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Pretoria: Case Manager




Date 2024-07-05
Job Title Case Manager
Employer
More Information
Salary 35 000 Monthly
Category Customer Service Support
Location Tshwane
/ Pretoria

Job Summary

Our well-known client in the Automotive industry is looking for an experienced Case Manager

Minimum

Requirements:

Matric Motor vehicle technical qualifications (compulsory) Will investigate and resolve consumer complaints Handle incoming telephonic inquiries, requests for advice, and current case follow-ups from complainants and the automotive industry 10 – 15 Years Working experience in a similar role in the Automotive industry Be able to provide in-house technical training MUST have extensive knowledge of the Consumer Protection Act No. 68 of 2008 MUST have own reliable vehicle and Valid driver`s license Consultant: Vonne Scholtz – Dante Personnel Pretoria Silver Lakes

Case Manager position available in Tshwane, Pretoria. This job position was posted by . The job has been posted on 2024-07-05 in the Customer Service Support category

Click Go Apply to apply online!


You might also like to look at the available jobs in the same area.

Apply directly for this position
Some posts have contact information included with other instructions. All applicants are urged to read the instructions carefully.
We will list jobs at the bottom of each job, so feel free to scroll down and continue your search.

We do not accept any job applications and merely offer the service of daily jobs being mined and displayed on our job portal.
Each job post has a link to take you directly to the original post to apply on their website or the original website where the post came from.


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Pretoria: Case Manager




Date 2024-07-03
Job Title Case Manager
Employer
More Information
Salary
Category Customer Service Support
Location Tshwane
/ Pretoria

Job Summary

Skills Computer skills and knowledge of MS Word, MS Excel, MS Office, Outlook and Internet Strong organizational skills, attention to detail and ability to prioritize Strong negotiation skills Language skills in English and strong interpersonal communication skills Ability to work with people and be team player Caring attitude and behaviour Communication skills Flexibility in adapting to change and management decisions in order to achieve common goals The application of problem-solving techniques Ability of record keeping and documentation Leadership skills Taking responsibility, must have good interpersonal relationship with the team members Desired Experience & Qualification Grade 12 B Cur Degree / Diploma in Nursing Active SANC Membership Minimum of 5 years` experience as a nursing practitioner with experience in Trauma, ICU or Theatre. Work Experience

Case Manager position available in Tshwane, Pretoria. This job position was posted by . The job has been posted on 2024-07-03 in the Customer Service Support category

Click Go Apply to apply online!


You might also like to look at the available jobs in the same area.

Apply directly for this position
Some posts have contact information included with other instructions. All applicants are urged to read the instructions carefully.
We will list jobs at the bottom of each job, so feel free to scroll down and continue your search.

We do not accept any job applications and merely offer the service of daily jobs being mined and displayed on our job portal.
Each job post has a link to take you directly to the original post to apply on their website or the original website where the post came from.


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Pretoria: Case Manager




Date 2024-07-02
Job Title Case Manager
Employer
More Information
Salary Monthly
Category Healthcare Nursing
Location Tshwane
/ Pretoria

Job Summary

PLEASE ONLY APPLY IF YOUR HAVE ALL THE NECESSARY EXPERIENCE. IF YOU DO NOT GET FEEDBACK WITHIN TWO WEEKS PLEASE CONSIDER YOUR APPLICATION AS UNSUCCESFULL. Enrolled/ Registered Nurse. Valid registration with SANC. 3 to 5 years experience within a managed healthcare or medical scheme environment. Thorough, well-grounded clinical knowledge of hospital admissions, LOS and LOC. Excellent knowledge of the South African Healthcare industry and prevailing legislation, current coding structures i.e. ICD10s, CPT4, NRPL, PMB conditions and clinical protocols Extensive clinical knowledge related to all aspects of patient management. Establishing and maintaining effective relationships with key stakeholders. Ability to accurately update and maintain cases information. Excellent telephonic and written communication skills (will be tested). Computer literate – MIP Application System and MS Office. Reporting MS Excel basic knowledge required (will be tested). Proficiency in English verbal and written. Demonstrated ability to effectively deal with emotionally charged and stressful situations. Self-motivator and the ability to work effectively in an independent environment. Strong organisational and task prioritisation skills. Outstanding multitasking skills: Ability to research and analyse information. High degree of accuracy and attention to detail. Maintaining confidentiality of information. Decision making skills. Flexibility to travel and a valid drivers license. Hospital case management experience will be advantageous. Nursing experience in an ICU setting will be a big advantage. Perform Clinical coding in accordance with CPT and ICD requirements and as per client standards. Maintaining patients clinical status in accordance with funder approval requirements for the duration of hospitalisation: keeping patients informed and managing the entire hospital stays financial risk. Provide complete and accurate updates and discharge information. Receive hospital updates and assess each case based on clinical. info allocation of appropriate Length of Stay if clinically necessary. Update Level of Care based on clinical information. Review the costs to ensure cost effective and necessary care: balance cost and effectiveness of treatment to reduce re- admission. Investigate and prepare cases for communication to the medical advisors, scheme, providers and members. Member management of hospitalised patients with Chronic conditions who are registered on the active disease management programmes. Facilitation of the chronic and active disease registration of hospitalised beneficiaries who are diagnosed with one or more CDL conditions. Escalation and resolution of unresolved high-cost cases. Identification and preparation of high cost / high risk incidents and reported weekly to Clinical Specialist. Discharge planning. Communication with and support to Medical Advisors. Call and written contact with Members and Providers. Contact SMS with members. Follow up on active cases with service providers relating to funding levels and updates (daily). Interpretation of medical reports. Clinical decision making.

