Job Description

About DiscoveryDiscovery's core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.About Discovery CareDiscovery Care is a subsidiary for Discovery Health - made up of 8 distinct areas with segmented teams responsible for the processing of specialized claims, CIB queries and escalated clinical queries processes while our case management teams are responsible for reviewing clinical cases for each of the specialized areas. Our clinical services area is also responsible for all council disputes while our high touch team provide hands on services and escalated query resolution to sensitive cases.Key Purpose:The successful candidate will be responsible for but not limited to:Function:

• Perform health assessments on patients in order to identify individual patient risk factors

• Work closely with the facility promoting the uptake of CCP

• Maintaining relationships between the acute hospital, the specialists and the rehabilitation facility and Discovery Health

Other responsibilities include:

• Disease education to promote treatment compliance and condition management

• Attendance of multidisciplinary team meetings and family meetings

• Assist with benefit navigation and access

• Assisting in obtaining discretionary funding for members outside of plan benefits

• Facilitate a handover to the Member Care Program for further out of hospital management

Personal Attributes:

• Strong communication skills

• Ability to work closely within a multidisciplinary team

• Ability to build and maintain relationships

• Passion for disease management

• Strong organizational skills

• Ability to work independently (self-driver)

• Drive to improve patient care

Competencies:The successful candidate must demonstrate the following competencies:Role Specific Behavioursxe2x98x92Ensures accountability.xe2x98x92Action orientedxe2x98x92Manages ambiguity.xe2x98x90Attracts top talent.xe2x98x92Business insightxe2x98x92Collaboratesxe2x98x92Communicates effectively.xe2x98x92Manages complexity.xe2x98x92Manages conflict.xe2x98x92Couragexe2x98x92Customer focusxe2x98x92Decision qualityxe2x98x90Develops talentxe2x98x92Values differencesxe2x98x92Directs work.xe2x98x90Drives engagementxe2x98x90Financial acumenxe2x98x90Global perspectivexe2x98x92Cultivates innovation.xe2x98x92Interpersonal savvyxe2x98x92Builds networks.xe2x98x92Nimble learningxe2x98x92Organizational savvyxe2x98x92Persuadesxe2x98x92Plans and aligns.xe2x98x92Being resilientxe2x98x92Resourcefulnessxe2x98x92Drives resultsxe2x98x92Demonstrates self-awareness.xe2x98x92Self-developmentxe2x98x92Situational adaptabilityxe2x98x92Balances stakeholdersxe2x98x92Strategic mindsetxe2x98x90Builds effective teams.xe2x98x92Tech savvyxe2x98x92Instils trust.xe2x98x90Drives vision and purposexe2x98x92Optimizes work processesEducation and Experience:The following requirements are essential:

• Matric
• Registered Nurse or Enrolled Nurse (working under supervision of RN, colleague in the same region), Clinical Associate
• 2 years Discovery Health experience
• Valid with Registration SANC or HPCSA
• Valid driver's license and own transport
• Microsoft Office
• 5 years industry experience with a minimum of 2 of the following:
• Clinical Nursing Experience
• Care Management or similar experience
• Multidisciplinary team experience

The following requirements will be advantageous:

• Exposure to sub-acute /rehabilitation

Personal Attributes or Competency ProfileThe Discovery Person

• Values Driven
• Optimistic
• Learns on the Fly
• Resilient
• Instils Trust
• People Savvy
• Drives Results
• Problem Solver

EMPLOYMENT EQUITYThe Company's approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.

Discovery