11 Case coordinator Jobs and Work in Johannesburg North Gauteng

Clinical Coordinator
MSO International (Pty) Ltd —Sandton, Gauteng
Quick Apply
Immigration Coordinator - French Speaking
Fragomen —Johannesburg, Gauteng
- Full-time
International Operations Specialist
International SOS —Johannesburg, Gauteng
1d
Head of OOH (Outdoor Media) – Publicis Media Africa
Publicis Groupe Holdings B.V —Johannesburg, Gauteng 2194
Quick Apply
2d
Community Engagement Officer
Medecins Sans Frontieres South Africa —Johannesburg, Gauteng 2021
- R33 723,45 a month
- Full-time
Quick Apply
8d
Paediatric Medical Doctor
Medecins Sans Frontieres South Africa —Johannesburg, Gauteng 2001
Quick Apply
13d
Clinical Co-ordinator
MSO International (Pty) Ltd —Sandton, Gauteng
- Full-time
Quick Apply
Immigration Coordinator - German Speaking
Fragomen —Johannesburg, Gauteng
- Full-time
Legal Intake Coordinator
Hire Hangar —Johannesburg, Gauteng
- Full-time
- Remote
Quick Apply
Tour Conductor for Southern Africa (German, French or Dutch speaking)
Ventura TRAVEL —Johannesburg, Gauteng
Quick Apply

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Immigration Coordinator - French Speaking
Fragomen —Johannesburg, Gauteng
Depending on your role, you can agree with your manager a minimum of three days per week working in your local office. File applications on behalf of clients.

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Clinical Coordinator

MSO International (Pty) Ltd
Sandton, Gauteng

Quick Apply

Job Details

Permanent

Full Job Description

Key Purpose:

The Clinical Coordinator will work closely with the Clinical and Admin members of the international team to ensure alignment of activities as well as the achievement of client service level objectives. He/ she is also responsible for the management of all pre-authorisation and medical assistance requests for international health insurance members. He/ she will liaise with the Client’s services contact centre, service providers and other members of the multi-disciplinary team to ensure the best outcome for all members.

Key Outputs:

Duties and Responsibilities included but not limited for all MSO Companies and subsidiaries:

Align clinical activities to the Strategic objectives of the Business Unit.
Work closely with team members and all stakeholders to ensure alignment of activities with client SLA objectives. Manage the entire spectrum of activities from pre-authorization, case coordination, clinical review through to discharge planning, chronic disease management and/or repatriation.
Work shifts and hours as specified by operational requirements. Flexibility is essential.
Ensure that call centre service levels are met:

i. all ACD calls to be answered in less than 3 rings (under 20 seconds)

ii. manage call talk time/ duration to an average of 180 seconds (3 minutes)

Accept pre-authorisation requests telephonically, e-mail/fax:

i. verify membership validity

ii. verify benefit available for treatment requested as per scheme/ Insurers benefit rules.

Assess medical necessity of treatment, appropriateness of facility, service provider and level of care, refer to medical protocols, and consult with Clinical Manager /Medical Advisor as required or if uncertain.
Approve /decline request and communicate appropriately with member/ service provider and Update cases based on utilisation review and clinical updates from hospital.
Attend to daily tasks as delegated, i.e. mail-box, daily pending status reports and liaise with scheme contact people on funding decisions as required.
Provide detailed feedback within the prescribed SLA time frame to clients.
Co-ordinate on-site/telecom Case management visits as may be required from time-time to monitor, level of care, utilisation review, discharge planning / negotiation with hospital admin/ Treating Specialists.
Provide detailed feedback within the prescribed SLA time frame to management.
Liaise with clients and service providers as required and participate in delegated projects.

Competencies:

Core Competencies & Inherent Requirements

Knowledge, Skills and Attitude

Sound knowledge Customer Service
Good knowledge of Industry legislation and funding guidelines
Knowledge of Medical Fund/ Health Insurance and healthcare risk management
Clinical Knowledge a must
Initiate and implement processes
Good communication skills, verbal and written
Computer Literacy
Critical evaluation of information
Sound clinical decision-making ability
Participating in protocol and process development
Helpful, friendly and accommodating with a customer focused attitude
Problem Solving and Output driven
Self-Motivated and Assertiveness
Ability to apply knowledge of Legislation to day-to-day work
Liaison, coordination and consulting skills
Patience, resilience and integrity
Flexible and adaptable

Education and Experience:

Education

· A minimum requirement of Grade 12
· Ambulance Emergency Assistance (ILS), Emergency Care Technician, Critical Care Assistance

Experience

Ambulance Emergency Assistance (ILS), Emergency Care Technician, Critical Care Assistance
2 years’ call centre experience advantageous
2-year pre - hospital road operations experience
Clinical experience in-hospital environment advantageous
Aeromedical knowledge advantageous
Ability to function in a fast-moving high-pressure environment
Experience with healthcare insurance risk management
Experience with healthcare insurance
Risk management principles an advantage

Work Location: In person

Quick Apply

Refine Your Search

case coordinator jobs in johannesburg north gauteng

Clinical Coordinator

Immigration Coordinator - French Speaking

International Operations Specialist

Head of OOH (Outdoor Media) – Publicis Media Africa

Community Engagement Officer

Paediatric Medical Doctor

Clinical Co-ordinator

Immigration Coordinator - German Speaking

Legal Intake Coordinator

Tour Conductor for Southern Africa (German, French or Dutch speaking)

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