Client Relationship Manager

Discovery Limited; Johannesburg; On-site; ZAR 360,000 - 600,000; Full time

Job summary

Discovery Limited is recruiting a Client Relationship Manager in Hospital Case Management within Discovery Health. The role focuses on reviewing In Hospital queries, applying benefit criteria and coordinating with care teams.

Based in Gauteng with regional reach to adjacent provinces. The successful candidate will engage with stakeholders to ensure accurate outcomes and patient-centred service, aligning with Discovery Care objectives.

Qualifications

• Must hold Matric and Nursing qualification with active SANC registration.
• Experience within Discovery Health clinical roles and systems preferred.
• Analytical skills and proficiency in MS Office.
• Knowledge of Discovery Health products and processes is advantageous.

Responsibilities

• Handle IH queries and escalation paths to resolution.
• Enforce policy, protocol and benefits decisions.
• Meet daily operational targets and performance metrics.
• Communicate progress and outcomes clearly to complainants in writing and verbally.
• Collaborate with stakeholders involved in the member’s care to optimise the member journey.

Skills

Interpersonal adaptability

Change management

Assertiveness

Integrity

Urgency in service

Education

Matric

Nursing Qualification (Enrolled/Professional Nurse)

Valid SANC Registration

Discovery Health clinical experience

Discovery Health product knowledge

Analytical skills

MS Office

Job description

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Client Relationship Manager

Business Unit: Discovery Health

Function: Case Management

Date: 22 Oct 2026

Discovery Care

Client Relationship Manager In Hospital Case Management

About Discovery

Discovery's core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.

About Discovery Care

Discovery Care, a subsidiary of Discovery Health, comprises of several specialized clinical areas with segmented teams. The Chronic and PMB Management team handles the processing of Chronic and Prescribed Minimum Benefit requests and manages escalated clinical queries. The HIV/Oncology and In-Hospital Case Management teams review clinical cases specific to their areas of expertise. The High Touch team provides hands-on services and resolves escalated queries for sensitive cases. Additionally, the Hospital Benefit Specialists, as part of field force, are responsible for real-time risk management and the Care Coordination Services manages the Managed Care programs.

Please take note that this role is open to the below regions:

Gauteng, Eastern Cape and Kwazulu- Natal

Key Purpose:

To accurately review and assess In Hospital related queries and updates, in line with Discovery Health products and in accordance with benefit entry criteria and established protocols

• The successful applicant will be responsible for but not limited to the following job functions:
• Dealing with all IH queries and escalations through to resolution
• Enforcing policy, protocol and benefits decisions
• Meeting daily Operational Targets, TWT, etc.
• Ad Hoc duties based on business requirements
• Communicating effectively and accurately, progress, outcomes to complainants verbally and in writing
• To liaise with relevant stakeholders involved in the member’s care to ensure the best possible member journey.

Skills:

• Adapts interpersonal style to suit different people or situations
• Adapts to changing circumstances
• Assertive and confident
• Demonstrates integrity
• Shows urgency and passion for servicing

The successful candidate must demonstrate the following competencies:

Role Specific Behaviours

• Action oriented
• Attracts top talent.
• Business insight
• Directs work.
• Global perspective
• Cultivates innovation.
• Interpersonal savvy
• Nimble learning
• Organizational savvy
• Plans and aligns.
• Drives results
• Situational adaptability
• Balances stakeholders
• Strategic mindset
• Tech savvy
• Instils trust.
• Drives vision and purpose
• Optimizes work processes

Education and Experience:

The following requirements are essential:

• Matric
• Nursing Qualification (Enrolled/Professional Nurse)
• Valid SANC Registration
• Discovery Health working experience in a clinical role
• Discovery Health products and system knowledge
• Analytical Skills
• MS Office

The following requirements are advantageous:

• 1 year CRM Experience
• Discovery Health Pre-Authorizations working experience

Personal Attributes or Competency Profile

The Discovery Person

• Values Driven
• Learns on the Fly
• Resilient
• Instils Trust
• People Savvy
• Drives Results

Employment Equity

The Company's approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply