clinical case manager, Ref No. MPDOH/FEB/26/1211

Apply for clinical case manager at department of mpumalanga department of health. Closing date 2026-03-13.

Job Summary

Department: mpumalanga department of health

Directorate: revenue management / case management

Province: mpumalanga

Reference: MPDoH/Feb/26/1211

Closing Date: 2026-03-13

Salary: R397,116

No Of Vacancy: 6

Salary Level: 8

Centre: Mapulaneng Hospital (1 Post) Rob Ferreira Hospital (1 Post) Shongwe Hospital (1 Post) Themba Hospital (1 Post) Tintswalo Hospital (1 Post) Tonga Hospital (1 Post) (Ehlanzeni District)

Minimum Qualification

  • Grade 12 plus a basic nursing qualification (Diploma/Degree) accredited with SANC.
  • Registration as a Professional Nurse and Midwife (2026) is mandatory.

Experience Required

4 years in Clinical Case Management and Revenue Accuracy

Required Competencies & Skills

  • Deep knowledge of the Uniform Patient Fees Schedule (UPFS)
  • Understanding of the Medical Schemes Act 131 of 1998, including the Chronic Disease List (CDL) and Diagnostic Treatment Pairs (DTP)
  • Application of Prescribed Minimum Benefit (PMB) legislation
  • Proficiency in ICD-10 coding and procedure code linking
  • Strong supervisory, teaching, and interpersonal skills
  • Ability to function independently and prioritize clinical-administrative workflows.

Requirements

Minimum of 4 years appropriate/recognizable experience in nursing after registration with SANC. A 1-year post-basic specialty in ICU/Critical Care is an added advantage.

Key Responsibilities & Duties

  • Identify and select externally funded patients (Medical Aid, RAF, COID) for case management intervention
  • Perform pre-authorizations for emergency admissions and verify medical scheme benefits
  • Conduct daily ward rounds to identify billable services for RAF, SAPS, IOD, and other specialized categories
  • Monitor and ensure ICD-10 coding accuracy to prevent claim rejections
  • Liaise with clinicians and medical scheme case managers to monitor hospital resource utilization
  • Assist the Revenue Office in linking patient diagnoses with correct procedure codes
  • Compile monthly clinical statistics on managed cases, authorizations, and clinical rejections.

Salary Detail

Remunaration

R397116 per.annum. (Level 8 NB Non OSD Post) (plus service benefits)

Salary Criteria

Per Annum

How to Apply

Contact Detail

Mr. Emmanuel Makokoropo Tel No: (013) 766 3384 / Ms. Gugu Nkosi (013) 766 3103 / Ms. Nomsa Maphanga (013) 766 3207 / Ms. Sebenzile Mthisi (013) 766 3339, Mr. Mxolisi Maseko (013) 766 3351, Mr. Samson Nyoni (013) 766 3087 and IT related queries: Help desk Tel No: (013) 766 3018.

Reference No:

MPDoH/Feb/26/1211

Application Process

Follow these steps to ensure your application is not disqualified:

  • Step 1: Download the New Z83 Form (2021) below.
  • Step 2: In 'Section A', quote Reference Number: MPDoH/Feb/26/1211
  • Step 3: Ensure you sign and date the form on the last page.
  • Step 4: Click 'Submit Application' to send your Z83 and CV to the department.

For job applications in South Africa, you can easily access the official Z83 form in two convenient ways: Download Z83 (PDF) for a ready-to-use version, or choose the Editable New Z83 Form to complete online before printing. Both options ensure compliance with government requirements and save time during the application process.

Ready to submit? Click the button below to visit the official department page.

Apply on Official Government Site

Frequently Asked Questions

While the requirement states 'experience in ICD-10 code assignment is an advantage,' it is highly recommended. You will be expected to link clinical diagnoses to specific codes that funders use to pay claims.
The primary goal is revenue optimization. You act as a bridge between clinical care and billing, ensuring that the hospital is correctly reimbursed by medical aids, the Road Accident Fund (RAF), and other third-party funders by ensuring accurate coding and authorization.
This is specifically noted as a 'Non-OSD' post at Level 8. This means the salary is fixed to the standard Public Service levels rather than the Occupational Specific Dispensation typically used for bedside nursing.

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