Specialised Health Care Coach x4

Cape Town

Vacancy Details
REFERENCE NO.
SP3-5942
SYNOPSIS
To manage clinical risk of patients through the authorisation of clinically appropriate treatment and outbound interventions.
DESCRIPTION
Liaising with patients, providers and Disease Management companies
Answering all queries related to 26 Chronic Disease Lists, Maternity, Oncology, Renal dialysis and Organ Transplant , HIV and Mental Health disease programmes
Following up decisions with Providers and/or 3rd parties
Assisting with 26 Chronic Disease Lists, Maternity, Oncology, Renaldialysis and Organ Transplant, HIV and Mental Health disease programmes
Pre-Authorisation
Monitoring the progress of patients on all chronic conditions
Maintaining relationships with 3rd parties
Assisting with early detection programmes and advocating available preventative health benefits to better manage risk
Facilitating reports to 3rd parties and the schemes
Initiating outbound contact with patients and providers where appropriate
Identifying and developing Clinical Guidelines and policies
Authorising appropriate and cost effective medical care and treatment
Participating in the identification of clinicalguidelines
Researching, designing and developing material relevant to promoting awareness of health promotions e.g. Focus pages
Identifying all compliance risks
Educating and guiding all members regarding health care and their benefits
Supporting budget control and cost containment of health management programmes
Assisting with registrationon various programmes to ensure quality of life for patients with lifethreatening diseases
Dealing promptly with client requests in a competent, efficient and professional manner
Liaising with specialists to gain their insight into assessing risks
Communicating with providers to improve the cost efficiencies of healthcare delivery
REQUIREMENTS
Matric
Nursing Diploma or Degree essential
Registered Nurse
Registered with SANC essential
Minimum of 4 years clinical experienc eessential
Experience in managed health care would be advantageous
Experience in the management of chronic diseases would be advantageous
Competencies

Accountability
Planning
Organization and Attention to Detail
Customerorientation
Empathy
People skills
Teamwork and Cooperation
BusinessAdministration
Results Orientation
Shortlisted candidates will be subject to the following statutory checks:

References
Qualifications
Credit
Criminal
Kindly note that if you havent recieved feedback within 3 weeks of submitting your application , please consider it as unsuccessful
POSITION TYPE
Permanent
WORK LEVEL
Mid-Level
SALARY
Market Related
INDUSTRY
Pharmaceutical And Medical/Healthcare
SALARY TYPE
Annually
PACKAGE
Cost To Company
AFFIRMATIVE ACTION
No
GEOGRAPHIC LOCATION
Western Cape – Northern Suburbs (Cape)