Case Manager position available in Tshwane, Pretoria. This job position was posted by . The job has been posted on 2024-07-02 in the Healthcare Nursing category

Click Go Apply to apply online!


You might also like to look at the available jobs in the same area.

Apply directly for this position
Some posts have contact information included with other instructions. All applicants are urged to read the instructions carefully.
We will list jobs at the bottom of each job, so feel free to scroll down and continue your search.

We do not accept any job applications and merely offer the service of daily jobs being mined and displayed on our job portal.
Each job post has a link to take you directly to the original post to apply on their website or the original website where the post came from.


Here are some more related positions


Port Elizabeth: Medical / Managed Care Case Manager (Ee)

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


View Job
Medical / Managed Care Case Manager (Ee)

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Minimum Education: Matric Minimum Experience: Registered Nurse with Diabetes experience Registration Required: Registration with the South African Nursing Council Duties and Requirements includes but is not limited to the following: Production of education


View Job
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Pretoria: Case Manager

One of our clients in the Healthcare industry has a permanent vacancy available for a Case Manager to join their dynamic team. Purpose of the position: To actively manage the clinical appropriateness and risk (both financial and clinical) of all hospital e


View Job
Case Manager

Pretoria: Case Manager

PLEASE ONLY APPLY IF YOUR HAVE ALL THE NECESSARY EXPERIENCE. IF YOU DO NOT GET FEEDBACK WITHIN TWO WEEKS PLEASE CONSIDER YOUR APPLICATION AS UNSUCCESFULL. Enrolled/ Registered Nurse. Valid registration with SANC. 3 to 5 years experience within a managed he


View Job
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Pretoria: Case Manager

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View Job
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Johannesburg: Case Manager – Soweto

Diploma in Nursing is ESSENTIAL Registered with the South African Nursing Council is ESSENTIAL You will plan, coordinate and execute case management work at hospital level. The incumbent utilises clinical knowledge to minimise financial risk and ensure acc


View Job
Case Manager – Soweto

Pretoria: Case Manager

Our well-known client in the Automotive industry is looking for an experienced Case Manager Minimum requirements: Matric Motor vehicle technical qualifications (compulsory) Will investigate and resolve consumer complaints Handle incoming telephonic inquiri


View Job
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Centurion: Insurance Compliance And Contracts Manager (Law Degree + Caseware + Sage Intact), posted by Recruitment Web South Africa

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Error making API request.
Share this to someone who needs a job:
Posted in Uncategorised

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Pretoria: Case Manager




Date 2024-06-29
Job Title Case Manager
Employer
More Information
Salary Market related
Category Healthcare Nursing
Location Tshwane
/ Pretoria

Job Summary

One of our clients in the Healthcare industry has a permanent vacancy available for a Case Manager to join their dynamic team. Purpose of the position: To actively manage the clinical appropriateness and risk (both financial and clinical) of all hospital events and associated healthcare services in accordance with the relevant scheme rules, clinical protocols and funding guidelines. To participate in the clinical review of exceptional cases and to engage with various stakeholders including treating providers, hospital case managers, medical advisors and colleagues. Job Description: Perform Clinical coding in accordance with CPT and ICD requirements and as per client standards. Maintaining patients clinical status in accordance with funder approval requirements for the duration of hospitalisation; keeping patients informed and managing the entire hospital stays financial risk. Provide complete and accurate updates and discharge information. Receive hospital updates and assess each case based on clinical info allocation of appropriate Length of Stay if clinically necessary. Update Level of Care based on clinical information. Review the costs to ensure cost effective and necessary care; balance cost and effectiveness of treatment to reduce re-admission. Investigate and prepare cases for communication to the medical advisors, scheme, providers and members. Member management of hospitalised patients with Chronic conditions who are registered on the active disease management programmes. Facilitation of the chronic and active disease registration of hospitalised beneficiaries who are diagnosed with one or more CDL conditions. Escalation and resolution of unresolved high-cost cases. Identification and preparation of high cost/high risk incidents and reported weekly to Clinical Specialist. Discharge planning. Communication with and support to Medical Advisors. Call and written contact with Members and Providers. Contact SMS with members. Follow up on active cases with service providers relating to funding levels and updates (daily). Interpretation of medical reports. Clinical decision making. Minimum

