Permanent (10)

Job Title: Case Manager - Medical Aid

Location: Tshwane Metro, Pretoria, Duties:

Plan and optimise daily tasks to update cases on the hospital list within the 8-hour turnaround time
Follow up on long-term and high-cost cases of hospitalised and home care patients
Identify the referral of cases that require input from management or the team
Manage telephonic calls transfer to rehabilitation sub-acute and private nursing facilities
Initiate discharge planning

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Job Title: Specialist Network Manager

Location:

Tshwane Metro, Pretoria, Brooklyn

Job develop educational materials for members
Manage budget and ensure no deviations
Ensure work

Job Duties:

The Specialist Network Manager is responsible for identifying, evaluating, and regulatory compliance. The Specialist Network Manager serves as a primary point of contact for providers members. Additionally, the Specialist Network Manager manages the budget, ensures operational efficiency

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Pharmacist Medicine Intervention

Brooklyn

market related

application escalations to the Clinical Committee for cases outside of clinical protocols

Load medicine and doctors

Manage operational and clinical tasks within Medicine Management

Required

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Pharmacist Medicine Intervention

Brooklyn

market related

application escalations to the Clinical Committee for cases outside of clinical protocols

Load medicine and doctors

Manage operational and clinical tasks within Medicine Management

Required

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Senior Actuarial Analyst

Brooklyn

Market related

Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and ee years relevant experience in managed care, health risk management, service/product pricing, or scheme

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