Disease Management Specialist
4 weeks ago
Job Title
Disease Management Specialist
Position Purpose
To provide information, advice and explanations on clinical outcomes or systems of a complex clinical nature or to resolve complicated
process challenges. To ensure the effective use of the relevant healthcare benefits and system to optimise targeted communication
interventions telephonically and digitally, according to the clinical guidelines to ensure the GEMS disease management outcomes are achieved.
Experience
Minimum 5 years managed healthcare experience. Comprehensive knowledge of scheme rules, operational clinical process, and systems is essential.
Knowledge of internal business processes.
Qualifications
Relevant clinical qualification (registered nurse or pharmacist).
Accountabilities
Continuous improvement:
- Conduct comprehensive post implementation reviews and resolve user issues
- Develop and present relevant and accurate support documentation
- Conduct planning and prioritisation of user issues related to area of expertise and in line with business priorities
- Implement practical solutions that use the specialist and departmental systems and processes
- Provide specialist input and recommendations to improve the efficiency, compliance and quality objectives related to the area of specialisation
- Identify problems and develop and propose solutions to present to appropriate leader or stakeholders
- Ensure day to day operational support required from area of specialisation is provided to enhance performance
-
Disease Management Specialist
4 weeks ago
Cape Town, South Africa Palesa Mbali Group Full timeJob TitleDisease Management SpecialistPosition PurposeTo provide information, advice and explanations on clinical outcomes or systems of a complex clinical nature or to resolve complicatedprocess challenges. To ensure the effective use of the relevant healthcare benefits and system to optimise targeted communicationinterventions telephonically and digitally,...
-
Specialist Scientist
7 days ago
Cape Town, South Africa South African Medical Research Council (MRC) Full timeBURDEN OF DISEASE RESEARCH UNIT (CAPE TOWN OFFICE) The South African Medical Research Council (SAMRC) strives to improve the nation’s health and quality of life by funding and conducting relevant and leading health research. It further aims to promote equity, career development and progression. SPECIALIST SCIENTIST (E) / SPECIALIST SCIENTIST (S)...
-
Disease Manager
4 weeks ago
City of Cape Town, Western Cape, South Africa Medical Placements Full timeTo lead the Disease Management operational teams and to provide support to departments, manage resources, processes and budget, in order to deliver a customer-centric business environment. 10 years managed care experience and 5 years manager experience required. Must have pharmacist qualification.
-
Care Manager Specialist
4 weeks ago
Cape Town, South Africa Palesa Mbali Group Full timePosition Profile: Specialist: Care ManagerPosition:Specialist: Care ManagerGrade:B4M1Position Purpose:To educate and support members with the aim of empowering them to manage their disease better thereby improving their health outcomes and limiting healthcare costs whilst maintaining quality of care.Experience:2 - 3 years nursing in a hospital or clinic...
-
Specialist Scientist: Medical Scientist
6 days ago
Cape Town, South Africa South African Medical Research Council (MRC) Full time**BIOMEDICAL RESEARCH AND INNOVATION PLATFORM** (CAPE TOWN OFFICE) The South African Medical Research Council (SAMRC) strives to improve the nation’s health and quality of life by funding and conducting relevant and leading health research. It further aims to promote equity, career development and progression. **SPECIALIST SCIENTIST: MEDICAL...
-
Administrator/ Manager/ Specialist
7 days ago
Cape Town, South Africa Tanzanite Management Services Pty Ltd Full timeJoin Our Dynamic Team! Do you thrive in a collaborative environment where innovation and creativity are celebrated? If so, we want to hear from you! At Tanzanite Management Services Pty Ltd, we're committed to excellence and growth. We currently seeking talented individuals to join our team in various roles. **Available Positions**: - Project...
-
Claims Consultant
4 weeks ago
Cape Town, South Africa Intelligent Debt Management Full time**IDM Protect Claims Consultant (S**1**)** Key Responsibilities - Ensure seamless claims notification of loss and hand over to claims administrative team - Ensure timely claims feedback per interval to our customers - Claims processing and administration and/or validation - Record maintenance and filing of all claims documents (system-related) - Claims...
-
Specialist Scientist: Medical Scientist
6 days ago
Cape Town, South Africa South African Medical Research Council (MRC) Full time**BIOMEDICAL RESEARCH AND INNOVATION PLATFORM** **(CAPE TOWN OFFICE)** **The South African Medical Research Council (SAMRC) strives to improve the nation’s health and quality of life by funding and conducting relevant and leading health research. **It further aims to promote equity, career development and progression. **SPECIALIST SCIENTIST: MEDICAL...
