Case Manager

2 weeks ago


Johannesburg, South Africa Medical Placements Full time

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. Responsibility will also extend to managing financial and clinical administrative risks pertaining to these patients
- REQUIRED NQF LEVEL
- National Diploma in Nursing (General, Community Health, Midwifery, and Psychiatry)
- Diploma in Intensive care an added advantage Registered Nurse (SANC)
- 5 years of case management and disease management experience
- Minimum of 3 years experience in high-risk patient case management or care coordination program within a medical scheme or managed care environment.


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