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...

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...

**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 (PE/East London) and Free State. Your primary goal will be to manage the...

Gauteng, Tshwane (Pretoria) - Monthly Cost To Company (Market related, Negotiable) Our client, who is in the Health Care Industry, has a vacancy for a Case Manager on a Contract Basis, with a possibility of it becoming permanent The Case Manager will have thorough, well-grounded clinical knowledge of hospital admissions, LOS and LOC Excellent knowledge of...

**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...

**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...

20 January 2025 **INTRODUCTION**: - Cure Day Hospitals is a dynamic and energetic company that is expanding rapidly with Thirteen (13) operational hospitals. We are looking for a dynamic and energetic CASE MANAGER to join our team at the HEAD OFFICE, ERASMUSKLOOF, PRETORIA. **DEPARTMENT**: Head Office**BUSINESS UNIT**: Cure Day Hospitals -...

**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...

**Duties and Responsibilities** - Plan and optimize daily tasks to update cases on the hospital list within the 8 hours turnaround time. - Following up on long term and high cost cases of hospitalised and home care patients. - Identify the need for patient and hospital visits where possible and give documented feedback. - Follow the escalation process for...

Responsibilities - Provide cross team and departmental support where required to ensure KPIs are met and service standards are maintained- Support decision making in key internal governance meetings by representing the member voice and ensuring technical input is considered on matters; for high profile cases ensure the reputation of the company is protected-...

**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...

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...

As a Case Management Professional, you will be responsible for coordinating the hospital case management process, facilitating communication between all role players and providing accurate and timeous clinical information.Responsibilities:Manage patient stay effectively to minimise financial risk, ensuring compliance with clinical procedures and...

**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. -...

About the RoleThe successful candidate will have a strong background in clinical care and experience in private healthcare or ILS/ALS Paramedic environments. A degree in Nursing or equivalent is essential, while experience in Theatre and/or ICU and medical aid background would be advantageous.Responsibilities:Coordinate hospital case management process and...

**Role Responsibility**: - Assist the Medico and Dento Legal Consultants and Case Managers with all case related activities. - Answering phone calls from members, addressing, and resolving queries and providing excellent service. - Assessing the initial case to determine the appropriate strategy, allocating and completing tasks, and recording the agreed...

Main Responsibilities - Assist the Medico and Dento Legal Consultants and Case Managers with all case related activities. - Answering phone calls from members, addressing, and resolving queries and providing excellent service. - Assessing the initial case to determine the appropriate strategy, allocating and completing tasks, and recording the agreed...

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...

Our well-known client in the Automotive industry is looking for an experienced Case Manager Minimum requirements: - Matric - Motor vehicle technical qualifications (compulsory) - Will investigate and resolve consumer complaints - Handle incoming telephonic inquiries, requests for advice, and current case follow-ups from complainants and the automotive...