Medical Scheme Case Manager
4 days ago
We are seeking a dedicated and experienced Case Manager to join our team at Qetello Holdings. This role is perfect for someone with a passion for quality service and patient care.
Job DescriptionThe successful candidate will be responsible for planning and optimizing daily tasks to ensure timely updates of cases on the hospital list. They will also follow up on long-term and high-cost cases of hospitalised and home care patients, identifying the need for patient and hospital visits and providing documented feedback.
Additional responsibilities include adhering to the escalation process for cases requiring input from management or the medical advisor, managing telephonic calls and enquiries from clients and service providers efficiently, and coordinating services and care to prevent re-admissions and complications.
The ideal candidate will have strong negotiation skills and be proficient in MS Word, Excel, Office, Outlook, and Internet. They will also possess excellent organisational skills with attention to detail and be a team player with a caring attitude.
Required Skills and Qualifications- B Cur Degree / Diploma in Nursing
- Minimum 5 years of experience as a nursing practitioner
- At least 1 year of experience in the medical funding industry
- Knowledge of ICD-10 & CPT coding, medical scheme rules, ERP, Workflow, and CAM
As a valued member of our team, you can expect a competitive salary commensurate with experience, exceptional benefits program including 23 days of annual leave, 8-hour workday with a 30min break, life cover, disability benefits, funeral cover, pension fund, medical aid, and more.
You will also enjoy office perks such as free parking, Wi-Fi, landline phone allowance, on-site gym, subsidised meals, free refreshments, Athletics Club, Pilates, and wellness programs. Our dynamic team interactions, recognition programs, and incentives make us a great place to work.
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Medical Case Manager
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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...
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Medical Case Manager
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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...
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Medical Scheme Case Manager
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Pretoria, Gauteng, South Africa Qetello Holdings Full timeAbout Qetello HoldingsQetello Holdings is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. The company is committed to innovation, quality service, and the well-being of its clients.We are seeking an experienced Case Manager to join our team. As a key member of our team, you will be...
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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...
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