Manager: Field Case Management – Road Accident Fund | Johannesburg, Gauteng
Company: Road Accident Fund (RAF)
Position Title: Manager: Field Case Management
Reference Number: 5676
Division: 3300
Location: Johannesburg, Gauteng, South Africa
Employment Type: Permanent
Disability (EE Targeted Role): No
T.A.S.K. Grade: 16
Salary: R1,028,791.00 per annum (Total Cost to Company)
Closing Date: 27 May 2025
About the Road Accident Fund (RAF)
The Road Accident Fund is a critical public entity in South Africa, dedicated to providing compensation to road users injured as a result of motor vehicle accidents. The RAF strives to rehabilitate victims compassionately and timeously while actively promoting road safety across the country. This is your opportunity to contribute to a national mandate with far-reaching impact.
Role Overview
The Manager: Field Case Management will be responsible for leading and managing field-based rehabilitation and health case services. This includes coordinating long-term healthcare solutions for injured claimants, developing cost-effective recovery strategies, and ensuring high-quality clinical support that aligns with RAF’s strategic goals. The incumbent will oversee operational teams, healthcare provider relationships, and internal processes to support claimant well-being and community reintegration.
Key Responsibilities
Policy and Strategy Implementation
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Contribute to the enhancement and execution of RAF’s case management strategy
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Ensure alignment with organisational goals and best practices in rehabilitation
Case Management and Administration
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Manage all assigned claimant cases from intake to recovery
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Oversee appointment and training of caregivers
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Ensure cost-effective, high-quality healthcare delivery
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Conduct evaluations to assess effectiveness of care plans
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Supervise development of care guidelines and monitor service provider performance
Claimant Rehabilitation Oversight
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Track and manage claimant rehabilitation progress and outcomes
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Coordinate in-home assessments and develop tailored healthcare plans
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Facilitate service authorisations and ensure compliance with RAF policies
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Determine the suitable rehabilitation duration and ensure family support mechanisms
Work and Community Reintegration
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Liaise with medical professionals and employers to reintegrate claimants into work
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Support families in managing post-injury recovery
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Identify and connect claimants to relevant community support services
Invoice Management
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Validate all invoices against service claims
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Ensure accurate billing and prevent fraudulent submissions
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Authorise timely payments and ensure compliance with RAF guidelines
Reporting and Analysis
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Submit monthly and quarterly performance reports
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Track and escalate rehabilitation plan progress and cost performance
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Provide decision-support insights related to claimant care and budget impact
Stakeholder Engagement
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Maintain effective working relationships with healthcare providers
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Ensure prompt resolution of queries and accurate guidance to stakeholders
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Monitor and enforce service provider compliance with SLAs
People Management
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Recruit and develop a high-performance field case management team
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Implement human capital practices aligned with employment equity targets
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Monitor team output and ensure alignment with strategic RAF objectives
Qualifications and Experience
Minimum Educational Requirements
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Bachelor’s Degree or Advanced Diploma in Health Sciences or related Medical field
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Postgraduate qualification in Health Sciences (Advantageous)
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Registered with relevant Health Professional Council
Required Experience
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6–8 years in nursing or case management
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Minimum 2 years in a supervisory or management role
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In-depth knowledge of medical case management and healthcare protocols
Key Competencies
Behavioural
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Strong communication and interpersonal skills
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Resilience and ethical decision-making
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Stakeholder and client service orientation
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Sound judgment and problem-solving ability
Managerial
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Conflict resolution and coaching skills
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Change management and policy formulation
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Risk and performance management
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Stakeholder development and strategic reporting
Technical
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End-to-end claims and case management
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Knowledge of Motor Vehicle Accident (MVA) legislation
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Understanding of ICD/CPT coding and medical billing
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Knowledge of healthcare systems and rehabilitation planning
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Familiarity with PFMA (Public Finance Management Act)
What the RAF Offers
RAF offers a Total Employment Cost (TEC) package where employees structure their own benefits. The organisation supports transformation, and preference will be given to candidates with disabilities in line with its Employment Equity plan.
How to Apply
Apply online via the Road Accident Fund careers page by 27 May 2025. Ensure all required documentation, including certified copies of qualifications and professional registrations, are attached. Foreign qualifications must be evaluated by SAQA. Candidates not contacted within six weeks should consider their application unsuccessful. All appointments are subject to security vetting.
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