Current jobs related to Case Manager - Johannesburg, Gauteng - Medical Protection Society

  • Case Manager

    4 weeks ago

    Johannesburg, Gauteng, South Africa Edge Executives Full time

    Job SummaryEdge Executives seeks a skilled Case Manager to join our team. As a key member of our healthcare team, you will be responsible for managing hospital admissions, conducting clinical assessments, and coordinating care with healthcare providers.Key ResponsibilitiesCase ManagementReview hospital admissions to ensure clinical appropriateness and align...

  • Clinical Case Manager

    1 month ago

    Johannesburg, Gauteng, South Africa Palesa Mbali Group Full time

    Job Title: Clinical Case ManagerWe are seeking a highly skilled Clinical Case Manager to join our team at Palesa Mbali Group.Job Summary:The Clinical Case Manager will be responsible for ensuring the clinical appropriateness of care at the lowest possible cost without compromising quality of care. This will involve using appropriate tools such as Burden of...

  • Clinical Case Manager

    3 weeks ago

    Johannesburg, Gauteng, South Africa Palesa Mbali Group Full time

    Job Title: Clinical Case ManagerJob Summary:We are seeking a skilled Clinical Case Manager to join our team at Palesa Mbali Group. As a Clinical Case Manager, you will be responsible for ensuring the clinical appropriateness of care at the lowest possible cost without compromising quality of care.Key Responsibilities:Assess the quality of information...

  • Nurse Case Manager

    2 months ago

    Johannesburg, Gauteng, South Africa Talent Evolution Full time

    Job Title: Nurse Case ManagerAt Talent Evolution, we are seeking a highly skilled and compassionate Nurse Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and guidance to individuals in need.Key Responsibilities:Provide patient-focused care and guidance, including...

  • Nurse Case Manager

    2 months ago

    Johannesburg, Gauteng, South Africa Talent Evolution (Pty) Ltd Full time

    Nurse Case Manager Job DescriptionTalent Evolution (Pty) Ltd is seeking a skilled and compassionate Nurse Case Manager to provide comprehensive and professional telephonic health advisory services to patients. As a key member of our team, you will be responsible for delivering high-quality patient-focused care and guidance, ensuring seamless communication...

  • Clinical Case Manager

    4 weeks ago

    Johannesburg, Gauteng, South Africa Edge Executives Full time

    Job SummaryWe are seeking a highly skilled Clinical Case Manager to join our team at Edge Executives. As a key member of our healthcare operations team, you will be responsible for managing hospital admissions, conducting clinical assessments, and coordinating with healthcare providers to ensure the most efficient and cost-effective care is delivered to...

  • Clinical Case Manager

    3 weeks ago

    Johannesburg, Gauteng, South Africa Edge Executives Full time

    Job SummaryEdge Executives is seeking a highly skilled Clinical Case Manager to join our team. As a key member of our healthcare team, you will be responsible for managing hospital admissions, conducting clinical assessments, and coordinating with healthcare providers to ensure the most efficient and cost-effective care is delivered to patients.Key...

  • Clinical Case Manager

    4 weeks ago

    Johannesburg, Gauteng, South Africa Palesa Mbali Group Full time

    Job Title: Case ManagerJob Summary:We are seeking a highly skilled Case Manager to join our team at Palesa Mbali Group. As a Case Manager, you will be responsible for ensuring the clinical appropriateness of care at the lowest possible cost without compromising quality of care.Key Responsibilities:Assess the quality of information received and sent out and...

  • Nurse Case Manager

    4 weeks ago

    Johannesburg, Gauteng, South Africa Talent Evolution (Pty) Ltd Full time

    Nurse Case Manager Job DescriptionTalent Evolution (Pty) Ltd is seeking a skilled and compassionate Nurse Case Manager to join our team. As a key member of our healthcare team, you will provide comprehensive and professional telephonic health advisory services to patients, ensuring they receive the best possible care and support.Key Responsibilities:Provide...

  • Hospital Case Manager

    1 month ago

    Johannesburg, Gauteng, South Africa Palesa Mbali Group Full time

    Job Title: Case Manager In HospitalJob Summary:We are seeking a highly skilled and experienced Case Manager to join our team at Palesa Mbali Group. As a Case Manager, you will be responsible for coordinating care in allocated facilities to improve health outcomes and manage costs.Key Responsibilities:Coordinate care in allocated facilities to improve health...

  • Clinical Case Manager

    1 week ago

    Johannesburg, Gauteng, South Africa Palesa Mbali Group Full time

    Job Title: Clinical Case ManagerJob Summary: We seek an experienced Clinical Case Manager to oversee the clinical appropriateness of care at the lowest possible cost without compromising quality of care.Key Responsibilities:Ensure clinical approval of authorized treatment plans.Manage the risk to the client by assessing the quality of information received...

  • Case Management Professional

    2 months ago

    Johannesburg, Gauteng, South Africa Edge Executive Search Full time

    Edge Executive Search is seeking a dedicated and experienced Case Management Professional to join their team. The ideal candidate will have a strong background in clinical interventions and managed care protocols. Key responsibilities include managing member funds, developing and implementing care plans, and collaborating with multidisciplinary teams. The...

  • Clinical Case Manager

    4 weeks ago

    Johannesburg, Gauteng, South Africa Edge Executive Search Full time

    Case ManagerOur client is seeking a dedicated and experienced Case Manager to join their team and manage the spending of member funds through clinical interventions and the application of managed care protocols.Key Qualifications:Nursing Degree/DiplomaProfessional Registered Nursing Sister with a valid and up-to-date registration with the South African...

