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Case Coordinator - CIMAS

Location: Harare
Alert: Application Deadline Expired

Job Summary

The Group wishes to invite applications from suitably qualified & experienced individuals to fill the Case Coordinator role that has arisen in our organization.

Duties And Responsibilities

  • Preauthorizes Optical, Haemodialysis, Chemotherapy, Radiology, Pathology, Surgical and Hospitalization Cases as per the guidelines in the Standard Operation Procedures.
  • Analyses all requests submitted by service providers and members and ensures correct awards are given on quotations for procedures.
  • Checks on the correct use of tariffs on quotations and rejects where services are inappropriate.
  • Captures all the Cases on the system and issues Personal Identification Numbers to cases admitted into Private Hospitals.
  • Advises members and service providers on awards payable by the Health Group.
  • Receives and resolves pre-authorization queries from service providers and members.
  • Attends to walk in clients and manage the front office desks.
  • Receives and resolves preauthorization queries from service providers and members.
  • Escalates complicated queries and complaints to the Team Lead Case Coordination.
  • Refers chronic and high-cost cases to the Disease Management team for further follow up.
  • Prepares and submits monthly reports to the Team Lead Case Coordination on preauthorised cases.

Qualifications And Experience

  • Diploma in Nursing/Health Sciences or the equivalent.
  • Registered by the Nurses Council of Zimbabwe.
  • Case Management experience in a medical aid or hospital environment experience spanning 2-4 years.
  • Clinical Procedure knowledge.
  • Clear verbal and written communication and the ability to prepare accurate reports.
  • Ability to plan and organise in line with job requirements.
  • Ability to analyse and solve work related problems to achieve the correct outcomes.

How To Apply

To Apply Use Link: https://vacancies.cimas.co.zw/job-application-form/ 

Closing Date: August 31, 2022

Alert: Application Deadline Expired

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