Care Coordinator

2 weeks ago

Rustenburg, South Africa Health Solutions Full time

**Introduction**

Momentum Health Solutions (MHS), an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health and wellness solutions that meet the needs of clients in the different segments and maximize 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 wellness capabilities.

**Role Purpose**

Coordinate and promote patient care between multiple service providers to ensure effective treatment plans with the objective of containing associated costs generated by these services.

**Requirements**:

- National Senior Certificate is essential
- It is essential to have a Nursing Diploma or Degree with Primary Health Care
- The incumbent must be registered with SANC (South African Nursing Council) as a General Nurse
- Three years’ experience in Managed Health Care is essential
- Good understanding of the medical aid industry i.e. trends, competitors and legislation is advantageous
- MS Office proficiency
- Language proficiency in Setswana and one other South African language is essential
- The incumbent must have their own insured vehicle and a valid driver's licence

**Duties & Responsibilities**
- Create individualised optimal care plan in coordination with the patient, primary care provider and family/caregiver(s)
- Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals
- Increase patients’ ability for self-management and shared decision-making
- Provide medication reconciliation
- Connect patients to relevant community resources, with the goal of enhancing health and well-being, increasing patient satisfaction and reducing healthcare cost
- Facilitate meetings and information sharing between patient, caregiver, Scheme Administrators and service providers
- Create ongoing processes for patient and providers to determine the level of care coordination support they desire at any given point in time
- Facilitate patient access to appropriate medical and specialty providers
- Assist with the identification of possible “high-risk” patients in hospital
- Provide feedback and reporting for the improvement of the Care Coordination Program
- Identify trends, analyse where necessary and make improvement suggestions

**Competencies**
- Excellent communication skills - verbal and written
- Accountability
- Planning and organising
- Problem solving
- Time management
- Attention to detail
- Interpersonal skills
- Customer orientation
- Results driven
- Empathetic nature
- Team player

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