Care Specialist - Cape Town

AfroCentric Group; Wes-Kaap; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A leading healthcare organization in South Africa is seeking a healthcare professional to enhance patient management and support chronic disease care. The role requires a qualification in allied health and aims to ensure high standards of patient care and stakeholder satisfaction. You will collaborate with different teams, maintain compliance, and drive service excellence. This position also promotes diversity and transformation in the workplace.

Qualifications

• 2 years Managed Healthcare Operations advantageous.
• 3 years Allied Health Professional Experience essential.
• Relevant and active registration with regulatory body.

Responsibilities

• Manage patient requests according to healthcare guidelines.
• Collaborate across teams to improve service delivery.
• Educate stakeholders on healthcare tools and services.

Skills

Problem solving

Customer engagement

Excellent administration skills

Active listening skills

Time management skills

Written and verbal communication skills

Proficiency in Microsoft Suite

Agility, resilience, and adaptability

Education

Allied Healthcare professional qualification

Job description

Position Purpose

To enable the management of the patient is appropriate according to medicine formulary, clinical protocols and guidelines with specific focus on chronic disease management and overall special touch cases. Holistically identifying and handling complex care requests for the patient and their support structures.

Experience

2 years Managed Healthcare Operations advantageous

3 years Allied Health Professional Experience essential

Qualifications

Allied Healthcare professional(physiotherapist's qualification). Relevant and active registration with regulatory body

Accountabilities

Client Service Delivery & Quality

• Follow procedures and collaborate with peers and leaders for optimal service delivery.

Compliance & Risk Management

• Maintain legal, statutory, and regulatory compliance.
• Adhere to operational risk and governance frameworks; escalate issues when necessary.

Financial Management

• Contribute to departmental cost-saving initiatives to meet financial targets.

Operating Model

• Collaborate across teams to meet delivery objectives.
• Resolve performance issues and escalate unresolved problems.
• Support successful delivery by meeting targets.

Operational Implementation of Strategy

• Stay informed on operational changes due to external factors.
• Deliver work aligned with quality standards and departmental priorities.
• Apply best practices and seek continuous improvement.

Operational Leadership

• Perform within Human Capital policies and frameworks.
• Participate in coaching, mentoring, and development.
• Promote diversity and align behavior with Afrocentric values.

Stakeholder Management

• Build and maintain effective relationships with customers and stakeholders.
• Address complaints in line with policies to ensure stakeholder satisfaction.

Position-Specific Outputs

Manage Care Service Requests

• Service stakeholders across all channels until requests are resolved.
• Educate on digital self-help tools and deliver a seamless, intuitive experience.

Identify & Handle Complex Care Requests

• Ensure optimal clinical outcomes through correct benefit and treatment plan usage.
• Manage authorizations and case management holistically.
• Resolve complex service requests effectively.

Manage Excellent Experiences

• Provide accurate, consistent information that meets quality standards.
• Drive customer satisfaction and continuous improvement.
• Share ideas and collaborate for peer learning.

Drive Brand Loyalty

• Act as a brand ambassador, delivering experiences that reflect Afrocentric’s values.

Knowledge

• Customer service operations
• Health legislation and regulatory frameworks
• Healthcare facilities industry
• Private health care industry
• Application of service processes
• Customer preferences and personality styles

Skills

• Problem solving
• Engagement coping
• Customer engagement
• Excellent administration skills
• Active listening skills
• Agility, resilience, and adaptability
• General administration
• Customer care
• Proficiency in Microsoft Suite
• Written and verbal communication skills
• Computer technology skills
• Time management skills
• Numerical ability
• Quality-driven mindset

Turnaround Time

The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of line managers.

Our Commitment to Transformation

AfroCentric is committed to transformation and embracing diversity. Our Employment Equity plan and targets will be considered as part of the recruitment process. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society as well as people with disabilities.

Should you not hear from us within a month of applying, consider your application unsuccessful.