Momentum Health Careers – Specialised Healthcare Coach

  • Full Time
  • Durban

Website Momentum

Job Description:

To manage clinical risk of patients through the authorisation of clinically appropriate treatment and outbound interventions.


Job Responsibilities:

  • Liaising with patients, providers and Disease Management companies
  • Answering all queries related to Oncology, Renal dialysis and Organ Transplant , HIV and Mental Health disease programmes and 26 Chronic Disease Lists
  • Following up decisions with Providers and/or 3rd parties
  • Monitoring the progress of patients on all disease management programs
  • Maintaining relationships with 3rd parties
  • Assisting with early detection programmes and advocating available preventative health benefits to better manage risk
  • Facilitating reports to 3rd parties and the schemes
  • Initiating outbound contact with patients and providers where appropriate
  • Identifying and developing Clinical Guidelines and policies
  • Authorising appropriate and cost effective medical care and treatment
  • Participating in the identification of clinical guidelines
  • Researching, designing and developing material relevant to promoting awareness of health promotions e.g. Focus pages
  • Identifying all compliance risks
  • Educating and guiding all members regarding health care and their benefits
  • Supporting budget control and cost containment of health management programmes
  • Assisting with registration on various programmes to ensure quality of life for patients with life threatening diseases
  • Dealing promptly with client requests in a competent, efficient and professional manner
  • Liaising with specialists to gain their insight into assessing risks

Job Requirements:

  • Matric
  • Nursing Diploma or Degree essential
  • Registered Nurse (Registered with SANC essential)
  • Minimum of 4 years clinical experience essential
  • Experience in renal dialysis, organ transplant or oncology is essential
  • Experience in managed health care would be advantageous
  • Experience in the management of chronic diseases would be advantageous
  • Accountability
  • Planning
  • Organization and Attention to Detail
  • Customer orientation
  • Empathy
  • People skills
  • Teamwork and Cooperation
  • Business Administration
  • Results Orientation

Job Details:

Company: Momentum

Vacancy Type:  Full Time

Job Location: Durban

Application Deadline: N/A


Apply Here