HEALTHCARE COACH / CLINICAL RISK MANAGER (ONCOLOGY)

SUMMARY:
HEALTHCARE COACH / CLINICAL RISK MANAGER (ONCOLOGY)

POSITION INFO:

Manage clinical risk of patients through the authorisation of clinically appropriate treatment and outbound interventions

Positions available in Durban, Cape Town & Centurion

Requirements:

• Nursing Diploma or Degree essential
• Enrolled or Registered Nurse essential
• Minimum of 4 years clinical experience essential
• 2 years Oncology experience essential
• Registered/ enrolled with SANC essential
• Experience in managed health care would be advantageous
• Experience in the management of chronic diseases would be advantageous

Duties

• Liaising with patients, providers and Disease Management companies
• Answering and assisting with all queries related to Oncology and disease programmes
• Following up on decisions with Providers and/or 3rd parties
• Monitoring the progress of patients on oncology programme
• Maintaining relationships with 3rd parties
• Assisting with early detection programmes and advocating available preventative health benefits to better manage risk
• Facilitating reports to 3rd parties and the schemes
• Initiating outbound contact with patients and providers where appropriate
• Identifying and developing Clinical Guidelines and policies
• Authorising appropriate and cost effective medical care and treatment
• Participating in the identification of clinical guidelines
• Researching, designing and developing material relevant to promoting awareness of health promotions e.g. Focus pages
• Identifying all compliance risks
• Educating and guiding all members regarding health care and their benefits
• 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 their insight into assessing risks
• Communicating with providers to improve the cost efficiencies of healthcare delivery

 

NB! This job is now closed. You can apply for other jobs by uploading your CV.

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