Case Manager

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...

**About** One of the largest private Medical Aid companies in SA. They have been established for 20 years and are striving to be #1 in SA. **Duties and responsibilities** Delivering of cost-effective managed healthcare service to accomplish member satisfaction. - Case management of authorised cases according to the acceptable Scheme rules and protocols. -...

Our Ideal Candidate:We are looking for a highly skilled and experienced Clinical Case Manager who can provide accurate and timely clinical information to minimise financial risk for the organisation. The successful candidate will have a strong background in clinical case management, excellent communication skills and the ability to work effectively in a...

About the Role:We are seeking an experienced Clinical Case Manager to join our team at Mediclinic International. As a key member of our hospital operations team, you will be responsible for coordinating the case management process and ensuring seamless communication between all stakeholders.

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...

Job Introduction Main Responsibilities Responsibilities will include but not limited to the following **Service Delivery** Deliver the performance of assigned case files in accordance with governance, policy and process ensuring quality and fair outcomes for the member and the membership fund Proactively manage assigned case files and work effectively to...

**Job Introduction**: **Role Responsibility**: Responsibilities will include but not limited to the following **Service Delivery** Deliver the performance of assigned case files in accordance with governance, policy and process ensuring quality and fair outcomes for the member and the membership fund Proactively manage assigned case files and work...

**JOB PURPOSE** The main purpose of this position is to coordinate the hospital pre-authorisations, confirmations, billing and credit control processes and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimize the financial risk for the organisation including its...

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...

**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...

**Job Advert Summary**: MHR is urgently looking for an experienced **Hospital Case Manager** _(Registered Nurse or Enrolled Nurse) _to work** **at a private hospital in **PRETORIA **in the** Gauteng** province. This is an opportunity to work **daily shifts** for approximately **6 weeks.** **Minimum Requirements**: - **Must be available immediatedly**: -...

A reputable Medical Aid is seeking a Case Manager to deliver cost-effective managed healthcare service to accomplish member satisfaction and to deliver affordable managed healthcare services. **Requirements**: - Grade 12 - BCur Degree or Registered Nurse Diploma in Nursing (SANC) - Minimum 5 years experience as a Nursing Practitioner - Minimum 1 year...

Job Purpose To provide administrative and client care support in relation to the effective registration and processing of all complaints. The person appointed to this position will report to the Case Admin Manager. Key Performance Areas: - Register new complaints. - Assess whether a complaint falls within jurisdiction in terms of the FAIS Act or the...

Position: Coordinator: Member Care (Pre-authorisations) Reporting to: Contact Centre Operational Manager Location: On-site at the Head Office, Pretoria _**You will be required to work shifts between 7h00 and 19h00 (Monday to Sunday)**_ **Qualifications**: - Registered/ Enrolled Nurse - Valid registration with SANC **Skills and Competencies Required**: -...

**Responsibilities**: - Assess jurisdiction of OPFA to investigate a complaint. - Conduct proper investigation of complaints in accordance with legal principles and prepare file for adjudication. - Ensure that the parties to a complaint are properly identified and cited in correspondence. - Send out properly drafted correspondence. - Request relevant...

**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...

**Job Title**:Senior Case Processing Assistant **Reports to**: Case Processing Supervisor **Division**: Immigration & Refugee Program+ (IRP+) **Department**: Programs, Case Processing **Job Location**: Pretoria, South Africa **Grade Level**:Grade 4, Senior Assistant, National **Introduction**: Church World Service (CWS) is a not-for-profit, faith-based...

The Competition Commission is seeking to fill the Case Advisor position in the Office of the Commissioner. The Case Advisor will support the Deputy Commissioner by providing strategic advice on cases as well as local and international developments in competition law and policy. **A starting annual total cost to company package of R 1 498 582.40 (negotiable...

Job Introduction The purpose of this role is to provide strong leadership to a team of technical experts ensuring delivery of excellent claims and case handling services for members which is trusted and valued, provides fair treatment and outcomes whilst optimising the performance against service levels, efficiency and effectiveness of the team. Main...

Overview Position: Patient Service Manager Hospital This position reports to: Hospital Manager **Salary**: Market Related Location: Pretoria PURPOSE: To manage business risk through facilitating successful and accurate case management from pre-admission to the discharge of a patient. Key Performance Areas: 1. Pre admission and admission process...