Hbm Case Manager

Our client, a non-profit, medical scheme is seeking a Case Manager HBM in the Gauteng area. Delivering of cost-effective managed healthcare service to accomplish member satisfaction.Behavioural Competency Strong organizational skills, attention to detail and ability to prioritize. Strong communication skills in English and Afrikaans. Ability to work in a...

A reputable Medical Aid based in Pretoria is seeking a Case Manager to join their HBM team.Job purpose: Delivering a costeffective Managed Healthcare service to accomplish member satisfaction.Qualification / Experience: Grade 12 / Matric B Cur Degree or Diploma in Nursing SANC Registered A minimum of 5 years' experience as a Nursing Practitioner A minimum of...

A reputable Medical Aid based in Pretoria is seeking a Case Manager to join their HBM team. **Job purpose**: - Delivering a cost-effective Managed Healthcare service to accomplish member satisfaction. **Qualification / Experience**: - Grade 12 / Matric - B Cur Degree or Diploma in Nursing - SANC Registered - A minimum of 5 years' experience as a Nursing...

**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...

Our client, a non-profit, medical scheme is seeking - **HBM: Clinical Research and** **Development Specialist** for the Pretoria area. **Behavioural Competency** - Analytical thinking - Assertive - Caring and Confident - Emotional maturity - Flexible - Honest approach - Perceptive and professional behaviour - Self-motivated and Open-minded **Duties include...

Our client, a non-profit, medical scheme is seeking - HBM:Clinical Research and Development Specialist for the Pretoria area.Behavioural Competency Analytical thinking Assertive Caring and Confident Emotional maturity Flexible Honest approach Perceptive and professional behaviour Selfmotivated and OpenmindedDuties include but not limited to:Research, develop...

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...

A reputable Medical Aid is seeking a Nurse who has experience within the Medical Aid environment, to join their HBM Case Management team.Duties: Providing clinical knowledge of hospital preauthorisation and Case Management of hospital cases in order to take cost effective and appropriate decisions in evaluating treatment, LOS and LOC.Requirements: Grade 12 /...

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...

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...

Position: Case Manager (Member Management) Reporting to: Senior Specialist Clinical Management Location: On-site at the Head Office, Pretoria **Qualifications**: - Enrolled/ Registered Nurse - Valid registration with SANC **Skills and Competencies Required**: - 3 to 5 years’ experience within a managed healthcare or medical scheme environment -...

One of our clients in the Healthcare industry has a permanent vacancy available for a Case Manager to join their dynamic team. Purpose of the position: To actively manage the clinical appropriateness and risk (both financial and clinical) of all hospital events and associated healthcare services in accordance with the relevant scheme rules, clinical...

One of our clients in the Healthcare industry has a permanent vacancy available for a Case Manager to join their dynamic team. Purpose of the position: To actively manage the clinical appropriateness and risk (both financial and clinical) of all hospital events and associated healthcare services in accordance with the relevant scheme rules, clinical...

One of our clients in the Healthcare industry has a permanent vacancy available for a Case Manager to join their dynamic team. Purpose of the position: To actively manage the clinical appropriateness and risk (both financial and clinical) of all hospital events and associated healthcare services in accordance with the relevant scheme rules, clinical...

One of our clients in the Healthcare industry has a permanent vacancy available for a Case Manager to join their dynamic team. Purpose of the position: To actively manage the clinical appropriateness and risk (both financial and clinical) of all hospital events and associated healthcare services in accordance with the relevant scheme rules, clinical...

Our client, who is in the Health Care Industry, has a vacancy for a Case Manager on a Permanent basisThe Case Manager will have thorough, well-grounded clinical knowledge of hospital admissions, LOS and LOCExcellent knowledge of the South African Healthcare industry and prevailing legislation, current coding structures i.e., ICD10's, CPT4, NRPL, PMB...

Our client, specializing in the labour relations industry, is seeking a 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...

About the job Case Manager (Member Management) 12 Month FTC - PretoriaCase Manager (Member Management) 12 Month FTC - PretoriaOur client, focusing on a risk and clinical assessment offering, is requiring a Case Manager (Member Management).Requirements (but not limited to) Perform Clinical coding in accordance with CPT and ICD requirements and as per client...