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...

Responsibilities - To monitor all aspects of patients who are admitted under a Managed Care Limitation and through the co-ordination and liaison with the Doctors, Managed Care Organization and Hospital Nursing staff, ensures that the treatment provided meets the requirements of the Managed Care Organization. - Liaise with Doctors regarding their patients’...

**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...

**Position : Case Officer** **Position Status : Permanent** **Reporting Line : Team Leader - Senior Assistant Adjudicator** **Position Location : Pretoria, Ashlea Gardens** **Qualifications and Experience**: - LLB degree - Certificate in Pension Funds law (Added advantage). - Three years’ experience in administrative function or twelve months in a...

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...

Position: Coordinator: Member Care (Pre-authorisations) Reporting to: Contact Centre Operational Manager Location: On-site at the Head Office, Pretoria _**You will be required to work shifts between 7h00 and 19h00 (Monday to Sunday)**_ **Qualifications**: - Registered/ Enrolled Nurse - Valid registration with SANC **Skills and Competencies Required**: -...

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...