Case Manager Healthcare Medical

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 managing...

Case Manager is responsible for developing and implementing intensive multifaceted risk management interventions on a patient-specific basis with the purpose of preventing or reducing the medical schemes’ exposure to potentially high-cost members (in/out of hospital) who have been identified and risk stratified through claims analyses and clinical...

Case Manager is responsible for developing and implementing intensive multifaceted risk management interventions on a patient-specific basis with the purpose of preventing or reducing the medical schemes’ exposure to potentially high cost members(in/out of hospital) who have been identified and risk stratified through claims analyses and clinical criteria....

The Case Manager is responsible to act as the liaison and care co-ordinator between the patient and various healthcare providers, including physicians, nurses, therapists, social workers, other specialists, family members and the funders to ensure high-quality care and rehabilitation services that supports person-centred health and care, promoting positive...

Our client is seeking a dedicated Case Manager/ Social Worker to coordinate and manage care plans for patients with chronic or complex medical conditions. This role involves working closely with healthcare providers, insurance companies, and patients to ensure optimal care and efficient use of healthcare resources. The Case Manager/ Social Worker will play a...

**Role Purpose** To provide a medical advisory function within the Clinical Risk Division and Scheme to ensure the limiting of the Scheme’s exposure and to inform key strategic decisions. **Key Areas of Responsibility** Provide input into the development of the sub-division’s strategy. Provide input into the tactical plan for the Clinical Risk...

Complement Recruitment are recruiting for a Case Management Lead for a permanent position based in Sandton, Johannesburg, Gauteng. Our client is looking for an experienced, commercially minded and operationally strong case management lead with a proven track record of implementing and streamlining projects and making sure they have high impact for the...

**Case Manager** 1. **Qualifications**: - Matric - Registered Nursing diploma - Valid membership of SANC - Claims and Forensic Risk management certification - Registration with the Association of Certified Fraud Examiners (ACFE SA) 2. **Skills and Experience**: - At least 2-3 years’ experience in a similar role. - MIP Application System experience...

This role develops and implements compliant benefits to provide optimal healthcare services to members in a financially sustainable manner. It develops and implements effective, data analytics-driven, evidence-based healthcare delivery strategy to deliver optimal healthcare provision coverage and health outcomes. The role identifies opportunities for...

**Job Advert Summary**: Our client, a leader in the private healthcare industry, is urgently looking for an experienced **Case Manager** for a** **permanent opportunity** **at a private** Emergency Services Contact Centre** in **Rivonia (Johannesburg)**. **BENEFITS** - Pension fund membership and subsidy from the company - Medical aid membership and subsidy...

Role Title: Case Manager Role Summary: Are you a healthcare professional looking to make a significant impact in patient care and financial risk management? If so, we have an exciting opportunity for you to join the team of a private hospital based in Gauteng as a Case Manager. In this role, you will leverage your clinical knowledge and expertise to ensure...

Company Description Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and employee...

**JOB SUMMARY** The incumbent, reporting to the Provincial Medical Manager and working closely alongside nurses, will be expected to provide expert medical care, advice, diagnosis and treatment of all patients in care at all AHF-supported clinics within the allocated district/subdistrict in the province, and sometimes remotely to other provinces where...

EE Position: - The Medical Advisor is a therapeutic / disease area expert and supports the Primary Point of Contact (PPOC) in the relevant therapeutic area (TA). The Medical Advisor role ensures both medical/scientific expertise independent from promotional objectives in all their decisions. - The role works with the company to gain a deep understanding of...

Company OverviewThe Federated Employers Mutual Assurance Company Ltd is a reputable organization seeking a skilled Healthcare Case Manager to join their team in Head Office, based in Rosebank Johannesburg.

**THE JOB AT A GLANCE** To deliver coordinate case management: through the three pillars clinical rehabilitation, vocational rehabilitation, and social reintegration. Track progress of injured COID employees referred to RMA Rehab Team, liaise with therapy team, with the purpose of prevention of complications, and guide the process of restoration to...

**Position**: Case Manager In Hospital **Position Purpose**: To coordinate care in allocated facilities, in order to improve health outcomes and manage the cost to the Scheme(/s). The case manager's responsibilities start from patient admission to discharge and they should have an understanding of hospital processes and the importance of making...

**Job Opportunity: Experienced Medical Doctors at Elite Care Hospitals in Johannesburg** Are you an experienced medical doctor looking for a rewarding career opportunity in Johannesburg's thriving healthcare landscape? Elite Care Hospitals, two newly constructed private hospitals, are actively seeking skilled professionals with a minimum of four years'...

FEM is looking to appoint an IOD Case Manager in Head Office. Reporting to the Medical Services Manager. The overall objective of the position is to oversee other case managers while also liaising with medical service providers to ensure optimum cost-effective treatments without compromising the customer or injured employee. The successful candidate will be...

**Job Summary**: To deliver an effective case management process and facilitate the communication process between all role-players by providing accurate and timeous clinical information in order to minimize the financial risk for the company. **Minimum Qualifications and Experience**: - Grade 12. - Registered Nurse, currently registered with SANC. -...