Case Manager

**Case Manager** **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. **Purpose** Delivering of cost-effective managed healthcare service to accomplish member satisfaction **Duties and responsibilities** Delivering of cost-effective managed healthcare service to...

Job DescriptionWe are seeking a highly skilled and dedicated individual to join our team as a Chronic Case Manager. As a member of our team, you will be responsible for dealing with all queries related to Chronics and HIV. This includes taking calls, dealing with queries from franchises, brokers & the public, and assisting with escalated queries from brokers...

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...

About the job Case Manager (Member Management) 12 Month FTC - Pretoria **Case Manager (Member Management) 12 Month FTC - Pretoria** Our client, focusing on a risk and clinical assessment offering, is requiring a Case Manager (Member Management). **Requirements (but not limited to)** - Perform Clinical coding in accordance with CPT and ICD requirements and...

**Case Manager (Member Management) 12 Month FTC - Pretoria** Our client, focusing on a risk and clinical assessment offering, is requiring a Case Manager (Member Management). **Requirements (but not limited to)** - Perform Clinical coding in accordance with CPT and ICD requirements and as per client standards. - Maintaining patient’s clinical status in...

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**: -...

Our award-winning team at the North Australian Aboriginal Justice Agency (Naaja) is seeking a highly skilled Court of Protection Solicitor to join our ranks.This exciting role primarily involves managing a caseload of health and welfare cases for vulnerable adults, handling complex applications under the Mental Capacity Act, and working on sensitive cases...

**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...

About the RoleThis Medical Benefits Case Officer position involves the investigation and resolution of short payments or non-payments on account enquiries from customers regarding hospital, private nursing and sub-acute facility claims.You will apply your clinical knowledge to evaluate enquiries and provide feedback or grant benefits in accordance with...

A reputable Medical Aid based in Pretoria is seeking a Case Manager to join their HBM team. **Job purpose**: - Delivering a cost-effective Managed Healthcare service to accomplish member satisfaction. **Qualification / Experience**: - Grade 12 / Matric - B Cur Degree or Diploma in Nursing - SANC Registered - A minimum of 5 years' experience as a Nursing...

**About the Role**\We are seeking a skilled Pre-Auth Consultant – Enrolled Nurse to join our dynamic team at Medical Resources Group. This is an exciting opportunity to utilise your clinical expertise and negotiation skills to deliver cost-effective managed healthcare services to our members.\Key Responsibilities: \\Employ negotiation skills to facilitate...

Join us at Orthomove and take the first step towards a rewarding career in healthcare.We are looking for a dedicated Registered Nurse to provide exceptional care and support to patients in preparation for consultations and surgical procedures.Responsibilities will include addressing patient inquiries, conducting ward rounds, preparing clinical reports,...

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...

Employee Relations Manager Job DescriptionWe are seeking an experienced HR professional to join our team as an Employee Relations Manager. The successful candidate will be responsible for managing employee relations cases, providing guidance on employment legislation, and developing and implementing HR policies.The ideal candidate will have a strong...

Collaboration with Team Lead, Stakeholders, IT PO and broader Team regarding Testing topics. Test Execution, Defect capture. Maintenance of automation packs. Daily execution and reporting on automated regression packs. Assist with Developer (rest layer) unit testing automation. Managing and communicating issues. Reporting - with attention to details...

**DISEASE AND PROGRAMME MANAGEMENT SPECIALIST (RN) - PRETORIA** Our client, focusing on a risk and clinical assessment offering, is requiring a Disease and Programme Management Specialist. **PURPOSE OF THE POSITION**: The Disease and Programme Management Specialist will render active disease management, care support, coaching and health education services...

Safety Sa is a global leader in the management consulting industry, with a presence in over 40 countries.We are seeking highly skilled professionals to join our team as Business Growth Leaders.The ideal candidate will possess strong leadership skills, excellent communication abilities, and a passion for driving business growth.We offer an exciting...

Job ResponsibilitiesTest Planning & Strategy: Develop a comprehensive testing strategy that includes unit, system, integration, user acceptance, and performance testing.Test Case Development: Create detailed test cases based on requirements.QualificationsCandidates should possess relevant experience in Quality Assurance and a proven track record in a...

Gauteng, Tshwane (Pretoria) We are recruiting for a position of Senior Manager: Integrity Management Services. **REQUIREMENTS** **Formal Qualifications**: - A degree or NQF level 7 qualification in Forensic Investigation / Law / Accounting / Auditing **Experience**: - Minimum of 10 years’ experience in Forensic / Criminal Investigations. - 5 years at...

**LITIGATION LEGAL SECRETARY** Providing administrative and clerical support to attorneys within the litigation department, primarily focusing on tasks like preparing legal documents, scheduling court appearances, managing case files, communication with clients and opposing counsel, ensuring smooth operation of ongoing legal cases. **KEY...