Case Manager

Melomed Private Hospitals SA

fulltime Cape Town, Western Cape Counselors, Social Workers, and Other Community and Social Service Specialists

Posted:

June 13, 2026

Location:

Cape Town, Western Cape, South Africa

Job Description

                    
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 ens...

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Job Overview

Job Type: fulltime

Location: Cape Town, South Africa

Posted: June 13, 2026

Deadline: July 23, 2026