Oncology Case Manager Sabmas

3 weeks ago


Gauteng, South Africa 3SixtyHealth (Pty) Ltd Full time

Oncology Case Manager

POSITION

Managed Healthcare

DIVISION

The role is to ensure provision of holistic treatment of the Oncology patient including out of hospital management of

Oncology. You will be expected to liaise with Oncology treating doctors by acting as a source of information, in relation to
JOB the scheme protocols. Promotion of rational utilization of Oncology benefits without compromising the quality health
PURPOSE delivery to the member. The incumbent will be reporting to the MHC Clinical Operations Manager.

Head Office, Houghton, Gauteng

LOCATION

DUTIES AND RESPONSIBILITIES
- Plans, develops, assesses, and evaluates care provided to members. Develops and maintains case management policies and proced ures.

Coordinates, directs, and performs concurrent and retrospective reviews, and monitors level and quality of care.
- Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning
- Consults with Medical Advisor and external Physicians, health care providers regarding continued care/treatment or hospitaliz ation.
- Identifies and recommends opportunities for cost savings and improving the quality of care across the continuum.
- Develops and collects data, and trends utilization of health care resources.
- Accurately documents the completion of procedures and the patient's responses.
- Maintains professional ethics and conduct with patients providers and families
- Demonstration of knowledge and skills necessary to provide care appropriate to the needs of patients served in the assigned a rea of practice
- Accurately verify and validate providers' orders
- Safely implement all treatments/procedures and accurately
- Document the completion of treatments/procedures along with the patient's response
- Ensure adherence to Scheme Rules
- Effective handling of Internal/External Clinical Queries Communicate with patients and service providers in order to oncology treatment requests
- Assist with Health Risk Management Monitoring & Management
- Carrying out Clinical coding in accordance with requirements and guidelines
- Compile and submit detailed reports when required

QUALIFICATIONS
- Registered Nurse (with SANC) with Oncology Diploma or Degree
- At least 3 to 5 years’ experience in Oncology Nursing/Managed care environment/ in the Private Sector essential
- Clinical knowledge and experience with regard to Oncology
- Case management experience
- Sound knowledge of the Medical Schemes Act
- Sound knowledge of Prescribed Minimum Benefits.
- Good planning and prioritising abilities
- Good analytical and problem-solving capabilities
- Good computer skills (MS Word, MS excel and administration systems)
- Excellent communication skills, both verbal and written Code 8 drivers license an advantage

PERSONAL ATTRIBUTES
- Works willingly and effectively with others in and across the organization to accomplish team goals.
- Knowledge and understanding of the fundamental processes of business, their interaction and the impact of external/internal influences on decision making, growth and decline.
- Demonstrated strategic thinking and planning and change management skills. High level of energy, drive and enthusiasm.
- Flexible
- Excellent interpersonal and networking skills.
- Able to build and manage complex relationships.
- Strong analytic skills and knowledge of health care industry with ability to provide solutions to meet client needs and maximize value of deliverables.

**Job Type**: Permanent

Ability to commute/relocate:

- Gauteng, Gauteng: Reliably commute or planning to relocate before starting work (required)

Application Question(s):

- Are you a Registered Nurse (with SANC) with Oncology Diploma or Degree

**Education**:

- Diploma (required)

**Experience**:

- Oncology Nursing/Managed Health Care: 3 years (required)

Application Deadline: 2023/01/14


  • Case Manager

    1 month ago


    Gauteng, South Africa Careforce Recruitment Full time

    Our client, a managed care organisation based in Pretoria is looking for a Case Manager. This is an equal opportunity organization 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...

  • Project Manager

    1 month ago


    Gauteng, South Africa Armstrong Appointments Full time

    **Main job function** Manage renewable projects from the initial business development phase through commercial operation by leading and executing the following activities from conceptual and preliminary design, all the way to project completion and handover to operations. Qualifications: - Bachelor’s Degree in Engineering - Mechanical or Electrical...

  • Warehouse Manager

    1 month ago


    Gauteng, South Africa ASIE Personnel Full time

    Our client a leading food manufacturer is looking for a Warehouse Manager to join their team at their Johannesburg plant. To manage and control the warehouse in all aspects of the operation to ensure that the business processes are conducted efficiently on a daily basis. Should be proficient in planning, warehouse control, housekeeping and maintenance,...


  • Gauteng, South Africa Ingersoll Rand Full time

    Location: Gauteng, GT, ZA- Req ID: 7231**Job Summary**:As a Distribution Sales Manager you would be responsible for **ARO**, Sub-Saharan Africa. Your job would include reaching out and travelling directly to our customers. Besides time on your travels in this area, you will be able to spend your time working in a hybrid way - from your own home as well as...

  • Branch Manager

    23 hours ago


    kempton park, Gauteng, South Africa West Coast Personnel Full time

    Branch Manager - Kempton Park, JHB R50 000 Per Month Transport company is looking for a Branch Manager. Key Responsibilities: Provide comprehensive oversight of all business aspects, including the workshop, operations, and personnel. Ensure deadlines are met, work is completed to high standards, and discipline is administered promptly. Demonstrate...

  • Creditors Clerk

    1 month ago


    Gauteng, South Africa Natebo Consulting Full time

    **PRIMARY PURPOSE** To accurately capture and reconcile invoices in the accounting system in order to effect payment accurately and timeously to Creditors. **Detailed Responsibilities** - Ensure invoices are properly authorized in accordance with levels of authority and allocate to the correct Supplier and General Ledger accounts on a daily basis. - Refer...

