Nurse Case Manager

4 days ago

Johannesburg, South Africa Talent Evolution Full time

**Duties**:

- Provide patient-focused care and guidance on the phone or online, including accurately assessing needs, delivering or directing to the appropriate level of care, identifying potential health problems and influencing people to make better health decisions.
- Providing a comprehensive and professional telephonic health advisory service according to the prescribed procedures and protocols
- Develop effective working relations and cooperate with medical team throughout the entire case management process.
- Take the extra mile and interact with patients to keep track of their progress and to ensure satisfaction.
- Record case information, complete accurately all necessary forms and produce statistical reports.
- Promote quality and cost-effective interventions and outcomes.
- Validate memberships / insurance policies.
- Provide assistance with all related services and logístical arrangement according to the prescribed procedures and protocols.
- Assist with quality assessment and guidance to medical team.
- Follow up on medical reports and relevant documents.
- Managing medical Evacuation.
- Manage cases as per Guidelines / Policy Documents and SOP.

**Requirements**:

- Matric
- Registration with Nursing council and an indemnity body
- Nursing Diploma, General, Midwifery (Community nursing and Psychiatry will be an advantage)
- Minimum 3-5 years’ working experience in relevant field.
- Strong clinical background
- Fluent English (African language will be an advantage)
- Working knowledge of Windows, MS Office and Internet Explorer
- FAIS representative (RE 5) - preferred
- Problem solving approach with high service and customer orientation
- Excellent telephonic and written communication skills
- Ability to handle pressure and diffuse emotional and difficult patients
- Able to work shifts (including weekends and nights)
- Must be computer literate
- Positive, warm and friendly approach - Customer service orientated
- Good telephonic and written communication skills
- Initiative - can-do attitude - will do whatever it takes to achieve success and ensure customer is assisted
- Ability to work independently - self-starter - but still able to function as part of a team
- Assertiveness combined with good judgement

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