clinical case manager (4 posts), Ref No. MPDOH/FEB/26/1215

Apply for clinical case manager (4 posts) at department of mpumalanga department of health. Closing date 2026-03-13.

Job Summary

Department: mpumalanga department of health

Directorate: revenue management / hospital services

Province: mpumalanga

Reference: MPDoH/Feb/26/1215

Closing Date: 2026-03-13

Salary: R397,116

No Of Vacancy: 4

Centre: Bethal Hospital (1 Post) Ermelo Hospital (1Post) Piet Retief Hospital (1 Post) Standerton Hospital (1 Post) (Gert Sibande District)

Minimum Qualification

Diploma / Degree in General Nursing + SANC Registration as Professional Nurse and Midwife

Experience Required

4 years post-registration in Clinical Nursing and Case Management

Required Competencies & Skills

  • Expert knowledge of the Uniform Patient Fees Schedule (UPFS)
  • Proficiency in the Medical Schemes Act (CDL, DTP, and PMB legislation)
  • Skills in ICD-10 and procedure code assignment
  • Ability to function independently and prioritize workload
  • Strong supervisory, teaching, and interpersonal skills

Requirements

  • Minimum of 4 years nursing experience after SANC registration
  • Experience in ICD-10 coding and medical scheme liaison

Key Responsibilities & Duties

  • Identify and manage externally funded patients (Medical Aid, RAF, COID) for intervention
  • Obtain pre-authorizations and verify medical scheme benefits for emergency admissions
  • Conduct daily ward rounds to identify billable services and provide clinical updates to funders
  • Monitor ICD-10 coding and clinical information to prevent claim rejections
  • Liaise between clinicians and medical scheme case managers to monitor hospital utilization
  • Prepare monthly clinical statistics on cases managed and revenue protected

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/26/1215

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/26/1215
  • 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 role requires a Nursing qualification, it is graded on the standard Public Service salary scale (Level 8) rather than the Occupational Specific Dispensation (OSD) for Nurses. This usually means the focus is administrative and financial rather than bedside clinical care.
ICD-10 codes translate clinical diagnoses into alphanumeric codes. Accurate coding is vital to ensure that medical schemes pay the correct 'Prescribed Minimum Benefit' (PMB) and do not reject claims based on clinical technicalities.
You will manage cases involving Private Medical Aids, the Road Accident Fund (RAF), South African Police Service (SAPS), Department of Justice (DOJ), and Injury on Duty (IOD/COID) claims.

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