Hbm Case Manager

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...

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...

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, 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...

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...

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...

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...

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 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 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...

Job Title: Medical Case ManagerOur client, a leading medical scheme in Pretoria, is seeking a dedicated and experienced Case Manager to join their team. As a Case Manager, you will be responsible for planning and optimizing daily tasks to ensure timely updates of cases on the hospital list.Key Responsibilities:Follow up on long-term and high-cost cases of...

Job Title: Medical Case ManagerOur client, a leading medical scheme, is seeking a dedicated and experienced Medical Case Manager to join their team. The successful candidate will be responsible for planning and optimizing daily tasks to ensure timely updates of cases on the hospital list.Key Responsibilities:Follow up on long-term and high-cost cases of...

Job Title: Case Manager for Spinal Management ProgrammeJob Summary:H2R Africa is seeking a highly skilled Case Manager for Spinal Management Programme to join our team. The successful candidate will be responsible for managing the access, clinical appropriateness, and risk of all requests for services pertaining to back and neck pain management, spinal...

Job SummaryQetello Holdings is seeking a dedicated and experienced Case Manager to join their team. The ideal candidate will have a B Cur Degree / Diploma in Nursing and a minimum of 5 years of experience as a nursing practitioner.Key Responsibilities:Plan and optimize daily tasks to ensure timely updates of cases on the hospital list.Follow up on long-term...