Tuesday , January 18 2022

Discovery Health Careers – HIV Case Manager

  • Full Time
  • Sandton

Website Discovery Limited

Job Description:

Management of enrolled HIV members by reviewing clinical appropriateness of treatment is prescribed. This involves the correct application of Clinical Entry Criteria, Protocols, SOP’s and Clinical guidelines as well as explaining the benefit to the member and counselling the member.

Job Responsibilities:

The successful applicant will be responsible for but not limited to the following job functions:

  • Enroll member on HIV Programmed and ensure that the member meets all requirements to qualify for the benefit (i.e. Forensics, Underwriting categories)
  • Counsel the Member in relation to the following:
    • Knowing and understanding the disease
    • Accepting the condition/diagnosis
    • Treatment regimes and their prescribed medication
    • Terminology related to the disease and related pathology
    • Nutrition
  • Review scripts and pathology from a central work pool to ensure that the member receives medication and continuous treatment
  • Facilitating medication delivery through the DSP
  • Drug Utilization Review (DUR)
  • Applying internal disease management processes: monitoring compliance to testing doctor visits and medication
  • Telephonic support to members, Chronic HIV & Oncology Service Agents, Doctors and Pharmacists
  • Support to Doctors by co-ordinating treatment plans and sending them updated guidelines and information

Job Requirements:

  • Matric
  • Enrolled Nurse or Registered Nurse
  • Registered with SANC
  • Minimum of 3 years HIV management experience
  • Microsoft Office
  • Effective Communication Skills (Verbal & Written)
  • Presentation skills
  • Telephone Etiquette
  • Active Listening Skills
  • Knowledge of HIV guidelines
  • 2 years experience as a Case Manager
  • 1 year HIV Counseling experience
  • Project Management

Job Details:

Company: Discovery Limited

Vacancy Type:  Full Time

Job Location: Sandton

Application Deadline: N/A

Apply Here