Case Manager

Case Manager is responsible for developing and implementing intensive multifaceted risk management interventions on a patient-specific basis with the purpose of preventing or reducing the medical schemes’ exposure to potentially high cost members(in/out of hospital) who have been identified and risk stratified through claims analyses and clinical criteria....

Role Title: Case Manager Role Summary: Are you a healthcare professional looking to make a significant impact in patient care and financial risk management? If so, we have an exciting opportunity for you to join the team of a private hospital based in Gauteng as a Case Manager. In this role, you will leverage your clinical knowledge and expertise to ensure...

Open vacancy in Gauteng! Looking for a someone that will be responsible for the liaison between the patients and managed healthcare. **Requirements**: - B Degree Nursing Qualification or equivalent NQF level 6 - Hospital case manager experience advantageous - 3 years’ experience in patient care - SAP experience preferrable

2024-03-04 - 2024-03-15 - Temp - CT004217 - Medical, Pharmaceutical & Nursing- Gauteng, JHB - Southern Suburbs - R 160 - R 180 Hourly Basic Salary (statuary benefits)- Private Hospital in JHB Southern Suburbs in need of a Temp Case Manager, must be registered on SANC as a RN and have experience as a case manager with clinical knowledge in the risk management...

Position:Case Manager In HospitalPosition Purpose:To coordinate care in allocated facilities, in order to improve health outcomes and manage the cost to the Scheme(/s). The case manager's responsibilities start from patient admission to discharge and they should have an understanding of hospital processes and the importance of making cost-effective...

**Case Manager / Claim Specialist (based in Australia)** - Our Australia client is looking for Case Manager to be based onsite in New South Wales, Australia. - Working hours: Monday to Friday, normal office hours - Salary: Negotiable - according to Australia pay band **Job description**: - Provide early, timely and personal customer focused and empathetic...

Company Description **About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial well-being of all South Africans towards lasting social change. Insurance products with limited medical benefit need close supervision for casualty and admission cases. **Job Description**: Load all hospital related cases for casualty...

Gauteng, Johannesburg - (Market related) **_ The purpose of this position is to manage the Case Management Officers x3 and Administrators x1 for the Dispute Resolution Department._** **_ Position: Senior Case Management Officer_** **_Industry: Human Resources - Industrial Relations_** **_Location: Johannesburg - Gauteng_** **_Salary: Market Related...

**_Position: Senior Case Management Officer _** **_Industry: Human Resources - Industrial Relations_** **_Location: Johannesburg - Gauteng_** **_Salary: Market Related Salary High Earning_** **Introduction**: The purpose of this position is to manage the Case Management Officers x3 and Administrators x1 for the Dispute Resolution...

The Case Manager is responsible to act as the liaison and care co-ordinator between the patient and various healthcare providers, including physicians, nurses, therapists, social workers, other specialists, family members and the funders to ensure high-quality care and rehabilitation services that supports person-centred health and care, promoting positive...

To ensure clinical appropriateness of care at lowest possible cost without compromising quality of care. To use appropriate tools such as Burden of Care Criteria in the application of discharge planning. To manage the risk to the client by assessing the quality of information received and sent out and anticipating the cost for the scheme. To recognize the...

To ensure clinical appropriateness of care at lowest possible cost without compromising quality of care. To use appropriate tools such as Burden of Care Criteria in the application of discharge planning. To manage the risk to the client by assessing the quality of information received and sent out and anticipating the cost for the scheme. To recognize the...

**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...

Nurse Case Manager provides comprehensive and professional telephonic health advisory services according to the prescribed procedures and protocols. Their duties include interacting with patients, providing health education, connecting patients with professional services and maintaining consistent communication to assess their wellbeing and make changes to...

Full Time _Johannesburg_ November 6, 2023 - December 6, 2023 Management - Medical Nursing **Job Overview**: **Requirements**: - Registered with SANC - as a Registered Nurse / Enrolled Nurse - 4 - 5 years’ working with finance and Medical Aid Administration - Experience working within a Hospital will be an advantage - Advanced Computer Literacy - Clinical...

Company Description Kaelo provides **essential healthcare solutions** ensuring the **physical and psychosocial wellbeing** of **all South Africans** towards **lasting social change**. **Job Description**: The Clinical Case Consultant provides quality patient management to clients that have chronic disease of lifestyle conditions. They are responsible for...

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...

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...

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...

A reputable Managed Healthcare is seeking an experienced Oncology Case Manager to join their team. **Responsibilities** - Enrolling the member on the Oncology Program and ensuring that the member meets all requirements to qualify for the Oncology programme - Reviewing Oncology treatment plans - Approving and declining Oncology treatment plans (as per Scheme...