• Reference Number : refs/056718
• Directorate : Finance
• Number of Posts : 1

• Package : R 337 359.00 per annum (plus benefits)
• Enquiries : Ms. S Mokoena Tel: (011) 898 8254

Requirements :

• The applicant must be in possession of a Grade 12 Certificate and a Diploma in Nursing (R171) or Diploma in Nursing (R425), or an equivalent nursing qualification, with current registration with the South African Nursing Council (SANC) as a Professional Nurse. The applicant must have 3–5 years’ relevant clinical nursing experience and knowledge and understanding of applicable healthcare legislation, policies and regulatory frameworks, including the National Health Act, Public Finance Management Act (PFMA), Medical Schemes Act, Prescribed Minimum Benefits (PMB) Regulations, Uniform Patient Fee Schedule (UPFS) and relevant Department of Health policies and procedures. Knowledge of ICD-10 and procedure coding will be an added advantage. The applicant must be computer literate, with proficiency in Microsoft Office, particularly MS Word and MS Excel. The applicant must be a driven, accountable and customer-focused individual with good planning, organizing, coordination, communication and report-writing skills. Good interpersonal relations, customer service and training skills are essential, together with the ability to work independently, effectively within a multidisciplinary healthcare environment and under pressure.

Duties :

• Perform Case Management functions, i.e. obtaining pre-authorization and verification of benefits as needed, concurrent, retrospective review, discharge planning and provide quotations to H2, H3 and foreign patients. Assist with Medical Aid rejection reports and ensure corrections are completed timeously and resubmitted to Medical Aid. Liaise with the various role-players e.g. clinicians, managed care organizations and medical scheme case managers to monitor utilization and update patient’s clinical information while in hospital. Manage and implement case management policies, protocols and procedures in the hospital. Conduct clinical audits of patient accounts inclusive of medical aids, state departments e.g. RAF and COIDA to ensure accuracy of invoices about ICD 10 codes, UPFS procedure codes and resource utilization. Manage and supervise Case Management and Revenue departments. Manage performance and development of staff. Application of clinical knowledge in the risk management (financial and clinical) of patients in terms of Length of Stay (LOS), Level of Care (LOC), clinical updates, ICD 10 Coding, procedure coding and cost benefits available, identification of billable services, treatment care plans, chronic disease case management and discharge planning. Audit patient’s accounts, train hospital officials on the utilization of charge sheet, and keep electronic and physical records.

Notes :

• Applications should be uploaded online at www.gautengonline.gov.za or http://professionaljobcentre.gpg.gov.za. No faxed application or hand delivery will be considered Applications must be submitted on the new Z83 form. The application form is obtainable from any Public Service Department or on the internet at www.dpsa.gov.za/documents. The new Z83 must be fully completed (Please refer on the left side of Z83 special notes for clarity) and must be initialed and signed. On the Z83 application form, the Department where position was advertised should state Department of Health. According to Department of Public Service and Administration (DPSA) Circular 19 of 2022, applicants are not required to submit copies of qualifications, service certificate and other relevant documents on application. Z83 form must be accompanied by recently updated detailed Curriculum Vitae. All experience should be in a chronological order. The experience on the Curriculum Vitae must contain the institution, position and dates (DD/MM/YYYY) indicating the starting and ending period to be able to calculate the years of experience. The information on the new Z83 must be in sync/correspond with the Curriculum Vitae. Only shortlisted candidates will be required/requested to submit certified copies of qualifications, service certificate and other relevant documents on or before the interview. Candidates in possession of a foreign qualification will be required to furnish the Department with an evaluation certificate from the South African Qualifications Authority (SAQA). HR will conduct Personnel Suitability Checks (PSC) and Verification Checks. The Department reserve the right to conduct verification beyond information provided, where necessary. Failure to submit all the relevant information mentioned above with the exception of HR verification checks, will result in the candidate being disqualify. If you have not been contacted within three (3) months after the closing date, please accept that your application was unsuccessful. The recommended candidate may be subjected to medical surveillance as required by the Occupational Health and Safety Act, Act 5/1993. Tambo Memorial Hospital reserves the right to utilize practical exercises/tests for non-SMS positions during the recruitment process to determine the suitability of candidates for the post(s). The Department reserve the right not to fill the post. The Gauteng Department of Health is guided by the principles of Employment Equity. People with disabilities are encouraged apply.

Employer : Department of Health

Location : Tambo Memorial Hospital

Closing Date : 07-10-2026

Please Notes :

• Due to the large number of applications we envisage receiving, applications will not be acknowledged. If you do not receive any response within 3 months, please accept that your application was not successful.