Case Manager - Table View
WNS
Company Description WNS (Holdings) Limited (NYSE: WNS) is a global Business Process Management (BPM) leader. WNS offers business value to 400 global clients by combining operational excellence with deep domain expertise in key industry verticals, including Banking and Financial Services, Consulting and Professional Services, Healthcare, Insurance, Manufacturing, Retail and Consumer Packaged Goods, Shipping and Logistics, Telecommunications, Travel and Utilities. WNS South Africa has been in operation since 2003 and built a reputation as the industry leader for Business Process Outsourcing (BPO) in South Africa, with a growing footprint into Africa. We are a strategic partner for delivering a full range of basic to complex processes from our eight delivery centers across South Africa, employing 4000 people. Why join us? We promise our employees to experience role clarity, coaching and mentoring, professional development and structured career path through our 5 people promises and keeping employee experience at the core. Experience the culture of outperformance, engagement, celebration and also contribute to society through our WNS Cares Foundation, where you have the opportunity to support meaningful initiatives and make an impact in the community. 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
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