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ReWorks Solutions
Admin & Support 15h ago

Case Manager

ReWorks Solutions
South AfricaSouth Africa
Full-time
Not Disclosed
Mid-Level

Job Description

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We are seeking a proactive, highly organised, and resourceful Case Manager to join our team. This is a hands-on and detail-oriented role that combines case management, client intake, insurance authorisations, utilisation management, and ongoing case coordination.

We are looking for a natural go-getter someone who takes ownership, follows through, and actively looks for solutions. If they do not know how to do something, they should make an effort to investigate, problem-solve, and figure it out rather than waiting for constant direction.

Responsibilities

  • Manage an assigned caseload and oversee the administrative coordination of each client's journey.
  • Act as a key point of contact between clients, families, clinical teams, administrative teams, and insurance providers.
  • Monitor the progress and status of each case and ensure all required actions are completed.
  • Maintain accurate and detailed case records, including client communications, documentation, authorisations, and outstanding tasks.
  • Proactively identify issues, delays, or barriers that may impact a client's ability to begin or continue receiving services.
  • Take ownership of outstanding matters and follow them through to resolution.
  • Coordinate with internal teams to ensure client information is accurate and all relevant parties have the information required to support the case.
  • Escalate complex issues or concerns to the appropriate manager or clinical team when necessary.
  • Ensure smooth coordination between intake, authorisation, scheduling, and service delivery.
  • Manage and coordinate the end-to-end intake process for new clients.
  • Serve as a primary point of contact for prospective clients and families during the intake and onboarding process.
  • Respond to new client enquiries and follow up promptly with prospective families.
  • Guide families through the intake process and clearly explain the required next steps.
  • Collect, review, and organise all required intake documentation.
  • Ensure intake forms, insurance information, referrals, assessments, and other required documentation are complete and accurate.
  • Follow up consistently with families regarding missing information or outstanding documents.
  • Coordinate insurance verification and confirm that the necessary information is available before services begin.
  • Track each prospective client through the intake pipeline and ensure cases continue progressing.
  • Maintain regular follow-up with families to prevent leads or prospective clients from becoming unresponsive or falling through the process.
  • Identify delays or barriers during intake and proactively work to resolve them.
  • Coordinate internally with relevant teams to ensure a smooth transition from initial enquiry through intake and into service delivery.
  • Ensure all client information is accurately entered and maintained in CentralReach and Zoho CRM.
  • Maintain clear notes and records of all client interactions and follow-up activity.

Requirements

  • Previous experience as a Case Manager, Intake Coordinator, Intake Specialist, or in a similar healthcare or behavioural health role.
  • Experience managing multiple cases or a caseload.
  • Experience coordinating new client intake and onboarding.
  • Experience with insurance verification, authorisations, and reauthorisations.
  • Experience tracking authorised hours and service utilisation.
  • Experience using CentralReach is strongly preferred.
  • Experience using a CRM system, ideally Zoho CRM.
  • Excellent organisational and time-management skills.
  • Strong attention to detail and ability to manage large volumes of information accurately.
  • Excellent written and verbal communication skills.
  • Strong follow-up and relationship-management skills.
  • Ability to manage multiple priorities and meet deadlines.
  • Comfortable working independently in a fast-paced environment.

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ReWorks Solutions

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ReWorks Solutions is a premium remote staffing and BPO partner providing vetted offshore talent and dedicated remote teams. Specializing in client-facing support, healthcare administration, customer operations, and specialized backend management, ReWorks connects businesses with top-tier talent backed by end-to-end operational oversight and coaching.

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