Clinical Care Coordinator

3 weeks ago


Johannesburg, Gauteng, South Africa Palesa Mbali Group Full time

**Position Purpose:**

To optimize patient care and minimize costs, we seek a highly skilled Case Manager In Hospital to coordinate care in our allocated facilities.

**Responsibilities:**

The successful candidate will have a comprehensive understanding of hospital processes and the importance of making cost-effective decisions.

Key responsibilities will include:

1. Patient verification and assessment of quality of information received.

2. Obtaining required clinical information to make funding decisions in line with Scheme rules and Standard Operating Procedures.

3. Utilization review and evaluation of healthcare treatments.

4. Negotiation of cost-effective options while adhering to ethical and legal standards.

**Requirements:**

To be successful in this role, you will require:

1. A minimum of 2 years' Case management experience in the private sector.

2. At least 5 years' medical and surgical ward experience, including 2 years in ICU or high care.

3. Computer literacy, including proficiency in Outlook, Word, and Excel.

4. A valid Code 08 driver's license and own transport.

5. Willingness to work outside normal office hours.

**Qualifications:**

The ideal candidate will be a Registered Nurse with professional membership and possess strong knowledge and application skills in:

1. Dispensing of meds, surgical materials, and procedures.

2. Financial and risk assessment methodology.

3. Scheme rules and contractual negotiations.

4. Clinical intervention principles.

5. Best practice health risk solutions.

6. Relevant legislation and processes/procedures.



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