Medical Case Manager Jobs

Nurse Case Manager provides comprehensive and professional telephonic health advisory services according to the prescribed procedures and protocols. Their duties include interacting with patients, providing health education, connecting patients with professional services and maintaining consistent communication to assess their wellbeing and make changes to their treatment plan as needed. Duties: ...

Purpose of the Job: Reporting to the Senior Manager: Forensics Investigation, the successful incumbent is responsible for conducting forensics investigations in the respective area into fraudulent matters such as claims lodged, medical fraud, corruption, bribery, collusion or cybercrime against the RAF. In addition, the incumbent will provide management advice on internal control weaknesses and i...

Manage the Benefits Investigation and claims processing function, ensuring the provision of professional support services to the surviving dependents/beneficiaries (for informed allocation of benefits) to the correct beneficiaries in compliance with the Fund rules, Section 37C of the Pension Funds Act and related Acts. Ensure the timeous and accurate payment of benefits, manage issues associated ...

Job Number 24070725Job Category Rooms & Guest Services OperationsLocation Johannesburg Marriott Hotel Melrose Arch, 42 The High Street, Melrose Arch, Johannesburg, Gauteng, South Africa VIEW ON MAPSchedule Full-TimeLocated Remotely? NRelocation? NPosition Type Non-Management POSITION SUMMARY Our jobs aren't just about giving guests a smooth check-in and check-out. Instead, we want to build an exp...

Key Performance AreasAuthorise or Decline Medical Services or TreatmentMitigate Waste or Abuse of BenefitsUndertake General Administrative DutiesKey TasksAuthorise or Decline Medical Services or TreatmentValidate membership status and available benefits based on plan typeConfirm compliance with policy terms and condition, waiting periods and exclusionsApprove or decline benefits strictly accordin...

Where did you hear about SA Metal Group from? Google Word of Mouth Facebook Twitter LinkedIn Please advise what business you are offering SA Metal: * Message CAPTCHA First Name * Last Name * Phone * Email * City/Town * Country * Where did you hear about SA Metal Group from? Google Word of Mouth Facebook Twitter LinkedIn Please advise what business you are offering SA Metal: * Message CAPTCHA Plea...

Requirements: B degree/diploma nursing qualification and/or Case Management qualification Diverse clinical nursing experience Case Management experience ICD-10 / CPT coding qualification or experience SAP IS-H experience Proficiency in Microsoft Office Duties & Responsibilities: Responsible for application of clinical knowledge in justifying patient hospitalisation in terms of treatment, length o...

Requirements: Relevant Nursing qualification CM or Billings Clerk with ICD training and anatomy and physiology course certification IDC and CPO coding 3-5 years' experience as a hospital case manager The main purpose of this position: To plan, coordinate and execute case management work at hospital level The incumbent utilities clinical knowledge to minimise financial risk and ensure accurate bil...

Description Our client operating in the medical insurance space is seeking a Medical / Managed Care Claims Case Manager to join their team based in Port Elizabeth - on a 6 month fixed term contract.Nursing Diploma or Degree essential!EE candidate preference.An awesome career opportunity awaits! Role PurposeThe purpose of this temporary role is to assist in the enhancement and management of cost-e...

Duties: Provide patient-focused care and guidance on the phone or online, including accurately assessing needs, delivering or directing to the appropriate level of care, identifying potential health problems and influencing people to make better health decisions. Providing a comprehensive and professional telephonic health advisory service according to the prescribed procedures and protocols Deve...

The Medical/Pharmaceutical Sales Trainer is responsible for developing, implementing, and delivering training programs for medical/pharmaceutical sales representatives. The trainer will ensure that sales representatives have a thorough understanding of the products they will detail to healthcare professionals, including features, benefits, and clinical data. The trainer will also equip the repres...

Reference: PE002333-RW-1 Our client operating in the medical insurance space is seeking a Medical / Managed Care Claims Case Manager to join their team based in Port Elizabeth - on a 6 month fixed term contract. Nursing Diploma or Degree essential! EE candidate preference. An awesome career opportunity awaits! Role Purpose The purpose of this temporary role is to assist in the enhancement and man...