  • Onboarding Specialist

    1 month ago


    Gauteng, South Africa Jobs 4 All Full time

    **Customer Onboarding Specialist** **Location: Remote Department** **Operations Package: Market Related** **Reports to: COO** Customer Onboarding Specialist An onboarding specialist is the one who makes sure the customer has the first moment of success with the the platform. They must ensure that customers’ expectations have been met and that they feel...

  • Field Service Agent

    1 month ago


    Gauteng, South Africa Ulwembu Business Services Full time

    _**Please ensure that you answer all pre-screening questions fully & accurately.**_ - **Knowledge and Experience**_ **Education**: - A+ certification - N+ certification - MCSE or MCITP - ITIL Foundation an advantage **Experience & Skills**: - Minimum of 2 years relevant experience within an IT Support environment - Previous experience within networking...

  • Legal Associate

    1 month ago


    Gauteng, South Africa Prostaff Recruitment Specialists Full time

    Legal Associate / Partner / Director - Law Firm - 2024-01-22 - 2024-02-21 - Permanent - PS010151 - Executive- Legal- Gauteng, Gauteng - Monthly Cost To Company (Market related, Negotiable)**Minimum requirements for the role**: - The firm is wanting to employ a qualified attorney who has their own practice with good experience in the industry and who wants...

  • Lease Controller

    1 month ago


    Gauteng, South Africa Secondments Recruitment Full time

    **Job Advert Summary**: To manage and control all contracts and effectively manage the portfolio on a Regional Basis, the objectives being the reduction of rental expenditure and maximising rental income. Take responsibility for data integrity (building and tenant) & Handle audit queries. To control all aspects of Leases, i.e. Accounts and Financial. To...


  • Gauteng, South Africa Careforce Recruitment Full time

    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...

  • Training Officer

    1 month ago


    Gauteng, South Africa VERITAS ENGINEERING AND PROJECT MANAGEMENT Full time

    **VACANCY: Training Officer** **Purpose**: To Train employees by facilitating classroom learning and practical training. The incumbent will also be responsible for managing, designing, developing, coordinating, and conducting all training programs. **Location: Gauteng** **Principal Accountabilities**: **Responsibilities will include, but not limited to...


  • City of Tshwane, Gauteng, South Africa Qunu Staffing Full time

    **Title** - Specialist: Quality Assurance Analyst **Department** - Information Technology : IT Development **Job Type** - Permanent **Work Level** - Skilled **EE Position** - Yes **Salary** - Market Related **Location** - Gauteng - Menlyn **Description** Duties & Responsibilities: **Quality Assurance** - Experience with processes and/or methodologies...

  • Underwriter Life

    1 month ago


    Gauteng, South Africa Secondments Recruitment Full time

    **Job Advert Summary**: Our Clientc is looking for an Underwriter Life for Maintenance of underwriting insurance policies in line with underwriting guidelines. Administration & underwriting. To provide quality assurance underwriting basis, that assist LBLIC operations.Research all problems and risk related issues by using initiative in problem solving that...


  • Gauteng, South Africa 3SixtyHealth (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 **3Sixty Health is a black owned and managed, reputable and a major player in driving South African economy by investing in ‘’black excellence’’3Sixty Health is 100% black owned and black managed...


  • City of Johannesburg, Gauteng, South Africa OutsideCapital Full time

    **Key Responsibilities**: - Manage service across platforms and multiple channels to ensure service availability, performance, and process maturity - Proactively identify platform enhancements and facilitate communication of roadmaps, ensuring stakeholder engagement and business case approval - Build and maintain relationships with internal and external key...

  • Candidate Attorney

    1 month ago


    West Rand, Gauteng, South Africa AGC Recruitment Full time

    **Position Overview**: **Key Responsibilities, but not limited to**: - Conducting legal research and analysis. - Drafting legal documents, including pleadings, contracts, and opinions. - Assisting in case preparation and management. - Collaborating with senior attorneys on legal matters. - Keeping abreast of legal developments and updates. - Contributing to...

  • Java Developer

    7 days ago


    Gauteng, South Africa Adzuna ZA B C2 Full time

    Our experienced team of software developers assist our clients through their software development journey. We have a vast range of experience across various technologies and industries. **Please note that this is not an active role but an advertisement to submit your CV for similar Java Developer positions that will become available in the coming months**Job...

  • CCMA Commissioner

    3 weeks ago


    randburg, Gauteng, South Africa Career-seekers Recruitment Solutions Full time

    Our Client, a National Fund Administrator is seeking to URGENTLY appoint a dynamic CCMA Accredited Commissioner (EE) for their Offices in Randburg Gauteng (R410K + benefits). KEY COMPETENCY REQUIREMENTS : Administration: Attend to complaints and correspondence. Attend where required to screening, allocation and process of cases and applications. Issue...


  • Eastern Cape - Free State - Gauteng - KwaZulu-Natal - Limpopo - Mpumalanga - North West - Northern Cape - Western Cape, South Africa NESTLÉ Full time

    Position SummaryWith a history spanning over 150 years, Nestlé didn't become the world's leading food and beverages brand by chance. Perfection is at the heart of what we do, and our people are always looking for the next big idea to cement our status. We are now looking for a Strategic Materials Manager based in Bryanston. In this role you will be...