Specialised Health Care Coach - Oncology
Momentum
Role Purpose
To manage clinical risk of patients through the authorisation of clinically appropriate treatment and outbound interventions.
Requirements
- Matric - essential
- Nursing Diploma or Degree - essential
- Minimum of 4 years clinical experience (including 2 years Oncology experience)- essential
- Registered with SANC- essential
- Experience in managed health care would be advantageous
Duties and Responsibilities
- Liaising with patients, providers and Disease Management companies
- Answering and assisting with all queries related to disease management programmes (Oncology and other chronic conditions)
- Following up on decisions with Providers and/or 3rd parties
- Maintaining relationships with 3rd parties
- Monitoring the progress of patience on disease management programmes.
- Assisting with early detection programmes and advocating available preventative health benefits to better manage risk
- Facilitating reports to the scheme
- Initiating outbound contact with patients and providers where appropriate
- Educating and guiding all members regarding health care and their benefits
- Authorizing appropriate and cost-effective medical care and treatment
- Applying set Clinical Guidelines and policies
- Possible identification of clinical guidelines.
- Identifying all compliance risks.
- 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 insight into assessing risks.
-346021296