-
Internal Senior Recruitment Consultant
6 days ago
Cape Town, South Africa F & G Sourcing Specialist Full timeOur Advertising Services client is seeking **Senior Recruitment Consultant **to join their team in Cape Town. **Requirements**: - Must have bulk recruitment experience (contact centre or from an agency) - Experience with specialist recruitment (Team Leaders, Campaign Managers, Operations, QA) - Must have experience advertising on social media platforms -...
-
Incident Management Specialist
4 weeks ago
Cape Town, South Africa Centrax Systems Full timeIncident Management Specialists are accountable for the restoration of services to a normal level of operation within agreed service level and operational level agreements by resolving or configuring normal operations considered an incident and/or event. - Demonstrated experience working with internal and external stakeholders - Demonstrated experience...
-
Biokineticist
3 weeks ago
Cape Town, South Africa Marale Hoft Biokineticist Full timeMomentum Multiply Fitness & Health AssessmentsDiscovery Vitality Fitness & Health AssessmentsOrthopedic Rehabilitation Metabolic Disease Management Sport Specific Training
-
Marketing Specialist
4 weeks ago
Cape Town, South Africa FROGG Recruitment Full time**Marketing Specialist Claremont Cape Town** Our corporate client in Financial Services is looking for a Marketing specialist with 4-5 years post degree/qualification experience. *** **Salary Negotiable** **Min Requirements** Highest Qualification - Marketing or similar degree or National Diploma 4-5 year’s experience as a marketing specialist **Job...
-
Infection Prevention
4 weeks ago
Cape Town, South Africa TRANSGENERATIONAL Full time**Requirements**: - SANC registration as a registered nurse - Infection Prevention & Control Qualification (Certificate/Diploma) - Minimum 3 years experience in a similar role - Excellent communication skills - Excellent interpersonal, organisational and problem-solving skills - Commitment to initiate and implement Infection prevention & control improvement...
-
Operations Specialist
4 weeks ago
Cape Town, South Africa Mass Staffing Projects Full time**Job Information** - Location- Cape Town- Salary- R850k - R650k- Job Type- Permanent- Education- CA(SA)/ BCom (Hons) with accounting- Experience- 4-6- Reference- OS090721JP- - finance.jobs(at)staffingprojects.co.za- Fax- 0865728847Our client, an investment company based in Cape Town, is currently seeking an Operations Specialist to join their operations...
-
QA and Infection Prevention
4 weeks ago
Cape Town, South Africa TRANSGENERATIONAL Full timeRequirements:Current registration with SANC as a General NursePost Basic Diploma or equivalent in Critical Care, Infection Control and Occupational HealthMinimum 2 years experience in a similar roleExcellent communication skillsExcellent interpersonal, organisational and problem-solving skillsCommitment to initiate and implement Quality Assurance improvement...
-
Procurement Specialist
4 weeks ago
Cape Town, South Africa FROGG Recruitment Full timeProcurement Specialist Montague Gardens Cape Town Our Manufacturing client in Montague Gardens is looking for a Procurement Specialist with 5 years plus experience in managing the companies procurement processes.Salary Negotiable plus benefits RequirementsBachelor's degree in Procurement, Supply Chain Management or a related fieldProven experience as a...
-
Cape Town, South Africa Tower Group Full timePurpose:Monitor, manage & mitigate risks in the group through compliance to Standards & Regulations for the Melomed Group.Requirements:• Current registration with SANC as a General Nurse• Post Basic Diploma or equivalent in Critical Care, Infection Control and Occupational Health• Minimum 2 years’ experience in a similar role• Excellent...
-
Cape Town, South Africa Tower Group Full timePurpose:Monitor, manage & mitigate risks in the group through compliance to Standards & Regulations for the Melomed Group.Requirements:• Current registration with SANC as a General Nurse• Post Basic Diploma or equivalent in Critical Care, Infection Control and Occupational Health• Minimum 2 years’ experience in a similar role• Excellent...
-
Cape Town, South Africa Tower Group Full timePurpose:Monitor, manage & mitigate risks in the group through compliance to Standards & Regulations for the Melomed Group.Requirements:• Current registration with SANC as a General Nurse• Post Basic Diploma or equivalent in Critical Care, Infection Control and Occupational Health• Minimum 2 years’ experience in a similar role• Excellent...
-
Cape Town, South Africa Adzuna ZA B C2 Full timePurpose:Monitor, manage & mitigate risks in the group through compliance to Standards & Regulations for the Melomed Group.Requirements:• Current registration with SANC as a General Nurse• Post Basic Diploma or equivalent in Critical Care, Infection Control and Occupational Health• Minimum 2 years’ experience in a similar role• Excellent...