Case Manager

Website Momentum

Job Description:

Provide enhancement and management of a cost-effective Managed Health Care project with the objective of promoting rational utilisation of Hospital facilities and containing associated costs generated by these services.

Job Responsibilities:

  • Authorise appropriate and cost effective medical care and treatment.
  • Educate and guide all members regarding health care and their benefits.
  • Manage quality and cost of clinical and medical care by liaising with members and providers and manage the reduction of recurring costly events and medicine spend.
  • Ensure the consistent and correct application of exclusions.
  • Ensure discharge planning is done and arrange post hospital care where necessary.
  • Develop, implement and communicate the practice and/or the clinical guidelines for cost effective care.

Job Requirements:

  • Registered Nurse with Degree or Diploma (General, Psychiatric and Midwife.) is essential
  • Minimum of 3 years clinical experience
  • Experience in private institutions would be advantageous
  • Minimum 3 years’ experience in managed health care industry is advantageous
  • Current registration with SANC, on application is essential
  • Matric

Job Details:

Company: Momentum

Vacancy Type: Full Time

Job Location: Durban, KwaZulu-Natal, South Africa

Application Deadline: N/A

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