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Job Summary
Our client, a non-profit, medical scheme is seeking a Case Manager HBM in the Gauteng area. Delivering of cost-effective managed healthcare service to accomplish member satisfaction.
Behavioural Competency
- Strong organizational skills, attention to detail and ability to prioritize.
- Strong communication skills in English and Afrikaans.
- Ability to work in a team.
- Caring attitude and behaviour.
- Flexibility in adapting to change and management decisions to achieve common goals.
- Excellent problem-solving techniques.
- Leadership skills.
- Taking responsibility.
Duties include the following, but not limited to:
- Risk Management – to reduce the risk associated with hospital and authorized cases.
- On-going training and development – to update knowledge and skills to deliver a cost-effective and professional service.
- Case management of authorised cases according to the acceptable Scheme rules and protocols.
- To reduce the risk associated with hospitalization and to provide an effective and unique managed healthcare.
- Cost per beneficiary
- Effective Customer Service delivery.
- To assist the client by approving appropriate funding.
- To deliver an effective call centre service to achieve member satisfaction.
- To reduce the risk associated with hospital and authorized cases.
- Answering calls in a way that achieves member satisfaction.
Requirements:
- Current registration with the South African Nursing Council (SANC)
- Degree/Diploma in Nursing
- A minimum of 5 Years practical experience as a nursing practitioner with experience in Trauma, ICU or Theatre
- MS Office
Salary: Market related
Please send your CV to info@dymaxa.co.za
Dymaxa Recruitment
Recruiter
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