Medical Case Manager jobs in Gauteng

Requirements: Registered with SANC Clinical qualification Registered Nurse / Professional Nurse or qualified Paramedic Minimum of 3 years in a clinical role Experience in Theatre and or ICU; Medical aid background; Experience in private healthcare environment or experience as an ILS/ALS Paramedic Skills: Anatomy (including terminology) Funder Contracts; Medical aid requirements/narrations Patient...

Requirements: Nursing or Case Management qualification / experience Case Management experience Hospital, Funder, Non-Clinical or Assistant Case Manager Clinical Nursing / managed healthcare experience ICD-10 / CPT coding qualification or experience SAP IS-H experience advantageous Proficiency in Microsoft Office The main purpose of this position: The Case Manager utilising clinical knowledge, exp...

Requirements: Registered with SANC Clinical qualification Registered Nurse / Professional Nurse or qualified Paramedic Minimum of 3 years in a clinical role Experience in Theatre and or ICU; Medical aid background; Experience in private healthcare environment or experience as an ILS/ALS Paramedic Skills: Anatomy (including terminology) Funder Contracts; Medical aid requirements/narrations Patient...

The Member Cases and Claims Division is at the forefront of protecting the careers, reputation and financial risk of our members worldwide. The purpose of the role is to support the provision of excellent case handling services for members which is trusted and valued and provides fair treatment and outcomes. The role will do this by managing a case load of files and using expert knowledge and jud...

The Member Cases and Claims Division is at the forefront of protecting the careers, reputation and financial risk of our members worldwide. The purpose of the role is to support the provision of excellent case handling services for members which is trusted and valued and provides fair treatment and outcomes. The role will do this by managing a case load of files and using expert knowledge and jud...

These jobs were popular with other job seekers Aryxs Health Pty Ltd / The IV Bar Bryanston and The IV Bar BluBird Aryxs Health Pty Ltd / The IV Bar Bryanston and The IV Bar BluBird Communicate on several platforms with a multi-disciplinary team as well as funders externally.Curator for all outgoing reporting to fundersProvide appropriate information to Medical aids.Code all patientsAssist with fi...

We are currently recruiting for a qualified and experienced Case Manager to join our dynamic team in Gauteng. The Member Cases and Claims Division is at the forefront of protecting the careers, reputation and financial risk of our members worldwide. The purpose of the role is to support the provision of excellent case handling services for members which is trusted and valued and provides fair tre...

Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000 people across 30 countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we serve and transform leading enterprises, inc...

Case Manager Housing Support Services (Maternity Leave Cover) Alice Springs, Alice Springs & Central Australia NT Housing & Homelessness Services (Community Services & Development) Anglicare NT supports people, strengthens communities and advocates for social justice across the Northern Territory. We deliver over 90 diverse services across urban regional and remote areas of the NT. If you want to...

Minimum Education:Nursing Qualification (Nursing Diploma as a registered nurse)Minimum Experience:3 to 5 years (previous pre-authorisation, case management experience in a managed healthcare environment isessential)Duties and Requirements includes but is not limited to the following:Knowledgeable of the Medical Schemes Act and Government Gazette on tariffsConduct telephonic assessment, competency...

About UsAnglicare NT supports people, strengthens communities and advocates for social justice across the Northern Territory. We deliver over 90 diverse services across urban regional and remote areas of the NT. If you want to make a sustainable difference in people's lives through strengths-based approaches and capacity building initiatives; talk to us about meaningful career opportunities.We of...

Job Introduction The Member Cases and Claims Division is at the forefront of protecting the careers, reputation and financial risk of our members worldwide. The purpose of the role is to support the provision of excellent case handling services for members which is trusted and valued and provides fair treatment and outcomes. The role will do this by managing a case load of files and using expert ...

Key Performance Areas Statistical Modeling and Forecasting Provide statistical modeling advice to the Claims Risk departments. Consult financial literature to ensure use of the latest models or statistical techniques. Monitor business indicators. Ensure the appropriateness of the methodologies and underlying models used as well as the assumptions made in the calculation done for the Claim Risk de...

Senior Medical Advisor - SandtonFull job description Business Unit: Discovery HealthFunction: ClinicalDate: 9 May 2024Discovery Care Senior Medical Advisor Gauteng About Discovery Discovery 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...

Responsibilities:Assess the medical needs of patients and provide recommendations for cost-effective care.Facilitate patient access to appropriate healthcare services and resources.Monitor and evaluate patient progress and treatment outcomes.Provide support and education to patients and their families.Document case management activities and maintain accurate records.Collaborate with cross-functio...

Position:Case Manager In HospitalPosition Purpose:To coordinate care in allocated facilities, in order to improve health outcomes and manage the cost to the Scheme(/s). The case manager's responsibilities start from patient admission to discharge and they should have an understanding of hospital processes and the importance of making cost-effective decisions. To manage the Scheme risk by doing pa...

Responsibilities: Assess the medical needs of patients and provide recommendations for cost-effective care. Facilitate patient access to appropriate healthcare services and resources. Monitor and evaluate patient progress and treatment outcomes. Provide support and education to patients and their families. Document case management activities and maintain accurate records. Collaborate with cross-f...

We are currently recruiting for a qualified and experienced Case Manager to join our dynamic team in Gauteng. The Member Cases and Claims Division is at the forefront of protecting the careers, reputation and financial risk of our members worldwide. The purpose of the role is to support the provision of excellent case handling services for members which is trusted and valued and provides fair tre...

Discovery CareSenior Medical Advisor GautengAbout 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...

Reference: CPT000384-CH-2 A leading multinational generics pharmaceutical company has a vacancy for an Oncology Brand Manager. The Brand Manager will assume end-to-end responsibility for the product management of the product, with subsequent successful launch and commercialization in the South African market. Areas of Responsibility: Brand strategy development and execution Strategic segmentation...

Minimum Education: Nursing Qualification (Nursing Diploma as a registered nurse) Minimum Experience: 3 to 5 years (previous pre-authorisation, case management experience in a managed healthcare environment is essential ) Duties and Requirements includes but is not limited to the following: Knowledgeable of the Medical Schemes Act and Government Gazette on tariffs Conduct telephonic assessment, co...

Requirements: Nursing or Case Management qualification / experience Case Management experience Hospital, Funder, Non-Clinical or Assistant Case Manager Clinical Nursing / managed healthcare experience ICD-10 / CPT coding qualification or experience SAP IS-H experience advantageous Proficiency in Microsoft Office The main purpose of this position: The Case Manager utilising clinical knowledge, exp...

Reference: JHB004855-Dom-1 A well-established company located in Johannesburg North is looking for a Team Leader & Training Coordinator to join their team! Minimum Education: Nursing Qualification (Nursing Diploma as a registered nurse) Minimum Experience: 3 to 5 years (previous pre-authorisation, case management experience in a managed healthcare environment is essential ) Duties and Requirement...

Senior Medical Advisor - SandtonFull job descriptionBusiness Unit: Discovery HealthFunction: ClinicalDate: 9 May 2024Discovery Care Senior Medical Advisor Gauteng About Discovery Discovery 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 ...