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HIV Case Management Specialist

1 week ago

Johannesburg, Gauteng, South Africa Fusion Recruitment Full time
HIV Case Manager

A well-established company is looking for a professional to manage HIV cases.

Key Responsibilities

The successful candidate will be responsible for:

  • Member retention and customer services
  • Maintaining the risk profile of members enrolled on Disease Management Programs
  • Ensuring continuous improvement and process optimization
  • Producing educational materials and disseminating them to patients
  • Conducting retrospective reviews of related claims
  • Developing and maintaining clinical protocols, including new drug reviews
  • Collaborating with other healthcare personnel within the organization
  • Liaising with pharmaceutical companies
  • Compiling monthly reports detailing program progress and areas of cost containment
Requirements

The ideal candidate will have:

  • Excellent knowledge of Chronic Disease treatments and procedures
  • Knowledge of Clinical Protocols
  • Knowledge of Prescribed Minimum benefit protocols and algorithms would be an advantage
  • Medical aid / managed healthcare experience is an advantage
  • Experience in disease management is an advantage
Remuneration Package

R 45,000 - R 50,000 per month, plus benefits, including pension and provident fund, medical aid, funeral cover and trauma and disability insurance.