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Case Manager

4 months ago

Cape Town, South Africa WNS Global Services Full time
Job Description

To manage the spending of member funds by means of clinical interventions and managed care protocols


Qualifications

Professional Registered Nursing Sister with valid up to date registration with the South African Nursing Council


Additional Information

At least 5 years general medical and surgical nursing experience in the private sector.
ICU training and/or at least 1 year ICU nursing experience and 1 year hospital case management experience will be advantageous.

 Knowledge

 -Knowledge and application of dispensing of meds, surgical material & procedures

 -Application of financial and risk assessment methodology

 -Knowledge of scheme rules and contractual negotiations

 -Application of clinical intervention principles

 -Advise on best practice health risk solutions to relevant parties

 -Knowledge and application of relevant legislation

 -Knowledge and application of processes and procedures

 

 Skill

 -Computer Technology Skills

 -Task Management

 

 -Communication Skills

 -Business Writing Skills

 -Relevant systems knowledge and application

 -Ability to negotiate and influence

 -Problem solving and decision making skills

 -Numerical Ability

 -Customer Focus

 -Attention to Accuracy and Detail