Case Manager
HR Genie
Johannesburg, South Africa
6d ago
source : Job Placements

Our client, leading financial services companies are looking for a driven Case Manager to join their team!

  • Delivering cost-effective managed healthcare services to accomplish member satisfaction and to deliver affordable managed healthcare services.
  • The successful incumbent must be willing to work additional hours as per operational requirements.
  • Assist the client by approving appropriate funding.
  • To deliver an effective call center service in order to achieve member satisfaction.
  • To reduce the risk associated with hospital and authorized cases.
  • Answering telephone calls in a way that achieves member satisfaction.
  • Verifying prosthesis limits to contain costs for both members and fund.
  • On-going training and development.
  • The actual benefit expenditure per beneficiary per month for hospitalization should be less than the budget benefit expenditure.
  • Key Skills

  • Self Control
  • Initiative
  • Analytical Thinking
  • Professionalism
  • Administration Skills Friendly and diplomatic nature with a passion for people Maturity to speak confidently with intermediaries and clients.
  • Job Role : Case Manager
  • Industry : Administration / Secretarial
  • Salary : Negotiable
  • Required Skills

    5 Years of Experience

    Qualifications

  • Computer skills and knowledge of MS Word, MS Excel, MS Office, Outlook and Internet.
  • Bachelors in Nursing.
  • Minimum 5 years experience as a nursing practitioner
  • Minimum 1 year experience gained in the medical funding industry
  • Medical Scheme related experience in Hospital Benefit Management
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