Clinical Case Consultant

Company Description Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and employee...

**Job Summary**: 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 Qualifications and Experience*** - Nursing degree / diploma. - Current registration with South African...

Company Description **About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. **Job Description**: The Clinical Consultant is a specialised clinical specialist who is responsible for managing clinical support and providing counselling services....

Company Description **About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and...

**Company Description** About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money...

Job title : Case ManagerJob Location : Gauteng, SowetoDeadline : March 06, 2025Quick Recommended Links Jobs by Location Job by industries Job Summary: To plan, coordinate and execute case management work at hospital level. The incumbent utilises clinical knowledge to minimise financial risk and ensure accurate billing through comprehensive accurate coding...

Company Description** About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. **Job Description**: The Clinical Consultant is a specialised clinical specialist who is responsible for managing clinical support and providing counselling services....

Role Title: Case Manager Role Summary: Are you a healthcare professional looking to make a significant impact in patient care and financial risk management? If so, we have an exciting opportunity for you to join the team of a private hospital based in Gauteng as a Case Manager. In this role, you will leverage your clinical knowledge and expertise to ensure...

**Role Summary** The Case Manager utilizing clinical knowledge and expertise, mitigates financial risk through comprehensive and accurate coding of hospital events, communication with funders on justification for hospitalization level of care and length of stay. **Key Word Output and Accountabilities**: - Monitor and action risk related to medical aid...

Complement Recruitment are recruiting for a Nurse Clinical Advisor for a permanent position in Sandton, Johannesburg, Gauteng. This is a call-centre based nurse delivering care and clinical support and advice through virtual consultations with consumers over the phone, and in the near future, in person as well. Motivated, committed, and collaborative...

**Company Description** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and employee...

Manage calls from Hospital Case Managers regarding authorisations for procedures in hospital, **trauma, casualty**, GP or dental rooms - Case management from issuing a guarantee of payment to final discharge and follow up treatment - Manage clinical risk to decrease claims over utilisation - Pre-authorisation of GP visits per benefit option rules - Classify...

**Job Information** - Location- Johannesburg- Salary- R350k-R250k- Job Type- Permanent- Education- Degree/Diploma in Nursing- Experience- +3 experience clinical coding/ case management- - pharmacy.jobs(at)staffingprojects.co.za- Fax- 0866023398**Requirements**: - Registered with the SANC - Degree/Diploma in Nursing - +3 years’ experience clinical coding/...

Kaelo Johannesburg, Gauteng, South AfricaClinical Risk ConsultantCompany DescriptionKaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa – products offerings include Medical...

**Requirements**: - Degree or Diploma in General Nursing Science or Enrolled Nurse - Valid SANC registration - At least three years’ proven experience in case management and clinical coding - Knowledge of hospital patient services and case management processes - Knowledge and understanding of CPT & ICD coding - Knowledge of Funder contracts, scheme rules,...

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...

**Nurse Clinical Advisor - Johannesburg Gauteng** **Salary: Market Related** **Purpose of Position**: Complement Recruitment are recruiting for a Nurse Clinical Advisor for a permanent position in Sandton, Johanensburg, Gauteng. This is a call-centre based nurse delivering care and clinical support and advice through virtual consultations with consumers...

**Job Advert Summary**: MHR is urgently looking for a **Registered Nurse Case Manager** with **Disease Management experience.** This is a **permanent opportunity** at a well-known medical aid** **in** Randburg** in** Johannesburg**. **Minimum Requirements**: - 5 years of case management and disease management experience - Minimum of 3 years’ experience...

Job title : Clinical Risk ConsultantJob Location : Gauteng, JohannesburgDeadline : April 10, 2025Quick Recommended LinksJobs by Location Job by industries Job DescriptionClinical Risk Consultants are responsible for supporting the implementation and maintenance of clinical risk management strategies, policies, and procedures to promote patient safety and...

To collaborate with the fund in ensuring that the patient/claimant have access to quality healthcare services from both Acute and Rehabilitation to achieve good clinical outcomes and reintegration back to the society. To establish a framework in enhancing service delivery to patients with due attention to the Fund's financial obligation and payment...