SUMMARY:
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POSITION INFO:
About Our Client: Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare benefits to its members. They are committed to innovation, quality service, and the well-being of their clients. In line with their growth and commitment to excellence, they are seeking a dedicated and experienced Oncology Case Manager to join their team.
Functions:
- To ensure that the Client’s Oncology disease management program limits the Scheme’s risk and ensure quality care for its members.
- Reviewing and approving requests for specific cancer treatments and services to ensure they are medically necessary and within the scope of the patient's medical scheme benefits.
- Ensuring all case management activities are documented accurately and adhering to relevant regulations and guidelines.
- Identifying and addressing potential risks associated with cancer treatment, such as medication errors, infections, or treatment delays.
- Serving as a point of contact between the patient, their family, the medical scheme, and healthcare providers, facilitating clear and efficient communication.
Skills:
- Medical Aid Administration systems such as Medware, Careware, ChroniLine
- Exceptional Language skills
- Computer literate (Microsoft Excel, Word and Outlook)
Requirements:
- Grade 12
- Diploma in Nursing
- Active SANC Membership
- Minimum 5 years clinical experience
- Minimum 2-year experience in Oncology disease management
Remuneration:
- Competitive salary commensurate with experience.
- Exceptional benefits program including 23 days of annual leave, 8-hour workday with a 30min break, life cover, disability benefits, funeral cover, pension fund, medical aid, and more.
- Office perks: free parking, Wi-Fi, landline phone allowance, on-site gym, subsidized meals, free refreshments, Athletics Club, Pilates, and wellness programs.
- Dynamic team interactions, recognition programs, and incentives.
Join Our Client: Be part of a team that values innovation, quality service, and the well-being of its members. Apply today to contribute to a leading medical scheme's success and make a difference in the lives of many.
Application Process: Interested candidates should submit their CV and cover letter, highlighting their experience related to the job functions and skills listed above to .
