HIV Case Manager

Found in: Talent ZA 2A C2 - 2 weeks ago


Johannesburg, South Africa Fusion Personnel Full time
Minimum Education: Matric

Minimum Experience: Registered Nurse with HIV experience

Registration Required: Registration with the South African Nursing Council

Duties and Requirements includes but is not limited to the following:
  • Member retention and customer services
  • Maintain risk profile of members enrolled on Disease Management Programmes
  • Ensuring continuous improvement and process improvement
  • Production of educational material and dissemination to patients
  • Retrospective review of related claims
  • Developing and maintaining clinical protocols including new drug reviews
  • Working with other healthcare personnel within the organisation
  • Liaising with pharmaceutical companies
  • Compilation of monthly reports detailing programme progress and areas of cost containment
  • Keep abreast of benefit changes
  • Develop and deliver educational presentations to employer groups
Other Requirements:
  • Excellent knowledge of Chronic Disease treatments and procedures
  • Knowledge of Clinical Protocols
  • Knowledge of Prescribed Minimum benefit protocols and algorithms would be an advantage
  • Medical aid / managed healthcare experience is an advantage
  • Experience in disease management is an advantage

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