who may be over utilising
• Manage and maintain data integrity and update accordingly where necessary
• Ensure all enquiries are resolved satisfactorily and customer requirements within business rules and costing factors are maintained
• Weekly review of all approved claims and ensure that all claims are settled according to correct tariffs and procedures
• Ensure that all calls and cases are fully and clearly recorded on the MIP system
• Supply all monthly management reports on cases and general case management processes and initiatives
• Any other duties as assigned by your supervisor from time to time

Purpose

Deliver and enable excellence in all service moments to all stakeholders (Members, Providers, Employer groups, Intermediaries, Schemes). Personalised clinical servicing through the Omni channel experience focusing on the overall care quality of interaction between our customers and the brand. Providing holistic care that is personalised and accessible, managing the care journey end to end.

Experience:

Managed Healthcare Operations experience 2 years Advantageous

Clinical experience 3 years Essential

Qualifications

Bachelors Degree (3 years) / NQF level 7(Registered Nursing Qualification, plus registration with SA Nursing Council)

Diploma / NQF level 6(Registered Nursing Qualification, plus registration with SA Nursing Council)

4 year Degree / NQF level 7 Allied Healthcare professional. Relevant and active registration with regulatory body

Position Specific KPA

Manage Care Service Requests

Servicing all key stakeholders in the moment across all servicing channels as required until the clinical service request has been resolved.

Educating stakeholders on self-help digital servicing tools. Connecting with your customers (all stakeholders) across all channels, enabling an intuitive experience bringing across our brand authentically. Providing a seamless, progressive and holistic approach, understanding the customer's needs.

Manage authorizations

Manage and or validate the customer's authorizations needs with care, understanding and empathy. Caring holistically for the patient journey.

Manage Cases

Manage clinical cases enabling a holistic personalised intervention. Caring holistically for the patient and their support structure journeys.

Manage Excellent Experiences

Provide accurate and consistent information, meeting all quality standards and measures.

Deliver excellence in customer satisfaction.

Strive to identify areas of improvement and sharing of ideas with your team.

Collaborate with all teams to enable peer to peer learning

Drive Brand Loyalty

Being a brand ambassador, allowing the brand presence to be felt as an extension of the experience.

Knowledge

Advanced Health Care Industry

Advanced Good understanding of the Health Care Environment and Facilities

Advanced Health legislation and regulatory

Basic Application of service processes

Advanced Customer service

Advanced Customer preferences and personality styles

Technical

Basic Microsoft Suite

Basic use of technology

Basic channel experience

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 an inclusive workforce, representative of the demographics of our society as well as people with disabilities.

Should you not hear from us within a month of applying, consider your application unsuccessful
.