Registered Nurse: Disease and Programme Management - Gauteng, South Africa - Careforce Recruitment

Careforce Recruitment

Verified Company

Gauteng, South Africa

1 week ago

Posted by:

Thabo Mthembu

beBee Recruiter

Description

Our client, a managed care organisation based in Pretoria is looking for a Specialist: Disease and Programme Management.

This is an equal opportunity organisation with various businesses and/ or subsidiaries that service clients in the medical scheme and insurance industries.

Purpose of the position:

The Specialist Disease and Programme Management will render active disease management, 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 He/ She will be an integral part of the clinical and disease management teams and will coach beneficiaries on how to achieve and sustain health outcome goals with a reduction in "health years".

Summary of Responsibilities:

Integrates skills and knowledge of pathophysiology, epidemiology, clinical management, conditions, and selfmanagement of chronic conditions into 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 behavioural health.
Interprets personal health data, develops an individualised care plan based on the patient's assessed needs and goals and promotes successful selfmanagement.
Documents all individual contacts and outcomes data in accordance with the guidelines in a timely manner.
Identifies partially controlled patients and intervenes appropriately by liaising with the treating provider to manage the patients at risk.
Participates in meetings and gives assistance to clinical, disease management and member counselor team members with hospital admissions and patient outreach efforts as appropriate.
Prepares reports/ case studies as required.
Performs other duties as assigned within the Managed Healthcare environment.

Qualifications and experience:

Registered Nurse (additional post graduate certificate or diploma in counselling and/ or psychology will be advantageous)
Valid up to date SANC registration
A minimum of 3 years' experience in Disease Management, clinical patient management and health education within a Managed Care environment.
Oncology case management experience will be advantageous.
Maternity wellness program experience will be advantageous
Dispensing license for nurse practitioners with a focus on the treatment of noncommunicable diseases (NCDs) will be advantageous.

Skills Required:

Comprehensive knowledge, skills and experience in chronic disease management and patient health education and monitoring.
Patient centric.
Excellent telephonic and written communication capability.
Excellent listening skills and an ability to relate to people.
Sensitivity and empathy.
Ability to cope with emotional situations.
Good organisational and task prioritisation skills.
High degree of accuracy and attention to detail.
Excellent report writing skills case studies of high risk and/or highcost 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)
Must be able to function within a team.
The ability to speak more than two of the national languages will be advantageous