Case Manager
6 months ago
**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 accomplish member satisfaction.
- Case management of authorised cases according to the acceptable Scheme rules and protocols.
- To reduce the risk associated with hospitalization and to provide an effective and unique managed healthcare
- To assist the member by approving appropriate funding.
- To deliver an effective call centre service in order to achieve member satisfaction.
- Effective Customer Service delivery.
- Hospital patients visits as and when required.
- Monitor Cost per Beneficiary and Average Length of Stay.
**Qualification - Essential**
- Grade 12
- B Cur degree / Diploma in Nursing
**Experience - Essential**
- Minimum 5 years’ experience as a nursing practitioner
- Minimum 1 year experience gained in the medical funding industry
Ability to commute/relocate:
- Pretoria, Gauteng: Reliably commute or planning to relocate before starting work (required)
**Education**:
- Diploma (required)
**Experience**:
- Professional nurse: 5 years (required)
- medical aid: 1 year (required)
-
Case Manager
5 months ago
Pretoria, South Africa care force Full timeOur 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...
-
Case Manager
5 months ago
Pretoria, South Africa Medical Protection Society Full timeJob 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
5 months ago
Pretoria, South Africa Dymaxa Full time**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...
-
Case Manager
5 months ago
Pretoria, South Africa H2R Full timeGauteng, 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
5 months ago
Pretoria, South Africa HRInsync Full time**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
4 months ago
Pretoria, South Africa Qetello Holdings Full timeOur client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients. In line with their growth and commitment to excellence, they are seeking a dedicated and experienced Case Manager to join their...
-
Case Manager
4 months ago
Pretoria, South Africa Qetello Holdings Full timeOur client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients. In line with their growth and commitment to excellence, they are seeking a dedicated and experienced Case Manager to join their...
-
Medical Case Manager
4 weeks ago
Pretoria, Gauteng, South Africa Qetello Holdings Full timeJob Title: Medical Case ManagerOur client, a leading medical scheme in Pretoria, is seeking a dedicated and experienced Case Manager to join their team. As a Case Manager, you will be responsible for planning and optimizing daily tasks to ensure timely updates of cases on the hospital list.Key Responsibilities:Follow up on long-term and high-cost cases of...
-
Medical Case Manager
4 weeks ago
Pretoria, Gauteng, South Africa Qetello Holdings Full timeJob Title: Medical Case ManagerOur client, a leading medical scheme, is seeking a dedicated and experienced Medical Case Manager to join their team. The successful candidate will be responsible for planning and optimizing daily tasks to ensure timely updates of cases on the hospital list.Key Responsibilities:Follow up on long-term and high-cost cases of...
-
Orthopaedic Case Manager
2 weeks ago
Pretoria, Gauteng, South Africa H2R Africa Full timeJob Title: Case Manager for Spinal Management ProgrammeJob Summary:H2R Africa is seeking a highly skilled Case Manager for Spinal Management Programme to join our team. The successful candidate will be responsible for managing the access, clinical appropriateness, and risk of all requests for services pertaining to back and neck pain management, spinal...
-
Case Manager
5 months ago
Pretoria, South Africa Qetello Holdings Full time**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...
-
Medical Case Manager
2 weeks ago
Pretoria, Gauteng, South Africa Qetello Holdings Full timeJob SummaryQetello Holdings is seeking a dedicated and experienced Case Manager to join their team. The ideal candidate will have a B Cur Degree / Diploma in Nursing and a minimum of 5 years of experience as a nursing practitioner.Key Responsibilities:Plan and optimize daily tasks to ensure timely updates of cases on the hospital list.Follow up on long-term...
-
Case Manager Office Supervisor
5 months ago
Pretoria, South Africa Dymaxa Recruitment Full timeOur 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...
-
Medical Case Manager
2 days ago
Pretoria, Gauteng, South Africa AJ Personnel Full timeAbout the RoleWe are seeking a highly motivated and empathetic Medical Case Manager to join our team at AJ Personnel. In this role, you will be responsible for providing individualized support to patients newly diagnosed with HIV and those already on Antiretroviral Therapy (ART).
-
Case Coordinator
3 months ago
Pretoria, South Africa PRETORIA OOGINSTITUUT HOSPITALE BEDRYF Full time**JOB PURPOSE** The main purpose of this position is to coordinate the hospital pre-authorisations, confirmations, billing and credit control processes and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimize the financial risk for the organisation including its...
-
Pre-litigation Case Manager
5 months ago
Pretoria, South Africa AristoSourcing Inc. Full timeAristoSourcing LLC is an Outsourcing company highly focused on the Digital Marketing Industry. Our company has been in the industry for more than 7 years. We hired and referred skilled and experienced Virtual Assistants to work and collaborate directly with our respective clients from different parts of the globe that offer 100% remote work for talented and...
-
Senior Case Coordinator
2 weeks ago
Pretoria, Gauteng, South Africa Qetello Holdings Full timeJob Title: Senior Case CoordinatorAbout the Role:The Senior Case Coordinator will play a vital role in ensuring the timely and efficient management of cases within the medical scheme. This includes planning and optimizing daily tasks, following up on long-term and high-cost cases, and identifying the need for patient and hospital visits.Key...
-
Spinal Management Program Case Manager
4 weeks ago
Pretoria, Gauteng, South Africa H2R Africa Full timeJob Title: Case Manager for Spinal Management ProgramWe are seeking a highly skilled and experienced Case Manager to join our team at H2R Africa. The successful candidate will be responsible for managing the access, clinical appropriateness, and risk of all requests for services related to back and neck pain management, spinal surgery, scans, and associated...
-
Case Manager for Spinal Management Program
3 months ago
Pretoria, South Africa H2R Africa Full timeOur client in the Healthcare industry is looking for a Case Manager for Spinal Management Program to join their team. This a 12 month contact position with the possibility of becoming permanent. Our client is an accredited managed health organisation that service clients in the medical scheme industry.Purpose of the position: To actively manage the access,...
-
Case Manager for Spinal Management Program
2 months ago
Pretoria, South Africa H2R Africa Full timeOur client in the Healthcare industry is looking for a Case Manager for Spinal Management Program to join their team. This a 12 month contact position with the possibility of becoming permanent. Our client is an accredited managed health organisation that service clients in the medical scheme industry. Purpose of the position: To actively manage the...