Hbm Case Manager

A reputable Medical Aid based in Pretoria is seeking a Registered Nurse to join their HBM Case Management team. **Qualifications**: - Grade 12 - B Cur Degree / Diploma in Nursing - SANC Registered **Experience**: - Minimum 5 years experience as a Nursing practitioner - Minimum 1 year experience gained in the Medical Funding industry...

**Functions**: - Plan and optimise daily tasks to ensure timely updates of cases on the hospital list. - Follow up on long-term and high-cost cases of hospitalised and home care patients. - Identify the need for patient and hospital visits and provide documented feedback. - Adhere to the escalation process for cases requiring input from management or the...

At Qetello Holdings, we are seeking a highly skilled Junior Pre-Auth Consultant: HBM to join our team. This role is ideal for a motivated individual with a passion for delivering cost-effective managed healthcare services.Key Responsibilities:Employ negotiation skills to facilitate the pre-authorisation process.Maintain accurate record-keeping and...

{"title": "Medical Consultant: HBM", "content": "Job SummaryWe are seeking a highly skilled Medical Consultant to join our team at Qetello Holdings. As a Medical Consultant, you will be responsible for delivering cost-effective managed healthcare services to our members. Your expertise in pre-authorization and negotiation skills will be essential in...

A reputable Medical Aid based in Pretoria is seeking a Clinical Research & Development Specialist to join their Hospital Benefit Management Department. **Job Purpose**: - Research, develop and maintain funding guidelines for use by Hospital Benefit Management teams. - Assess the clinical and health economic attribute of innovative health technologies and...

Our client is looking for a Junior Pre-Auth Consultant (HBM) to deliver cost-effective managed healthcare services primarily via email correspondence, ensuring member satisfaction. The ideal candidate will have a Grade 12 qualification, Auxiliary Nursing certification, active SANC membership, a minimum of 5 years' experience as a nursing practitioner, and at...

Our client, a managed care organisation based in Pretoria is looking for a Case Manager. This is an equal opportunity organisation with various businesses and/ or subsidiaries that service clients in the medical scheme and insurance industries. Position: Case Manager (Member Management) Reporting to: Senior Specialist Clinical Management Location: On-site...

Job Introduction The Member Cases and Claims Division is at the forefront of protecting the careers, reputation and financial risk of our members worldwide. The purpose of the role is to support the provision of excellent case handling services for members which is trusted and valued and provides fair treatment and outcomes. The role will do this by...

**Case Manager/Office Supervisor to be based in Pretoria. **You will manage the overall Case Management function, nationally, as well as be responsible for the direct administration of cases for various areas (currently, Gauteng-Pretoria, Mpumalanga, Northwest, Limpopo, Eastern Cape (PE/East London) and Free State. Your primary goal will be to manage the...

Job Title: Case ManagerOur client, a leading medical scheme based in Pretoria, is seeking a dedicated and experienced Case Manager to join their team. As a Case Manager, you will play a crucial role in ensuring the timely and efficient management of cases, providing exceptional service to members, and contributing to the growth and success of the medical...

Gauteng, Tshwane (Pretoria) - Monthly Cost To Company (Market related, Negotiable) Our client, who is in the Health Care Industry, has a vacancy for a Case Manager on a Contract Basis, with a possibility of it becoming permanent The Case Manager will have thorough, well-grounded clinical knowledge of hospital admissions, LOS and LOC Excellent knowledge of...

Job Title: Case ManagerWe are seeking a dedicated and experienced Case Manager to join our team at Qetello Holdings. As a Case Manager, you will play a critical role in ensuring the timely and effective management of healthcare benefits for our members.Key Responsibilities:Plan and optimize daily tasks to ensure timely updates of cases on the hospital...

Job Title: Case ManagerWe are seeking a highly skilled and experienced Case Manager to join our team at Qetello Holdings. As a Case Manager, you will play a critical role in ensuring the smooth operation of our medical scheme, providing exceptional service to our members, and driving business growth.Key Responsibilities:Plan and optimize daily tasks to...

Job Title: Junior Pre-Auth Consultant: HBMWe are seeking a highly skilled and motivated Junior Pre-Auth Consultant to join our team at Qetello Holdings. As a key member of our healthcare team, you will be responsible for delivering cost-effective managed healthcare services to our members.Key Responsibilities:Employ negotiation skills to facilitate the...

Job Title: Junior Pre-Authorization Consultant: HBMOur client is seeking a highly skilled and motivated Junior Pre-Authorization Consultant to join their team. As a key member of the healthcare services team, you will be responsible for delivering cost-effective managed healthcare services to our members.Key Responsibilities:Employ negotiation skills to...

**Case Manager** **About** One of the largest private Medical Aid companies in SA. They have been established for 20 years and are striving to be #1 in SA. **Purpose** Delivering of cost-effective managed healthcare service to accomplish member satisfaction **Duties and responsibilities** Delivering of cost-effective managed healthcare service to...

**Case Manager** **About** One of the largest private Medical Aid companies in SA. They have been established for 20 years and are striving to be #1 in SA. **Purpose** Delivering of cost-effective managed healthcare service to accomplish member satisfaction **Duties and responsibilities** Delivering of cost-effective managed healthcare service to...

Job Title: Case ManagerWe are seeking a highly skilled Case Manager to join our team at Oasis Healthservices. As a Case Manager, you will play a critical role in ensuring the financial and clinical risks of patients in our general ward are managed effectively.Key Responsibilities:Ensure accurate coding and clinical updates to achieve strategic...

Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients. In line with their growth and commitment to excellence, they are seeking a dedicated and experienced Case Manager to join their...

**Job Introduction**: We have an exciting role for a Case Management Assistant to sit within our South Africa Cases Team. Working within the South Africa Case Management team you will support the delivery services for South Africa members, providing assistance to Medico and Dento Legal Consultants, and Case Managers. **Role Responsibility**: - Assist the...