WE ARE HIRING!

Patient Case Manager

Join our team as a Patient Case Manager, South Africa, and play a vital role in ensuring seamless patient care by coordinating medical cases and facilitating effective treatment solutions.

Position: Patient Case Manager   
Location: Johannesburg, South Africa.
Reporting to: Head – Medical Assistance & Case Management / Claims Manager.

Company Overview:
SES LIMITED is a dynamic and forward-thinking company that provides premium health and life insurance solutions. We seek an enthusiastic and results-driven individual to join our team as a Patient Case Manager.

Position Overview: 
The Patient Case Manager plays a vital role in ensuring the efficient management of medical cases, working closely with healthcare providers, insurance teams, and patients to facilitate seamless care. This role requires a strong medical background, analytical skills, and a commitment to delivering high-quality patient support.

Key Responsibilities:

  • Assess and manage medical cases efficiently
  • Coordinate treatment plans with healthcare providers
  • Ensure seamless patient care and cost-effective solutions
  • Liaise with insurers, hospitals, and medical teams.

Qualifications & experience

  • Formal clinical qualification, preferably an enrolled or registered nurse with Intensive Care Unit (ICU) experience.
  • Experience with the creation and maintenance of protocols, treatment plans, and clinical auditing.
  • Working knowledge of the domestic and international private medical insurance landscape.
  • Experience with healthcare administration in the medical insurance space would be advantageous.
  • Experience with medical service provider engagements.
  • Confidence and assertiveness to deal and negotiate with healthcare service providers in assessing the quality, necessity, and price of healthcare treatment and provision.

This is a unique opportunity to join an innovative business with a strong presence in the Insurance industry.

If you are a highly motivated individual, with a passion for patient advocacy we encourage you to apply.

Application deadline: 7th March 2025

Please upload your CV and cover letter as a single PDF document highlighting your relevant experience and achievements to recruitment@ses-unisure.comOnly shortlisted candidates will be contacted.

Specialty Emergencies Services (SES) LIMITED is an equal opportunity employer, committed to promoting diversity and inclusion within our workplace. We encourage applications from candidates of all backgrounds and experiences.

Join us in making a difference in the Insurance industry.

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