Clinical Case Consultant

Company Description Kaelo provides **essential healthcare solutions** ensuring the **physical and psychosocial wellbeing** of **all South Africans** towards **lasting social change**. **Job Description**: The Clinical Case Consultant provides quality patient management to clients that have chronic disease of lifestyle conditions. They are responsible for...

**About Lyra Health** Lyra is transforming mental health care through technology with a human touch to help people feel emotionally healthy at work and at home. We work with industry leaders, such as Morgan Stanley, Uber, Amgen, and other Fortune 500 companies, to improve access to effective, high-quality mental health care for their employees and their...

**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...

To plan, coordinate and execute case management work at hospital level. The incumbent utilities clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding of patient care. **Minimum Requirements**: - Relevant Nursing qualification. - CM or Billings Clerk with ICD training and anatomy and physiology...

**Job Summary**: To plan, coordinate and execute case management work at hospital level. The incumbent utilities clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding of patient care. **Minimum Qualifications and Experience*** - Nursing degree / diploma. - Current registration with South African...

Company Description **About Kaelo** 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...

**Company Description** About Kaelo** 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...

**Case Manager** **Position**: Case Manager **Department**: General and Specialized Case Management **Grade**: B4M1 **Position Purpose**: **Experience**: 5 years ward experience, 2 years’ experience hospital scheme case management advantageous **Qualifications**: Degree / Diploma in nursing, midwifery, and psychiatry. Current SANC professional nursing...

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...

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....

Minimum 3-5 years clinical / theatre sales experience Relevant medical qualification, diploma or degree Strong customer service and account management background Very strong communication skills Highly motivated and self-driven Proven track record in selling Must be able to travel up to 70% Must be detail oriented, organized and have the ability to...

**Job Information** - Location- Johannesburg- Salary- R350k-R250k- Job Type- Permanent- Education- Degree/Diploma in Nursing- Experience- +3 experience clinical coding/ case management- - pharmacy.jobs(at)staffingprojects.co.za- Fax- 0866023398**Requirements**: - Registered with the SANC - Degree/Diploma in Nursing - +3 years’ experience clinical coding/...

3Sixty Health has a great opportunity for a suitably qualified individual to fulfil the advertised position and join their team. 3Sixty Health is a black owned and managed, reputable and a major player in driving South African economy by investing in ‘’black excellence’’3Sixty Health is 100% black owned and black managed administrator as well as...

**Company Description** About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial well-being of all South Africans towards lasting social change. Insurance products with limited medical benefit need close supervision for casualty and admission cases. Load all hospital related cases for casualty treatment and...

Company Description **About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial well-being of all South Africans towards lasting social change. Insurance products with limited medical benefit need close supervision for casualty and admission cases. **Job Description**: Load all hospital related cases for casualty...

**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...

**Key Activities** - Identify treatment trends and patterns to manage clinical and financial risk - Defined legal, statutory, and regulatory compliance is maintained at the required standards - Operational risk and governance structures, measures and frameworks are complied with and necessary action is taken to address issues, when necessary - Ensure...

**SENIOR MANAGER: CLINICAL CONSULTING SERVICES** The purpose of the job is to oversee the provision of services, administer the Prescribed Minimum Benefits (PMB) portfolio to ensure medical scheme members are protected and their entitlements are guaranteed, and to develop and implement the Prescribed Minimum Benefits regulation strategy. As a Senior...

**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...

The Case Manager will be the liaison between the patient and medical aids in order to secure payment for the hospital **Inherent Requirements**: - B Degree Nursing qualification or equivalent NQF level 6 - 3 years patient care experience - Previous ICU / HC case management experience will be advantage - Understanding of clinical coding, funder rules...