Requirements:

Enrolled/Registered Nurse. Valid registration with SANC. 3 to 5 years experience within a managed healthcare or medical scheme environment. Valid drivers` license and own vehicle is a must. Flexibility to travel. Thorough, well-grounded clinical knowledge of hospital admissions, LOS and LOC. Excellent knowledge of the South African Healthcare industry and prevailing legislation, current coding structures i.e. ICD10s, CPT4, NRPL, PMB conditions and clinical protocols. Extensive clinical knowledge related to all aspects of patient management. Solid understanding of value-based care. Demonstrated ability to manage a portfolio of hospital cases. Outcome focused with the ability to manage competing demands. Establishing and maintaining effective relationships with key stakeholders. Ability to accurately update and maintain cases information. Excellent telephonic and written communication skills (will be tested). Computer literate – MIP Application System and MS Office. Reporting MS Excel basic knowledge required (will be tested). Proficiency in English verbal and written. Verbal proficiency in additional languages will be advantageous. Hospital case management experience will be advantageous. Nursing experience in an ICU setting will be a big advantage. Skills: Compassionate and attentive listener you will need to interact with the family/loved ones of members with long-stay hospital events. Demonstrated ability to effectively deal with emotionally charged and stressful situations. Self-motivator and the ability to work effectively in an independent environment. Strong organisational and task prioritisation skills. Outstanding multitasking skills. Ability to research and analyse information. High degree of accuracy and attention to detail. Maintaining confidentiality of information. Knowledge of medical aid policies and procedures. Decision making skills. Following through on commitments.

Case Manager position available in Tshwane, Pretoria. This job position was posted by . The job has been posted on 2024-06-29 in the Healthcare Nursing category

Click Go Apply to apply online!


You might also like to look at the available jobs in the same area.

Apply directly for this position
Some posts have contact information included with other instructions. All applicants are urged to read the instructions carefully.
We will list jobs at the bottom of each job, so feel free to scroll down and continue your search.

We do not accept any job applications and merely offer the service of daily jobs being mined and displayed on our job portal.
Each job post has a link to take you directly to the original post to apply on their website or the original website where the post came from.


Here are some more related positions


Port Elizabeth: Medical / Managed Care Case Manager (Ee)

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


View Job
Medical / Managed Care Case Manager (Ee)

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Minimum Education: Matric Minimum Experience: Registered Nurse with Diabetes experience Registration Required: Registration with the South African Nursing Council Duties and Requirements includes but is not limited to the following: Production of education


View Job
Diabetes Case Manager

Pretoria: Case Manager

One of our clients in the Healthcare industry has a permanent vacancy available for a Case Manager to join their dynamic team. Purpose of the position: To actively manage the clinical appropriateness and risk (both financial and clinical) of all hospital e


View Job
Case Manager

Pretoria: Case Manager

PLEASE ONLY APPLY IF YOUR HAVE ALL THE NECESSARY EXPERIENCE. IF YOU DO NOT GET FEEDBACK WITHIN TWO WEEKS PLEASE CONSIDER YOUR APPLICATION AS UNSUCCESFULL. Enrolled/ Registered Nurse. Valid registration with SANC. 3 to 5 years experience within a managed he


View Job
Case Manager

Pretoria: Case Manager

Skills Computer skills and knowledge of MS Word, MS Excel, MS Office, Outlook and Internet Strong organizational skills, attention to detail and ability to prioritize Strong negotiation skills Language skills in English and strong interpersonal communicati


View Job
Case Manager

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Diploma in Nursing is ESSENTIAL Registered with the South African Nursing Council is ESSENTIAL You will plan, coordinate and execute case management work at hospital level. The incumbent utilises clinical knowledge to minimise financial risk and ensure acc


View Job
Case Manager – Soweto

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View Job
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Insurance Compliance And Contracts Manager (Law Degree Caseware Sage Intact),

Centurion: Insurance Financial Manager (Sage Intact Caseware),

Insurance Financial Manager (Sage Intact Caseware), Centurion, R1.2k tctc B Com Honors Completed Articles Knowledge of International Financial Reporting Standards . 3 years in the insurance industry and regulations Sage Intact. o Caseware. o Microsoft Of


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Insurance Financial Manager (Sage Intact Caseware),

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