Case Manager - Hbm

Our client, a non-profit, medical scheme is seeking a Case Manager HBM in the Gauteng area.
Delivering of cost-effective managed healthcare service to accomplish member satisfaction.Behavioural CompetencyStrong organizational skills, attention to detail and ability to prioritize.Strong communication skills in English and Afrikaans.Ability to work in a team.Caring attitude and behaviour.Flexibility in adapting to change and management decisions to achieve common goals.Excellent problem-solving techniques.Taking responsibility.Duties include the following, but not limited to :Risk Management – to reduce the risk associated with hospital and authorized cases.On-going training and development – to update knowledge and skills to deliver a cost-effective and professional service.Case management of authorised cases according to the acceptable Scheme rules and protocols.To reduce the risk associated with hospitalization and to provide an effective and unique managed healthcare.To assist the client by approving appropriate funding.To deliver an effective call centre service to achieve member satisfaction.To reduce the risk associated with hospital and authorized cases.Answering calls in a way that achieves member satisfaction.Requirements :Current registration with the South African Nursing Council (SANC)Degree / Diploma in NursingA minimum of 5 Years practical experience as a nursing practitioner with experience in Trauma, ICU or Theatre
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