Specialised Health Care Coach: Oncology

5 days ago

Cape Town, South Africa Health Solutions Full time

**Introduction**

Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation and create value through unique insights of how to achieve specific outcomes by using a defined set of Health capabilities.

**Role Purpose**

To manage clinical risk of patients through the authorisation of clinically appropriate treatment and outbound interventions.

**Requirements**:

- Matric
- Nursing Diploma or Degree essential
- Minimum of 4 years clinical experience essential of which one year should be in oncology
- Registered with SANC essential
- Experience in managed health care would be advantageous

**Duties & Responsibilities**
- Liaising with patients, providers and Oncology Management companies
- Answering and assisting with all queries related to Oncology management programmes
- Following up on decisions with Providers and/or 3rd parties
- Maintaining relationships with 3rd parties
- Monitoring the progress of patience on oncology management programmes.
- Assisting with early detection programmes and advocating available preventative health benefits to better manage risk
- Facilitating reports to the scheme
- Initiating outbound contact with patients and providers where appropriate
- Educating and guiding all members regarding health care and their benefits
- Authorising appropriate and cost-effective medical care and treatment
- Possible identification of clinical guidelines.
- Identifying all compliance risks.
- Supporting budget control and cost containment of health management programmes.
- Assisting with registration on various programmes to ensure quality of life for patients with life threatening diseases
- Dealing promptly with client requests in a competent, efficient, and professional manner.
- Liaising with specialists to gain their insight into assessing risks.

**Competencies**
- Accountability
- Planning
- Organization and Attention to Detail
- Customer orientation
- Empathy
- People skills
- Teamwork and Cooperation
- Business Administration
- Results Orientation

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