Case Manager

2 weeks ago


Johannesburg, South Africa Eqx Capital Full time

Perform desk research to analyze the patient’s medical profile and claiming behavior to develop possible action plans to ensure that the patient is receiving the level and extent of care necessary for optimal management of his/her condition(s), possible action plans for improving patient adherence to treatment and possible action plans regarding lifestyle measures required to assist in mitigating the clinical risk.
- Engagement telephonically with patients to agree on strategies and specific, detailed action plans to improve the patient’s medical prognosis and optimal disease control.
- Identify areas where the member requires education and support and provide such.
- Engage with the third-party Managed Care Partners and Medical Providers to

facilitate registration on the appropriate programs and authorization of care baskets.
- Set achievable goals and targets for the member to achieve i.e. visit their doctor every 6 months, have specific investigations performed at scheduled dates, lose a specified number of kilograms in a defined time period, reduce their blood pressure to 120/80, reduce their HbA1c to a specific level by a certain date, etc.
- Ensure that the member understands how to take their medicines and the need to remain adherent to their treatment.
- Help the patient make any arrangements necessary to receive optimal care and to adhere to their treatment plan and schedule.
- Communicate with the patient’s provider when necessary to coordinate care.
- Identify if the patient needs to be referred to specialist care, or hav

**Salary**: From R480,000.00 per year

**Education**:

- Bachelors (required)

**Experience**:

- Nursing, Community, Midwifery, and Psychiatry): 3 years (required)
- case management and disease management: 5 years (required)


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