  • Nurse Case Manager

    1 month ago

    Johannesburg, Gauteng, South Africa Talent Evolution Full time

    Job Title: Nurse Case ManagerWe are seeking a skilled and compassionate Nurse Case Manager to join our team at Talent Evolution. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and guidance to individuals in need.Key Responsibilities:Assess and Address Patient Needs: Accurately assess patient needs and...

  • Case Management Professional

    2 months ago

    Johannesburg, Gauteng, South Africa Edge Executive Search Full time

    Edge Executive Search is seeking a dedicated and experienced Case Management Professional to join their team. The ideal candidate will have a strong background in clinical interventions and managed care protocols. Key responsibilities include managing member funds, developing and implementing care plans, and collaborating with multidisciplinary teams. The...

  • Case Management Specialist

    2 weeks ago

    Johannesburg, Gauteng, South Africa Edge Executive Search Full time

    Key QualificationsWe are seeking a dedicated and experienced Case Manager to join our client's team and manage the spending of member funds through clinical interventions and the application of managed care protocols.Key ResponsibilitiesMinimum of 5 years of general medical and surgical nursing experience in the private sector.ICU training and/or at least 1...

  • Case Management Team Lead

    4 weeks ago

    Johannesburg, Gauteng, South Africa Edge Executive Search Full time

    Case Manager OpportunityOur client is seeking a dedicated and experienced case manager to join their team and manage the allocation of member funds through evidence-based clinical interventions and the application of managed care protocols.Key Responsibilities:Develop and implement effective case management plans to optimize member outcomes.Collaborate with...

  • Case Management Team Lead

    1 month ago

    Johannesburg, Gauteng, South Africa Edge Executive Search Full time

    Job Title: Team Leader – Case ManagementOur client, a leading healthcare organization, is seeking an experienced Case Management Team Lead to join their team. As a key member of the clinical team, you will be responsible for managing the spending of member funds through clinical interventions and the application of managed care protocols.Key...

  • Nurse Case Manager Professional

    4 weeks ago

    Johannesburg, Gauteng, South Africa Talent Evolution (Pty) Ltd Full time

    Nurse Case Manager Job DescriptionTalent Evolution (Pty) Ltd is seeking a skilled Nurse Case Manager to provide comprehensive and professional telephonic health advisory services to patients.Key Responsibilities:Provide patient-focused care and guidance on the phone or online, including accurately assessing needs, delivering or directing to the appropriate...

  • Case Management Team Lead

    2 months ago

    Johannesburg, Gauteng, South Africa Edge Executive Search Full time

    Job Title: Team Leader – Case ManagementOur client, a reputable healthcare organization, is seeking an experienced Case Management Team Lead to join their team. As a key member of the healthcare team, you will be responsible for managing the spending of member funds through clinical interventions and the application of managed care protocols.Key...

Case Manager

2 months ago

Johannesburg, Gauteng, South Africa Medical Protection Society Full time

Job Overview

The Medical Protection Society is at the forefront of protecting the careers, reputation, and financial risk of our members worldwide. The purpose of this role is to support the provision of excellent case handling services for members, which is trusted and valued, and provides fair treatment and outcomes.

Key Responsibilities

The successful candidate will be responsible for:

  • Managing a case load of files and using expert knowledge and judgment to formulate strategies in order to advise and guide members on relevant processes, ensuring an excellent member service is provided.
  • Delivering the performance of assigned case files in accordance with governance, policy, and process, ensuring quality and fair outcomes for the member and the membership fund.
  • Proactively managing assigned case files and working effectively to deliver within agreed SLAs, ensuring maximum efficiency is achieved while providing an excellent service to the member.
  • Escalating as required any technical matters and/or for advice, using such opportunities to build confidence and competence in the role.
  • Supporting case handling projects/initiatives, ensuring delivery of projects to time, cost, and quality, and that can demonstrate a return on investment.
  • Managing all spend incurred serving members in accordance with MPS organization governance and policy.
  • Minimizing case costs through proactively managing estimates, challenging costs, and invoices from all third-party providers.
  • Determining the level of member assistance to be granted in accordance with the membership policy and benefits on individual cases, escalating cases where out of policy discretion requires consideration.
  • Managing informal complaints/expressions of dissatisfaction to achieve first-touch resolution for our members and in accordance with policy standards and process, ensuring fair outcomes for members, the membership fund.
  • Seeking opportunities to continuously improve ways of working and contributing to team, department, and divisional continuous improvement projects aimed at driving operational efficiency and great member experiences and outcomes.
  • Delivering at all times fair treatment and outcomes for members and compliance with associated policies and standards set out by Council, its committees, and delegated authorities.
  • Using the most appropriate channel of communication, keeping members regularly informed, ensuring the advice and support reflects policy, relevant codes of practice, is technically accurate, and with outcomes delivered in a professional and empathetic manner.

Requirements

The ideal candidate will have:

  • Education to degree level or equivalent experience in a similar field/role.
  • Post-graduate level or equivalent experience.
  • Knowledge of medical/dental law and ethics, and regulatory environment, policies, and procedures.
  • Legal or medical/dental qualification.

Essential Experience

The successful candidate will have:

  • Customer service/member management experience.
  • Management of claims/cases of varying complexity.
  • Experience in a healthcare or legal background.

Desirable Experience

The ideal candidate will have:

  • Experience of training, coaching, or mentoring.
  • Regulatory/inquests/criminal case management experience.
  • Working with medics/dentists or other professional bodies.

Package Description

The successful candidate will receive:

  • Bonus (up to 15%).
  • Pension.
  • Medical Aid.
  • Group Life Cover.