Managed Care Team Lead

Medihelp
Pretoria
ZAR 300 000 - 600 000
Job description

The core purpose of the position

Leads a multidisciplinary team to optimize hospital utilization and care coordination. Oversees pre-authorization, case management, and post-discharge planning while ensuring risk management and regulatory compliance. Focuses on team development, workflow efficiency, and maintaining a patient-centred approach.

Job Requirements

  1. Degree or Diploma as a Registered Nurse
  2. Must be registered with SANC
  3. Five years’ experience in managed health care (experience should cover more than one of the following fields, namely:
    1. Pre Authorization
    2. Case Management
    3. Care Coordination
    4. Disease Management
  4. Two years must be in a supervisory role.

Key Competencies

  1. Good communication skills
  2. Computer literate in MS Office
  3. Assertive and able to build trust and develop team members
  4. Able to handle conflict
  5. Function well under stress
  6. Must have a driver’s license.
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