Case Manager

**Case Manager/Office Supervisor to be based in Pretoria. **You will manage the overall Case Management function, nationally, as well as be responsible for the direct administration of cases for various areas (currently, Gauteng-Pretoria, Mpumalanga, Northwest, Limpopo, Eastern Cape (PE/East London) and Free State. Your primary goal will be to manage the...

**Qualifications**: Enrolled/ Registered Nurse Valid registration with SANC **Skills and Competencies Required**: 3 to 5 years experience within a managed healthcare or medical scheme environment Solid understanding of value-based care Demonstrated ability to manage a portfolio of hospital cases Outcome focused with the ability to manage competing...

Our client, a non‑profit medical scheme, is seeking a Case Manager HBM in the Pretoria area. Overview Delivering cost‑effective managed healthcare service to achieve member satisfaction. Behavioural Competency Strong organizational skills, attention to detail and ability to prioritize. Strong communication skills in English and Afrikaans. Ability to work...

MAIN PURPOSE OF JOB To coordinate the hospital case management process and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimise the financial risk for the organisation. KEY RESPONSIBILITY AREAS Minimise financial risk by effectively managing patient stay Ensure compliance to case...

**JOB PURPOSE** The main purpose of this position is to coordinate the hospital pre-authorisations, confirmations, billing and credit control processes and facilitate the communication process between all role players by providing accurate and timeous clinical information to minimize the financial risk for the organisation including its...

To provide comprehensive support in registering, managing, processing, and summarily resolving complaints received by the Office of the Ombud for Financial and Intermediary Services via the Client Care Centre. To drive the referral, disposal, or acknowledgement of complaints received through liaising with complainants and, if applicable, other relevant...

To provide administrative and client care support in relation to the effective registration, and processing of all complaints. The person appointed to this position will report to the Case Admin Manager. **Key Performance Areas**: Register new complaints. Assess whether a complaint falls within jurisdiction in terms of the FAIS Act or the Financial Services...

ON SITE Case Manager / Travel Nurse - PRETORIA EAST - Must be a Registered Nurse - Must be fluent in Afrikaans and English - Must be registered with SANC - Must have own small vehicle and must be prepared to travel - Must have Case management experience - Must have disease management experience *Previous experience of hospital on site visits and assessments...

A leading healthcare provider in Pretoria is seeking a healthcare coordinator to oversee case management processes. Responsibilities include managing patient stays, ensuring compliance with procedures, and communicating with funders. The ideal candidate will have a clinical qualification and at least 3 years of clinical experience, preferably in Theatre or...

Job Introduction The purpose of this role is to provide strong leadership to a team of technical experts ensuring delivery of excellent claims and case handling services for members which is trusted and valued, provides fair treatment and outcomes whilst optimising the performance against service levels, efficiency and effectiveness of the team. Main...