Case Manager
Job Description
Case Manager - PretoriaFull job descriptionCase Manager - HBMCompanyOne of the largest private Medical Aid companies in SA. They have been established for 20 years and are striving to be #1 in SA.PurposeDelivering of cost-effective managed healthcare service to accomplish member satisfactionResponsibilitiesxc2xb7 Risk Managementxc2xb7 Pended list to be up to date within 30 daysxc2xb7 Case management of authorised cases according to the acceptable Scheme rules and protocolsxc2xb7 To reduce the risk associated with hospitalization and to provide an effective and unique managed healthcarexc2xb7 Verifying prosthesis limit to contain costs for both members and fundxc2xb7 Effective Customer Service deliveryxc2xb7 To deliver an effective call centre service in order to achieve member satisfactionxc2xb7 Evaluate and approve authorized cases according to the clinical protocols and option rulesxc2xb7 Pre-authorization should be granted within the option benefits, Scheme and clinical protocolsRequirementsxc2xb7 Minimum 5 years experience as a nursing practitioner with experience in Trauma, ICU or Theatre.xc2xb7 Grade 12xc2xb7 B Cur Degree / Diploma in Nursingxc2xb7 Active SANC MembershipJob Types: Full-time, PermanentApplication Question(s):Active SANC MembershipEducation:Bachelors (Required)Experience:Trauma, ICU or Theatre: 5 years (Required)
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Job Detail
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Job IdJD1326015
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationPretoria, Gauteng, South Africa
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EducationNot mentioned