Disease and Care Coordinator

H2R Africa; Pretoria; On-site; ZAR 300,000 - 600,000; Full time

Job summary

A leading healthcare organization is seeking a Disease and Care Coordinator to ensure effective disease management, health education, and patient support. This key role integrates clinical knowledge with patient care to enhance outcomes for individuals managing chronic conditions. The ideal candidate will be a registered nurse or clinical associate with substantial experience working in managed care environments.

Qualifications

• Registered Nurse or Clinical Associate required.
• 3+ years of experience in Disease Management / Care Coordination.
• SANC or HPCSA registration mandatory.

Responsibilities

• Conduct assessments and develop care plans for chronic patients.
• Advocate for quality care and monitor patient outcomes.
• Document interactions and prepare reports as needed.

Skills

Chronic disease management

Patient health education

Telephonic communication skills

Active listening

Empathy

Organizational skills

Attention to detail

Report writing

Diverse patient interaction

Education

Registered Nurse

Bachelor of Clinical Medical Practice (BCMP)

Tools

MS Office

Job description

Render active disease management, clinical care support, coaching and health education services.

POSITION INFO :

One of our clients in the Healthcare industry has a permanent vacancy available for a Disease and Care Coordinator to join their dynamic team.

Purpose of the position :

The Disease and Care Coordinator will render active disease management, clinical 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 for all medium and high-risk beneficiaries. He / She will be an integral part of the clinical and disease management teams and will assist, guide and intervene with beneficiaries on how to achieve and sustain health outcome goals with a reduction in “health years”.

Job Description :

• Integrates skills and knowledge of pathophysiology, epidemiology, clinical management, conditions, and self-management 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 behavioral health.
• Interprets personal health data, develops an individualised care plan based on the patient’s assessed needs and goals and promotes successful self-management.
• Facilitates follow-up and review of relevant pathology and other disease monitoring tests and interventions by engagement with the patient and / or treating service provider subject to the registered care plan or upon request.
• Document 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.
• Provide assistance to clinical case management and preauthorisation team members with hospital admissions and patient outreach efforts as appropriate.
• Prepare reports / case studies as required.
• Performs other duties as assigned within the Managed Healthcare environment.

Minimum Requirements :

• Registered Nurse (additional post graduate certificate or diploma in counselling and / or psychology will be advantageous) or skilled Clinical Associate (Bachelor of Clinical Medical Practice (BCMP)).
• Valid up to date SANC or HPCSA registration.
• A minimum of 3 years’ experience in Disease Management / Care Coordination, clinical patient management and health education within a Managed Care environment working with beneficiaries who are registered with one or more chronic disease condition.
• Maternity wellness program experience will be advantageous.
• Dispensing license for nurse practitioners with a focus on the treatment of non-communicable diseases (NCDs) will be advantageous.

Skills Required :

• Comprehensive knowledge, skills and experience in chronic disease management and patient health education and monitoring.
• 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 high-cost 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.

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Care Coordinator • Pretoria, South Africa