Disease and Care Coordinator

About the position

A well-established company is recruiting for a
DISEASE AND CARE COORDINATOR
PRETORIA

PURPOSE OF THE JOB
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".

RESPONSIBILITIES & DUTIES:

• 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 behavioural 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.

QUALIFICATION & EXPERIENCE

• 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.
• Diabetes Disease Management experience.
• Dispensing license for nurse practitioners with a focus on the treatment of non-communicable diseases (NCDs) will be advantageous.

Please send your cv and supporting documents to [Email Address Removed].
If you have not received any feedback within 2 weeks please assume that your application was not successful

Desired Skills:

• disease
• case management
• nurse