Nurse Case Manager

1 week ago


Johannesburg, South Africa Talent Evolution Full time

**Duties**:

- Provide patient-focused care and guidance on the phone or online, including accurately assessing needs, delivering or directing to the appropriate level of care, identifying potential health problems and influencing people to make better health decisions.
- Providing a comprehensive and professional telephonic health advisory service according to the prescribed procedures and protocols
- Develop effective working relations and cooperate with medical team throughout the entire case management process.
- Take the extra mile and interact with patients to keep track of their progress and to ensure satisfaction.
- Record case information, complete accurately all necessary forms and produce statistical reports.
- Promote quality and cost-effective interventions and outcomes.
- Validate memberships / insurance policies.
- Provide assistance with all related services and logístical arrangement according to the prescribed procedures and protocols.
- Assist with quality assessment and guidance to medical team.
- Follow up on medical reports and relevant documents.
- Managing medical Evacuation.
- Manage cases as per Guidelines / Policy Documents and SOP.

**Requirements**:

- Matric
- Registration with Nursing council and an indemnity body
- Nursing Diploma, General, Midwifery (Community nursing and Psychiatry will be an advantage)
- Minimum 3-5 years’ working experience in relevant field.
- Strong clinical background
- Fluent English (African language will be an advantage)
- Working knowledge of Windows, MS Office and Internet Explorer
- FAIS representative (RE 5) - preferred
- Problem solving approach with high service and customer orientation
- Excellent telephonic and written communication skills
- Ability to handle pressure and diffuse emotional and difficult patients
- Able to work shifts (including weekends and nights)
- Must be computer literate
- Positive, warm and friendly approach - Customer service orientated
- Good telephonic and written communication skills
- Initiative - can-do attitude - will do whatever it takes to achieve success and ensure customer is assisted
- Ability to work independently - self-starter - but still able to function as part of a team
- Assertiveness combined with good judgement


  • Nurse Case Manager

    Found in: Talent ZA C2 - 3 weeks ago


    Johannesburg, South Africa Talent Evolution (Pty) Ltd Full time

    Nurse Case Manager provides comprehensive and professional telephonic health advisory services according to the prescribed procedures and protocols. Their duties include interacting with patients, providing health education, connecting patients with professional services and maintaining consistent communication to assess their wellbeing and make changes to...

  • Case Manager

    Found in: Talent ZA C2 - 3 weeks ago


    Johannesburg, South Africa Edge Executive Search Full time

    Our client is seeking dedicated and experienced case managers to join their team and manage the spending of member funds through clinical interventions and the application of managed care protocols. Qualifications: Nursing Degree/Diploma. Professional Registered Nursing Sister with a valid and up-to-date registration with the South African Nursing...

  • Nurse Case Manager

    Found in: Whatjobs ZA C2 - 3 weeks ago


    Johannesburg, South Africa Talent Evolution Full time

    Duties: · Provide patient-focused care and guidance on the phone or online, including accurately assessing needs, delivering or directing to the appropriate level of care, identifying potential health problems and influencing people to make better health decisions.· Providing a comprehensive and professional telephonic health advisory...

  • Nurse Case Manager

    Found in: Adzuna ZA B C2 - 3 weeks ago


    Johannesburg, South Africa Adzuna ZA B C2 Full time

    Duties:· Provide patient-focused care and guidance on the phone or online, including accurately assessing needs, delivering or directing to the appropriate level of care, identifying potential health problems and influencing people to make better health decisions.· Providing a comprehensive and professional telephonic health advisory service according to...

  • Nurse Case Manager

    Found in: Talent ZA 2A C2 - 3 weeks ago


    Johannesburg, South Africa Talent Evolution Full time

    Duties:· Provide patient-focused care and guidance on the phone or online, including accurately assessing needs, delivering or directing to the appropriate level of care, identifying potential health problems and influencing people to make better health decisions.· Providing a comprehensive and professional telephonic health advisory...