Role Purpose The purpose of this temporary role is to assist in the enhancement and management of cost-effective managed health care with the objective of promoting rational utilization of health care facilities and containing associated costs generated by these services for a period of 6 months only. Requirements A National Senior Certificate is essential. It is essential to have a Nursing Diplo...

Job Number 24072732Job Category Rooms & Guest Services OperationsLocation Cape Town Marriott Hotel Crystal Towers, Corner of Century Boulevard and Rialto Road, Cape Town, South Africa, South Africa VIEW ON MAPSchedule Full-TimeLocated Remotely? NRelocation? NPosition Type Non-Management POSITION SUMMARY Our jobs aren't just about giving guests a smooth check-in and check-out. Instead, we want to ...

Job Number 24072725Job Category Rooms & Guest Services OperationsLocation Cape Town Marriott Hotel Crystal Towers, Corner of Century Boulevard and Rialto Road, Cape Town, South Africa, South Africa VIEW ON MAPSchedule Full-TimeLocated Remotely? NRelocation? NPosition Type Non-Management POSITION SUMMARY Our jobs aren't just about giving guests a smooth check-in and check-out. Instead, we want to ...

Job Number 24072725 Job Category Rooms & Guest Services Operations Location Cape Town Marriott Hotel Crystal Towers, Corner of Century Boulevard and Rialto Road, Cape Town, South Africa, South Africa VIEW ON MAP Schedule Full-Time Located Remotely? N Relocation? N Position Type Non-Management POSITION SUMMARY Our jobs aren't just about giving guests a smooth check-in and check-out. Instead, we wa...

Job Number 24072732 Job Category Rooms & Guest Services Operations Location Cape Town Marriott Hotel Crystal Towers, Corner of Century Boulevard and Rialto Road, Cape Town, South Africa, South Africa VIEW ON MAP Schedule Full-Time Located Remotely? N Relocation? N Position Type Non-Management POSITION SUMMARY Our jobs aren't just about giving guests a smooth check-in and check-out. Instead, we wa...

Job Description The Marketing Manager plans, directs and controls all marketing activities for a respective product portfolio, including the setting of marketing strategy and objectives, collaboration with market research, sales promotion, advertising, medical affairs, market access, development of the marketing expenses and drive profitability for a range of products. Establishes marketing goals...

The Marketing Manager plans, directs and controls all marketing activities for a respective product portfolio, including the setting of marketing strategy and objectives, collaboration with market research, sales promotion, advertising, medical affairs, market access, development of the marketing expenses and drive profitability for a range of products. Establishes marketing goals to ensure share...

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...

At Zimmer Biomet, we believe in pushing the boundaries of innovation and driving our mission forward. As a global medical technology leader for nearly 100 years, a patient's mobility is enhanced by a Zimmer Biomet product or technology every 8 seconds.As a Zimmer Biomet team member, you will share in our commitment to providing mobility and renewed life to people around the world. To support our ...

At Zimmer Biomet, we believe in pushing the boundaries of innovation and driving our mission As a global medical technology leader for nearly 100 years, a patient's mobility is enhanced by a Zimmer Biomet product or technology every 8 As a Zimmer Biomet team member, you will share in our commitment to providing mobility and renewed life to people around the To support our talent team, we focus on...

At Zimmer Biomet, we believe in pushing the boundaries of innovation and driving our mission forward. As a global medical technology leader for nearly 100 years, a patient's mobility is enhanced by a Zimmer Biomet product or technology every 8 seconds.As a Zimmer Biomet team member, you will share in our commitment to providing mobility and renewed life to people around the world. To support our ...

At Zimmer Biomet, we believe in pushing the boundaries of innovation and driving our mission forward. As a global medical technology leader for nearly 100 years, a patient's mobility is enhanced by a Zimmer Biomet product or technology every 8 seconds.As a Zimmer Biomet team member, you will share in our commitment to providing mobility and renewed life to people around the world. To support our ...