Case Manager - HBM

Our client, a non-profit, medical scheme is seeking a Case Manager HBM in the Pretoria area. Delivering of cost-effective managed healthcare service to accomplish member satisfaction.

Behavioural Competency

• Strong organizational skills, attention to detail and ability to prioritize.
• Strong communication skills in English and Afrikaans.
• Ability to work in a team.
• Caring attitude and behaviour.
• Flexibility in adapting to change and management decisions to achieve common goals.
• Excellent problem-solving techniques.
• Leadership skills.
• Taking responsibility.

Duties include the following, but not limited to:

• Risk Management – to reduce the risk associated with hospital and authorized cases.
• On-going training and development – to update knowledge and skills to deliver a cost-effective and professional service.
• Case management of authorised cases according to the acceptable Scheme rules and protocols.
• To reduce the risk associated with hospitalization and to provide an effective and unique managed healthcare.
• Cost per beneficiary
• Effective Customer Service delivery.
• To assist the client by approving appropriate funding.
• To deliver an effective call centre service to achieve member satisfaction.
• To reduce the risk associated with hospital and authorized cases.
• Answering calls in a way that achieves member satisfaction.

Requirements:

• Current registration with the South African Nursing Council (SANC)
• Degree/Diploma in Nursing
• A minimum of 5 Years practical experience as a nursing practitioner with experience in Trauma, ICU or Theatre
• MS Office

Salary: Market related

Please send your CV to info@dymaxa.co.za

Closing date 26/09/2025

Posted on 19 Sep 11:17, Closing date 18 Nov