As the leading medical recruitment agency in South Africa, our client has an exciting opportunity for a Disease and Care Coordination (Registered Nurse) based in Pretoria, South Africa. The Disease and Care Coordination nurse is to deliver expert nursing care to render active disease management, clinical care support, coaching and health education services to medical scheme beneficiaries who are registered for, and lives with one or more of the Chronic Disease List (CDL) conditions by integrating the clinical care and self-management aspects for all medium and high risk beneficiaries. He/ She will be an integral part of the clinical and disease management teams and will assist, guide and intervene with beneficiaries on how to achieve and sustain health outcome goals with a reduction in “health years”.
Responsibilities:
Integrates skills and knowledge of pathophysiology, epidemiology, clinical management, conditions, and self management of chronic conditions clinical practice.
Advocates for and communicates about improved quality of care and outcomes for those living with, are at risk for or affected by chronic conditions.
Performs comprehensive assessments for each patient including emotional and behavioral health.
Interprets personal health data, develops an individualized care plan based on the patient’s assessed needs and goals and promotes successful self-management.
Facilitates follow-up and review of relevant pathology and other disease monitoring tests and interventions by engagement with the patient and/ or treating service provider subject to the registered care plan or upon request.
Identifies partially controlled patients and intervenes appropriately by liaising with the treating provider to manage the patients at risk.
Provide assistance to clinical case management and pre authorisation team members with hospital admissions and patient outreach efforts as appropriate.
Prepare reports/ case studies as required.
Performs other duties as assigned within the Managed Healthcare environment.
Requirements:
Registered Nurse (additional post graduate certificate or diploma in counseling and/ or psychology will be advantageous) or skilled Clinical Associate (Bachelor of Clinical Medical Practice (BCMP))
Valid up to date SANC or HPCSA registration.
A minimum of 3 years’ experience in Disease Management/ Care Coordination, clinical patient management and health education within a Managed Care environment working with beneficiaries who are registered with one or more chronic disease conditions.
Maternity wellness program experience will be advantageous.
Dispensing licenses for nurse practitioners with a focus on the treatment of non-communicable diseases (NCDs) will be advantageous.
Excellent report writing skills – case studies of high risk and/or high-cost cases, have to detail outcomes.
Must be able to work with a diverse patient population and have exceptional customer service skills.
Proficient with MS Office (Outlook, Word, Excel) (knowledge and understanding of medical scheme administration and/ or managed care information systems will be advantageous)
The ability to speak more than two of the national languages will be advantageous.
Salary is market related, includes medical aid and provident fund
Location: Pretoria
If this vacancy is closed or you have any questions, please contact apply@medipath.co.za
Please be advised that you will be contacted by Medipath Healthcare Recruitment within 14 days should we wish to proceed with your application. Similarly, if you are not contacted by Medipath Healthcare Recruitment, please accept your application as unsuccessful. Your CV will automatically be added to our database and we could be contacting you should a suitable position arise.
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