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Careers - Our Vacancies

Careers - Our Vacancies


Clinical Case Manager

What we are looking for:

  • Minimum Grade 12
  • Registration as a Registered Nurse or Enrolled Nurse (with SANC)/ Paramedic (Desirable)
  • Experience working in a health care setting
  • Work experience in a managed care environment
  • Excellent people skills and a caring approach
  • Bilingual
  • Good communication skills (both verbal and written)
  • Good planning and prioritising abilities in order to meet targets and internal SLA’s
  • An astute, logical and motivated approach
  • Knowledge and experience of BHF tariff codes, ICD 10 and CPT 4 codes
  • Computer Literacy in Microsoft Office (MS Excel, Outlook, word etc.)
  • Good understanding of managed healthcare processes.
  • Sound clinical knowledge of chronic medical conditions.

What we expect from you:
  • Hospital pre-authorization and issuing guarantee of payment
  • Telephonic assessment of patient's current clinical status and risk profile
  • Approve/assess clinical treatment plans
  • Define desired clinical outcomes for the patient and prevent re-admission to hospital
  • Telephonic case management and resolution of resultant queries within service levels
  • Evaluating patients progress at predetermined intervals and referring when appropriate
  • Investigating problems and high cost cases (hospital and chronic cases)
  • Work within defined SLA’s
  • Writing reports detailing patient progress, savings made and expected future outcomes

What we offer in return:
  • Salary: CTC Market Related
  • Free Healthcare
  • Pension Fund
  • Relaxed and enjoyable environment
  • Fun Days
  • Dress-up days

Is this position for you? Yes? Then email your CV to

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