Case Manager

**Qualifications**: Enrolled/ Registered Nurse Valid registration with SANC **Skills and Competencies Required**: 3 to 5 years experience within a managed healthcare or medical scheme environment Solid understanding of value-based care Demonstrated ability to manage a portfolio of hospital cases Outcome focused with the ability to manage competing...

Position: Case Manager (Member Management) Reporting to: Senior Specialist Clinical Management Location: On-site at the Head Office, Pretoria **Qualifications**: - Enrolled/ Registered Nurse - Valid registration with SANC **Skills and Competencies Required**: - 3 to 5 years’ experience within a managed healthcare or medical scheme environment -...

**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. **Duties and responsibilities** Delivering of cost-effective managed healthcare service to accomplish member satisfaction. - Case management of authorised cases according to the acceptable Scheme...

**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...

**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 Introduction**: We have an exciting role for a Case Management Assistant to sit within our South Africa Cases Team. Working within the South Africa Case Management team you will support the delivery services for South Africa members, providing assistance to Medico and Dento Legal Consultants, and Case Managers. **Role Responsibility**: - Assist the...

Job Introduction We have an exciting role for a Case Management Assistant to sit within our South Africa Cases Team. Working within the South Africa Case Management team you will support the delivery services for South Africa members, providing assistance to Medico and Dento Legal Consultants, and Case Managers. Main Responsibilities - Assist the Medico...

Our client, who is in the Health Care Industry, has a vacancy for a Case Manager on a Permanent basis The Case Manager will have thorough, well-grounded clinical knowledge of hospital admissions, LOS and LOC Excellent knowledge of the South African Healthcare industry and prevailing legislation, current coding structures i.e., ICD10's, CPT4, NRPL, PMB...

**Facility Life Eugene Marais Hospital** **Position**:Case Administrator **Introduction** **Critical Outputs** Ensure operational excellence - Co-ordinate and distribute case management working reports to team. - Assist case managers assigned to specialized wards to compile motivations where required and submit to the fund. - Ensure effective management...

**Functions**: - Plan and optimise daily tasks to ensure timely updates of cases on the hospital list. - Follow up on long-term and high-cost cases of hospitalised and home care patients. - Identify the need for patient and hospital visits and provide documented feedback. - Adhere to the escalation process for cases requiring input from management or the...

Our client, specializing in the labour relations industry, is seeking a **Case Manager/Office Supervisor to be based in Pretoria. **You will manage the overall Case Management function, nationally, as well as be responsible for the direct administration of cases for various areas (currently, Gauteng-Pretoria, Mpumalanga, Northwest, Limpopo, Eastern Cape...

Our client, specializing in the labour relations industry, is seeking a **Case Manager/Office Supervisor to be based in Pretoria. **You will manage the overall Case Management function, nationally, as well as be responsible for the direct administration of cases for various areas (currently, Gauteng-Pretoria, Mpumalanga, Northwest, Limpopo, Eastern Cape...

**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 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...

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 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...

**Position Title**: Case Processing Supervisor **Reports To**: Case Processing Manager **Division**: Immigration & Refugee Program+ (IRP+) **Department**: Programs, Case Processing **Job Location**: Pretoria, South Africa **Grade Level**: Grade 7, Supervisor, National **Introduction***: Church World Service (CWS) is a not-for-profit, faith-based...

A reputable Medical Aid is seeking a Nurse who has experience within the Medical Aid environment, to join their HBM Case Management team. **Duties**: - Providing clinical knowledge of hospital pre-authorisation and Case Management of hospital cases in order to take cost effective and appropriate decisions in evaluating treatment, LOS 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...

A reputable Medical Aid based in Pretoria is seeking a Registered Nurse to join their HBM Case Management team. **Qualifications**: - Grade 12 - B Cur Degree / Diploma in Nursing - SANC Registered **Experience**: - Minimum 5 years experience as a Nursing practitioner - Minimum 1 year experience gained in the Medical Funding industry...