Case Manager – Tokai, Cape Town

About the role

We are seeking a qualified Registered Nurse to join our team as a Case Manager in Tokai, Cape Town. The role involves coordinating patient care with medical aid schemes, ensuring accurate documentation, and supporting clinical teams in delivering high‑quality services.

Key responsibilities

• Assess patient conditions and develop appropriate care plans.
• Interact with patients and medical aid schemes to resolve queries.
• Obtain and process doctors’ letters, motivations and justifications for managed‑care requests.
• Maintain accurate and timely records, including CPT and ICD‑10 coding.
• Update hospital information and manage case documentation.
• Provide support for hospital/medical‑aid scheme case management.

Required profile

• Qualified Registered Nurse registered with the South African Nursing Council (SANC) and holding indemnity cover.
• Minimum three years of nursing experience in a multidisciplinary hospital setting.
• Experience in theatre and ICU environments is advantageous.
• Familiarity with hospital/medical‑aid scheme case management and minimum benefits scheme rules.
• Excellent written and spoken communication skills.

Required skills

• CPT coding.
• ICD‑10 coding.
• Proficiency with MS Office applications (Outlook, Word, Excel, Clinic Manager).