Momentum Health Careers – Specialised Healthcare Coach

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

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