  • Case Manager

    3 days ago


    Johannesburg, South Africa Palesa Mbali Group Full time

    **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...

  • Case Manager

    18 hours ago


    Johannesburg, South Africa Mass Staffing Projects Full time

    Exciting opportunity in Gauteng! Looking for a someone that will be responsible for the liaison between the patients and managed healthcare. **Requirements**: - B Degree Nursing Qualification or equivalent NQF level 6 - Hospital case manager experience advantageous - 3 years’ experience in patient care - SAP experience preferrable

  • Case Manager

    3 days ago


    Johannesburg, South Africa Clinix Health Group (Pty) Ltd Full time

    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...


  • Johannesburg, South Africa Kaelo Full time

    **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...


  • Johannesburg, South Africa Kaelo Full time

    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...

  • Case Manager

    2 days ago


    Johannesburg, South Africa Glasshouse Recruiting Full time

    Full Time _Gauteng_, _Johannesburg_ November 16, 2023 - December 16, 2023 Management - Medical Nursing **Job Overview**: **Requirements**: - Relevant Nursing qualification - CM or Billings Clerk with ICD training and anatomy and physiology course certification - IDC and CPO coding - 3-5 years’ experience as a hospital case manager **The main purpose of...


  • Johannesburg, South Africa Palesa Mbali Group Full time

    **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...

  • Case Manager

    Found in: Talent ZA 2A C2 - 3 weeks ago


    Johannesburg, South Africa Palesa Mbali Group Full time

    To ensure clinical appropriateness of care at lowest possible cost without compromising quality of care. To use appropriate tools such as Burden of Care Criteria in the application of discharge planning. To manage the risk to the client by assessing the quality of information received and sent out and anticipating the cost for the scheme. To recognize the...

  • Case Manager

    Found in: Talent ZA C2 - 3 weeks ago


    Johannesburg, South Africa Palesa Mbali Group Full time

    To ensure clinical appropriateness of care at lowest possible cost without compromising quality of care. To use appropriate tools such as Burden of Care Criteria in the application of discharge planning. To manage the risk to the client by assessing the quality of information received and sent out and anticipating the cost for the scheme. To recognize the...

  • Case Manager

    5 days ago


    Johannesburg, South Africa JorDan Human Resources Full time

    2024-03-04 - 2024-03-15 - Temp - CT004217 - Medical, Pharmaceutical & Nursing- Gauteng, JHB - Southern Suburbs - R 160 - R 180 Hourly Basic Salary (statuary benefits)- Private Hospital in JHB Southern Suburbs in need of a Temp Case Manager, must be registered on SANC as a RN and have experience as a case manager with clinical knowledge in the risk management...

  • Case Manager In Hospital

    Found in: Talent ZA 2A C2 - 3 weeks ago


    Johannesburg, South Africa Palesa Mbali Group Full time

    Position:Case Manager In HospitalPosition 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 cost-effective...


  • Johannesburg, South Africa 3Sixty Health (Pty) Ltd Full time

    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 **3SIXTY HEALTH **in ‘’black excellence’’3Sixty Health is 100% black owned and black managed...

  • Case Manager

    18 hours ago


    Johannesburg, South Africa Edge Executive Search Full time

    Your role will be critical in optimising patient care and ensuring efficient resource allocation. **Qualifications**: - Nursing Degree/Diploma. - Professional Registered Nursing Sister with a valid and up-to-date registration with the South African Nursing Council. **Qualities and Skills**: - Excellent clinical assessment and decision-making skills. -...


  • Johannesburg, South Africa Mass Staffing Projects Full time

    Exciting opportunity in Nursing! We are seeking a Deputy Nursing Manager for the Theatre Unit of a Private Hospital based in Johannesburg. **Requirements**: - SANC registered - Relevant Nursing degree/diploma - Experience scrubbing for vascular cases - Post basic in Operating Theatre advantageous - The capacity to recognise development areas in others and...

  • Registered Nurse

    5 days ago


    Johannesburg, South Africa Ultra Personnel Full time

    The salary on this role is negotiable depending on years of experience and qualifications obtained. We are currently recruiting for Registered Nurses in Various areas. These position are available for Nurses with 3+ years of experience within the theatre environment. This is for a private hospital. **Locations include**: - Vosloorus - West Rand - Soweto -...