experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital hospital claims. Working experience with a team of medical advisors will be an added advantage.
service delivery Knowledge management:
A provider of best in-class administrative and managed care services with a value-added service offering efficient, and cost-saving processes in the management of Hospital Benefit, Pharmacy Benefit, Disease for a Call Centre Manager. The role will involve the daily running and management of the call centre to: Performance management Staff development Change management Effective management of Call Centre & Submission and management of department's budget Effective management of clients Effective management of relationships
Responsibilities:
Assess the medical needs of patients and provide recommendations for
patients and their families.
Document case management activities and maintain accurate records.
qualified and experienced Case Manager to join our dynamic team in Gauteng. The Member Cases and Claims Division the role is to support the provision of excellent case handling services for members which is trusted and treatment and outcomes. The role will do this by managing a case load of files and using expert knowledge and Service Delivery Deliver the performance of assigned case files in accordance with governance, policy and member and the membership fund Proactively manage assigned case files and work effectively to deliver within
qualified and experienced Case Manager to join our dynamic team in Gauteng. The Member Cases and Claims Division the role is to support the provision of excellent case handling services for members which is trusted and treatment and outcomes. The role will do this by managing a case load of files and using expert knowledge and Service Delivery Deliver the performance of assigned case files in accordance with governance, policy and member and the membership fund Proactively manage assigned case files and work effectively to deliver within
Industry: Medical Type: Contract (Duration not determined) Start Date: ASAP (Immediate) Position Overview: Overview: The Case Manager will play a pivotal role in coordinating and managing patient care from admission Working closely with interdisciplinary teams, the Case Manager will assess patient needs, develop individualized the delivery of patient care services, including medical treatment, therapies, and support services. Monitor timely. Participate in interdisciplinary meetings, case conferences, and quality improvement initiatives
Industry: Medical Type: Contract (Duration not determined) Start Date: ASAP (Immediate) Position Overview: Overview: The Case Manager will play a pivotal role in coordinating and managing patient care from admission Working closely with interdisciplinary teams, the Case Manager will assess patient needs, develop individualized the delivery of patient care services, including medical treatment, therapies, and support services. Monitor timely. Participate in interdisciplinary meetings, case conferences, and quality improvement initiatives
literacy The main purpose of this position: The Case Manager utilising clinical knowledge and expertise, level of care Monitor and action risk related to medical aid benefits and hospitalisation Ensure accurate effective communication and follow-up with medical aids Review authorisation aspects approved, mitigating mitigating financial risk and final releasing the case for billing Liaise with a network of internal and regarding patient treatment Adhere to the NHN Managed Health Care rules of engagement Compliance with
as a Case Manager Are you a dedicated and experienced nurse with a passion for case management? Our private private hospital in Durban is seeking a qualified Case Manager to join our team. Key Responsibilities: - Coordinate certificates/training - Minimum 3 years in-hospital case management experience - SANC registered R300K - R450K
Groceries Manager Area: Roodepoort, Gauteng Salary: R20000 p/m plus medical aid, provident fund Purpose supervision, inventory management and customer service. Duties: Drive sales and stock management to maximize business efficient shop-keeping and house-keeping disciplines Manage customer interactions, complaints and requests information and formulate and implement action plans Manage equipment and the end-to-end stock movement processes resource/workforce planning and management in line with legislation and people policies Manage the end-to-end People