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Specialised Health Care Coach - Oncology

Full-time

Momentum

Role Purpose

To manage clinical risk of patients through the authorisation of clinically appropriate treatment and outbound interventions.

Requirements

  • Matric - essential
  • Nursing Diploma or Degree - essential
  • Minimum of 4 years clinical experience (including 2 years Oncology experience)- essential
  • Registered with SANC- essential
  • Experience in managed health care would be advantageous

Duties and Responsibilities

  • Liaising with patients, providers and Disease Management companies
  • Answering and assisting with all queries related to disease management programmes (Oncology and other chronic conditions)
  • Following up on decisions with Providers and/or 3rd parties
  • Maintaining relationships with 3rd parties
  • Monitoring the progress of patience on disease management programmes.
  • Assisting with early detection programmes and advocating available preventative health benefits to better manage risk
  • Facilitating reports to the scheme
  • Initiating outbound contact with patients and providers where appropriate
  • Educating and guiding all members regarding health care and their benefits
  • Authorizing appropriate and cost-effective medical care and treatment
  • Applying set Clinical Guidelines and policies
  • Possible identification of clinical guidelines.
  • Identifying all compliance risks.
  • 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 insight into assessing risks.

-346021296

Vacancy posted 17 days ago
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