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Medical Health Specialist
1 week ago
We are seeking a skilled Medical Health Specialist to join our team at Simply HR Payroll. The ideal candidate will have experience in disease management, clinical patient management, and health education within a Managed Care environment.
The successful candidate will be responsible for delivering active disease management, care support, coaching, and health education services to medical scheme beneficiaries who are registered for, and live with one or more of the Chronic Disease List (CDL) conditions.
Main Responsibilities
- Integrate skills and knowledge of pathophysiology, epidemiology, clinical management, conditions, and self-management of chronic conditions into clinical practice.
- Advocate for and communicate about improved quality of care and outcomes for those living with, at risk for, or affected by chronic conditions.
- Perform comprehensive assessments for each patient including emotional and behavioral health.
- Interpret personal health data, develop an individualized care plan based on the patient's assessed needs and goals, and promote successful self-management.
- Facilitate follow-up and review of relevant pathology and other disease monitoring tests and interventions by engagement with the patient and/or treating service provider subject to the registered care plan or upon request.
- Document all individual contacts and outcomes data in accordance with the guidelines in a timely manner.
- Identify partially controlled patients and intervene appropriately by liaising with the treating provider to manage the patients at risk.
- Participate in meetings and give assistance to clinical, disease management, and member counselor team members with hospital admissions and patient outreach efforts as appropriate.
- Prepare reports/case studies as required.
