Diabetes Case Manager
Che Leigh Personnel Consultants
- R00 per month
- Permanent Specialist position
-
Bryanston
- Posted 02 May 2024 by Che Leigh Personnel Consultants
- Expires in 17 days
-
Job 2557660
About the position
Purpose of the Job
Constant & ongoing development of the Disease Management Programme Reduction of risk by facilitating treatment authorization
Key Performance Areas (KPAs)
- Member retention and customer services
- Maintain risk profile of members enrolled on Disease Management Programmes
- Ensuring continuous improvement and process improvement
Job key responsibilities
- Production of educational material and dissemination to patients
- Retrospective review of related claims
- Developing and maintaining clinical protocols including new drug reviews
- Working with other healthcare personnel within the organisation
- Liaising with pharmaceutical companies
- Compilation of monthly reports detailing programme progress and areas of cost containment
- To keep abreast of benefit changes
- To develop and deliver educational presentations to employer groups.
- Other ad-hoc duties
Current knowledge of the following:
- Excellent knowledge of Chronic Disease treatments and procedures
- Clinical Protocol
- Knowledge of Prescribed Minimum benefit protocols and algorithms would be an advantage
Qualification/s
- Matric
- Registration with the South African Nursing Council
- Registered Nurse with Diabetes experience
- Medical aid/ managed healthcare experience an advantage
- Experience in disease management an advantage Experience Progression Required
- 1-2 years medical aid/ managed healthcare experience would be an advantage
- Diabetic Nurse Educator experience
Desired Skills:
Che Leigh Personnel Consultants
About the agency
A professional agency with over 20 years experience in the Recruitment industry. We place people across the board with a strong emphasis in Healthcare, Financial Services and Legal.
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