In-Hospital Care & Client Relations Manager

Discovery Limited; Sandton; On-site; ZAR 350,000 - 550,000; Full time

Job summary

Discovery Limited through Discovery Care seeks a Client Relationship Manager in Hospital Case Management. The role focuses on reviewing in-hospital queries, ensuring adherence to benefit criteria, and coordinating with care teams to optimize member journeys.

Applicants should have nursing qualifications with SANC registration, knowledge of PMB legislation, and experience in a clinical Discovery Health setting. Proficiency in MS Office and strong communication are essential.

Qualifications

• Essential nursing qualification with SANC registration.
• Experience in a clinical Discovery Health environment is highly preferred.
• Knowledge of PMB legislation is advantageous.
• Strong analytical and communication skills required.
• Proficiency in MS Office is necessary.

Responsibilities

• Dealing with 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 progress and outcomes to complainants verbally and in writing.
• Liaising with stakeholders involved in the member’s care to ensure the best member journey.

Skills

Analytical Skills

Effective Communication

Education

Nursing Qualification (Enrolled/Professional Nurse)

Valid SANC Registration

Matric

Discovery Health working experience (clinical)

PMB Legislation Knowledge

Tools

MS Office

Job description

Discovery Limited through Discovery Care seeks a Client Relationship Manager in Hospital Case Management. The role focuses on reviewing in-hospital queries, ensuring adherence to benefit criteria, and coordinating with care teams to optimize member journeys.

Applicants should have nursing qualifications with SANC registration, knowledge of PMB legislation, and experience in a clinical Discovery Health setting. Proficiency in MS Office and strong communication are essential.