Hbm Case Manager

Our client, a non-profit, medical scheme is seeking a Pre-Auth Consultant HBM – Back Office for the Pretoria area.Behavioural Competency•Analytical thinking •Assertive•Caring and Confident•Emotional maturity•Flexible•Honest approach•Perceptive and professional behaviour•Self-motivated and Open-mindedDuties include but not limited...

Our client, a non-profit, medical scheme is seeking a Pre-Auth Consultant HBM – Back Office for the Pretoria area. Behavioural Competency • Analytical thinking • Assertive • Caring and Confident • Emotional maturity • Flexible • Honest approach • Perceptive and professional behaviour • Self-motivated and Open-minded Duties include but not...

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...

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 Advert Summary**: **Purpose of Position** To conduct follow-up and/or psychosocial activities in the PWID community by providing current accurate health information and linkage to care. Provide health care counselling, and guide for testing services in non-clinical sites linking screening of TB, STI, PrEP and SRH interventions and enhancing adherence...

AristoSourcing LLC is an Outsourcing company highly focused on the Digital Marketing Industry. Our company has been in the industry for more than 7 years. We hired and referred skilled and experienced Virtual Assistants to work and collaborate directly with our respective clients from different parts of the globe that offer 100% remote work for talented and...

A leading medical aid scheme company is seeking a Case Manager. The purpose of this role is to actively manage the clinical appropriateness and risk (both financial and clinical) of all hospital events and associated healthcare services in accordance with the relevant scheme rules, clinical protocols, and funding guidelines. To participate in the clinical...

A reputable Medical Aid is seeking a Qualified Enrolled or Registered Nurse to join their HBM (Hospital Benefit Management) team in Pretoria. (Office Based) **Job purpose**: - Delivering cost-effective managed healthcare services to accomplish member satisfaction. **Qualifications**: - SANC Registered - Excellent Communication Skills - Computer Literate...

ON SITE Case Manager / Travel Nurse - PRETORIA EAST - Must be a Registered Nurse - Must be fluent in Afrikaans and English - Must be registered with SANC - Must have own small vehicle and must be prepared to travel - Must have Case management experience - Must have disease management experience *Previous experience of hospital on site visits and assessments...

**The main purpose of this position**: To assist the Neurosurgery Team with case support, consignment checks and any other support required **Duties & Responsibilities**: - Responsible for building and maintain effective and positive relationships with all stakeholders - Assisting by covering CUSA Cases in all regions when necessary - Assist with...

A reputable Medical Aid is seeking an experienced Medical Aid Claims Assessor to join their HBM team in Pretoria. (Office based) **Requirements**: - Grade 12 - Staff/Enrolled or Registered Nurse (SANC) - Minimum 5 years’ experience as a Nursing Practitioner - Minimum 1 year experience gained in the medical funding industry - 1 year Medical Aid claims...

ESSENTIAL SKILLS REQUIREMENTS:- In-depth Process Knowledge (Process & Standards)- Able to lead ethically and work well with business counterparts and development teams.- Can communicate influentially and articulately.- Can apply professional judgment and provide recommendations to the product owner.- Strong IT Knowledge - SAP Finance - JIRA (x-ray) -...

ESSENTIAL SKILLS REQUIREMENTS: - In-depth Process Knowledge (Process & Standards)- Able to lead ethically and work well with business counterparts and development teams.- Can communicate influentially and articulately.- Can apply professional judgment and provide recommendations to the product owner.- Strong IT Knowledge - SAP Finance - JIRA (x-ray) -...

ESSENTIAL SKILLS REQUIREMENTS:- In-depth Process Knowledge (Process & Standards)- Able to lead ethically and work well with business counterparts and development teams.- Can communicate influentially and articulately.- Can apply professional judgment and provide recommendations to the product owner.- Strong IT Knowledge - SAP Finance - JIRA (x-ray) - TOSCA-...

Job KeysJob Type: Full TimeQualification: BachelorsExperience: 5 yearsLocation: GautengCity: PretoriaJob Field: ICT / Computer Job DescriptionDescriptionAssists in establishing, implementation and steering of overall test management strategy from a business perspective across all financial accounting products (both manual and automated test strategy). Build...

Our client is looking for an experienced Project Manager to manage the organisational projects using the appropriate Project Management methodologies **YOUR KEY RESPONSIBILITIES INCLUDE**: - Structure the business case for the project concepts identified and conduct general cost/benefit analysis, if required. - Develop a project charter and establish a...

**(A starting annual total cost to company package of** **R 904 663,43, negotiable commensurate with experience)** **Please note that the position is available on a five-year fixed term contract.** **Minimum Requirements** **We are looking for a dynamic, hardworking and committed individual who is in possession of**: - Honours Degree or equivalent in...

Our Client is a leading labour consulting firm dedicated to providing expert advice and support to businesses in navigating complex HR and industrial relations matters. They are seeking a detail-oriented and knowledgeable Paralegal to join their team and assist in legal research, document preparation, and case management. **Job Summary**: *** **Key...

We are recruiting for a Testing Manager with at list 5 years of experience in managing IT Quality Assurance within an IT environment, 3 years at middle management/supervisory level. - Testing Manager with experience in test planning and strategies - Participating in preparation of quality assessments, reports, and metrics formulating go-no go statement based...

Job KeysJob Type: Full TimeQualification: BachelorsExperience: 5 yearsLocation: GautengCity: PretoriaJob Field: ICT / Computer Job DescriptionDescription Assists in establishing, implementation and steering of overall test management strategy from a business perspective across all financial accounting products (both manual and automated test strategy)....