Hbm Case Manager

5 months ago


Pretoria, South Africa Medpharm Recruitment Full time

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 **(Essential)**

**Job Purpose**:

- Delivering cost-effective managed healthcare service to accomplish member satisfaction.
- Risk Management: to reduce the risk associated with hospital and authorised cases.
- Case Management of authorised cases according to the acceptable Scheme rules and protocols.
- Assisting the client by approving appropriate funding.
- Delivering an effective call centre service in order to achieve member satisfaction.
- Answering telephone calls in a way that achieves member satisfaction.

**Job Types**: Full-time, Permanent

**Salary**: R1.00 - R2.00 per month

Application Question(s):

- Are you a Registered Nurse?
- What is your salary expectation? (Before deductions)

**Education**:

- Diploma (required)

**Experience**:

- Medical Aid environment: 1 year (required)

License/Certification:

- SANC (required)


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