Wellness Case Manager

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Implements and or coordinates coaching and or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for ...

3Sixty Health has a great opportunity for a suitably qualified individual to fulfil the advertised position

3SIXTY HEALTH and join their team.

BACKGROUND 3Sixty Health is a black owned and managed, reputable and a major player in driving South African economy by investing in ‘’black excellence’’3Sixty Health is 100% black owned and black managed administrator. It is accredited by the council for medical schemes to offer both administration and managed care services, allowing for a fully integrated, beneficiary-centric approach. Our core competencies in administration include membership management, billing, claim adjudication and customer services.

It is a medical aid administrator of Sizwe Hosmed Medical Scheme.

Wellness Case Manager
JOB TITLE

JOB GRADE

DIVISION Disease Risk Management

Managed Health Care
DEPARTMENT

Responsible for participating in delivery of patient education and disease management interventions

JOB PURPOSE and for performing health coaching for members, across multiple lines, for health improvement/management programs for chronic diseases.

1
NUMBER OF JOB HOLDERS

Johannesburg
LOCATION

DUTIES & RESPONSIBILITIES

  • Liaise with service providers.
  • Ensure effective and efficient management of chronic
  • diseases, counselling and coordinating care of patients with all chronic disease including maternity, renal dialysis, psychiatry and organ transplant,.
  • Overall planning and supervising of chronic disease care management activities
  • Ensure compliance with regulatory agencies and with established policies and procedures, research policies on conditions managed and provide input to the policies.
  • Patient and provider education
  • Interfaces with provider and other health professionals to coordinate health coaching plan for the member.
  • Implements and/or coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioural health needs.
  • Support and implement Risk Event Assessment, and educational interventions.
  • Liaise with Medical Advisor, other managers and departments including IT to ensure efficient management of chronic diseases, and automation of services.
  • Psychiatry, renal dialysis, insulin pumps e.g. patients, Oxygen management, sleep apnoea management .
  • Application of Disease management protocols
  • Application of Scheme Rules in all aspects, and updating of protocols

QUALIFICATIONS AND EXPERIENCE

  • Registered nurse preferably with at least 5 year case management or disease management experience, and an understanding of the managed care industry and environment.
  • Strong maternity case management experience
  • Excellent knowledge of all chronic diseases and their management, interest in research and development of clinical policies and protocols
  • Excellent, verbal, and written communication and good interpersonal skills
  • Data analysis and report writing experience related to the diseases managed.
  • Understanding of integration of care, knowledge of PMBs and chronic diseases would be advantageous.
  • Code 8 drivers licence essential interpersonal skills is essential

PERSONAL ARTRIBUTES

  • Ability to work under pressure and as part of a team
  • Willingness to work overtime when necessary
  • Enthusiasm to accept and develop in a changing environment
  • Attention to detail and accuracy
  • Able to take responsibility and use own initiative

Job Type: Permanent

Application Question(s):

  • Are you a registered Nurse with at least 5 years Case or Disease Management experience?

Education:

  • High School (matric) (Required)

Experience:

  • Case Management or Disease Management: 5 years (Required)

Application Deadline: 2024/02/20


Information :

  • Company : 3Sixty Health (Pty) Ltd
  • Position : Wellness Case Manager
  • Location : Johannesburg, Gauteng
  • Country : ZA

How to Submit an Application:

After reading and knowing the criteria and minimum requirements for qualifications that have been explained from the Wellness Case Manager job info - 3Sixty Health (Pty) Ltd Johannesburg, Gauteng above, thus jobseekers who feel they have not met the requirements including education, age, etc. and really feel interested in the latest job vacancies Wellness Case Manager job info - 3Sixty Health (Pty) Ltd Johannesburg, Gauteng in 14-02-2024 above, should as soon as possible complete and compile a job application file such as a job application letter, CV or curriculum vitae, FC diploma and transcripts and other supplements as described above, in order to register and take part in the admission selection for new employees in the company referred to, sent via the Next Page link below.

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Post Date : 14-02-2024