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These jobs were popular with other job seekers 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
These jobs were popular with other job seekers Our client a well-established, national Wholesaler and Distributor of premium cycling brands to the South African Cycling Market is looking for a qualified and experienced individual to join their management team and oversee/manage the entire SA operation. Head office is based in Gqeberha. If you are l
These jobs were popular with other job seekers A well established, leading retail brand in South Africa is looking for a dynamic individual to head up the leasing division that is based in Gqeberha. You must be a strong negotiator that is able to secure sustainable leases for the relevant franchised stores nationwide. Requirements: Matric Relevant
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These jobs were popular with other job seekers Reference: HQ000793-pn-1 A vacancy exists in the East London branch, to be based at 7 A cnr , Greenfields, East London for the following position: Production Manager Duties & Responsibilities This position is responsible for the processes including, but not limited to the collection, receiving, sortin
These jobs were popular with other job seekers A vacancy exists for a Services Manager based at a Private Hospital Group in Port Elizabeth reporting to the, Hospital Manager. The successful incumbent will be responsible for efficiently coordinating and managing the internal support services and external service providers within the hospital en
These jobs were popular with other job seekers Job & Company Description: This well-known financial services company in South Africa is on the look out for a Financial Manager! This company has been around for over 35 years and is looking to expand their dynamic team. This company promotes competitiveness and service excellence which ensures conti
These jobs were popular with other job seekers Recently completed your SAICA artilces and looking for the next step in your career?Join this medium sized entity with a young dynamic team of individuals and gain further exposure to: Corporate Finance Valuation Assigments Forensic Audits Tax Desired Experience & Qualification Matric B. Com Degree Com
Job Source: Id1 Executive Search
Case manager port elizabeth
Eastern Cape, Eastern Cape
R 300000 ZA Per annum
These jobs were popular with other job seekers Reference: PE000174-HP -2 The hiring organisation offers a minimum six-month fixed term contract opportunity to an experienced Registered Nurse with private hospital nursing experience. Ideally you will be based in Port Elizabeth, EC but the possibility exists of a candidate being based in Durban, Bellville or Centurion. ROLES AND RESPONSIBILITIES: Reporting to the Team Leader, performance areas include, but are not limited to: Review of in-hospital patients for appropriateness of care, length of stay and level of care. Liaise with the service provider on clinical updates, as well as outstanding information. Engage with the treating doctor(s) to ensure appropriate treatment, length of stay and level of care is rendered. Discharge planning for in-hospital patients to ensure ongoing support and care post discharge. Develop, implement and communicate the practice and/or clinical guidelines for cost effective care. Authorise appropriate and cost-effective surgical care and treatment. Ensure the consistent and correct application of exclusions. Adhere to policies and procedures and take corrective action where necessary. Adhere to organisational best practice and legislative requirements. Take ownership of escalated and unresolved queries and ensure they are resolved timeously. Manage queries until resolution and update the incident details. Identify financial and business risks to the company and escalate accordingly. Provide clinical support to non-clinical team’s if/when required. Drive and support effective teamwork within the department. Strive to demonstrate the company's values daily. Engage in hospital visits where needed to build stakeholder relationships, proactively resolve queries and increase visibility to members. Ensure the effective, accurate and timeous completion of relevant documentation and recording of interventions. Communicate with providers to improve the cost efficiencies of health care delivery. Ensure Service Level Agreements are met and exceeded. Continuously develop own expertise in terms of industry and subject matter development and application thereof in an area of specialisation. QUALIFICATIONS AND EXPERIENCE: Matric essential. Nursing Diploma or Degree essential. Minimum of 2 years clinical experience within a private hospital is essential. Must be registered with SANC (South African Nursing Council) as a Registered Nurse. A certificate in ICD-10 coding is highly advantageous. Experience in a managed care / case management environment would be an advantage. MS Office / Office 365 proficiency. Fluent in English – essential requirement. Open to SA citizens with a clear criminal and credit history. Valid unendorsed Driver’s License is essential, with own vehicle (preferred). IMPORTANT ATTRIBUTESEffective communication skills – verbal and written. Accountability. Planning and organising. Problem solving. Time management. Attention to detail. Interpersonal skills. Customer orientation. Results driven. Empathetic nature. Business Administration skills. Location: Port Elizabeth, Centurion, Durban or Bellville Profile: Health Care Services Career Level: 2+ years. Employment: Contract, six Month FTCE. E. / Non-EE: Strictly EE (ACI, Males and Females)Working Hours: Monday to Friday. 08 H00 - 17 H00 Remuneration: Market related basic. Short listed candidates may be expected to complete and pass assessments before moving to the next stage of the recruitment process. Should you not be contacted within two weeks, please consider your application unsuccessful. Duties & Responsibilities Case Manager (Registered Nurse) Package & Remuneration Monthly plus (Includes medical aid and provident fund) HR Services, Recruitment & Selection These jobs were popular with other job seekers