A global BPO company is seeking a detail-oriented Clinical Case Manager. This remote role involves managing complex healthcare cases, coordinating with US insurance providers, and ensuring compliant billing. Candidates must have healthcare experience and the ability to work USA hours from South Africa. Key responsibilities include medical documentation review, authorization processing, and...
OPFA is seeking to appoint a candidate who is results-driven, passionate about service delivery, thrives under pressure, respects deadlines, and is a team player with high levels of professionalism. Key Responsibilities: Complaint Intake & Support - Identify and correctly record parties to a complaint. - Assist new complainants (walk-in and email) with lodging complaints and collecting...
Delta Power Equipment is a full-service equipment dealership with 380 employees providing sales, service and parts support at multiple locations across Ontario. Delta Power Equipment is looking for people who are passionate and who want to make a difference in the lives of our customers. SUMMARY OF POSITION - Responsible for selling the Case IH products and services through the achievement of...
Overview To manage the spending of member funds by means of clinical interventions and managed care protocols. Duties & Responsibilities Accountabilities - Manage Care Service Requests - Service all key stakeholders in the moment across all servicing channels as required until the clinical service request has been resolved. - Educate stakeholders on self help digital servicing tools. -...
Position: Clinical Care Coordinator: PMB Reviews and Special Cases Location: Centurion, Gauteng Position Purpose: To provide expert clinical assessment and decision making in relation to Prescribed Minimum Benefit reviews, ex gratia applications, regulatory complaints, escalations, and non-disclosure investigations. Experience: 5 years relevant managed care, health risk and clinical customer...
A global leader in medical services seeks an experienced Coordinating Nurse in Johannesburg to enhance our assistance centre team. This role involves expert medical assessments, case management, and coordination of medical evacuations. Candidates must have a BSc or Diploma in Nursing, be a Registered Nurse with SANC, and possess at least 5 years of nursing experience in high-acuity settings....
IMPORTANT WATCH THIS QUICK LOOM VIDEO ON HOW TO GET HIRED: https://www.loom.com/share/345f776084e642ba99c24aabe40a67a0 C1 ENGLISH LEVEL IS REQUIRED, THE SELECTED CANDIDATE WILL BE SPEAKING STRICTLY IN ENGLISH DURING THEIR WHOLE SHIFT. "PLEASE SUBMIT YOUR RESUME AND AUDIO RECORDING IN ENGLISH" Job Details - Job Title: Case Manager (Sales Closer) - Job ID: ROBTIA5 (8 FTE) - Industry: Holistic...
The Case Manager is responsible for answering inbound or internally transferred calls, assessing the caller's needs, taking ownership of the issue, and coordinating an appropriate solution using internal or external resources. Qualifications Experience - Minimum of 2 years’ experience in a call centre environment. - Minimum of 1 year experience in Roadside Assistance. Operational...
Listing reference: siu_000042 Listing status: Online Apply by: 14 November 2025 Position summary Job category: Operations Management Contract: Permanent Remuneration: R606 059.51 to R836 705.09 Annually EE position: Yes About our company The Special Investigating Unit (SIU), a Schedule 3A entity in terms of the Public Finance Management Act (PFMA), is an independent statutory body that...
Job Location : Pretoria, Gauteng, South AfricaApplication Deadline : February 14, 2026 Job Description - To provide comprehensive support in registering, managing, processing, and summarily resolving complaints received by the Office of the Ombud for Financial and Intermediary Services via the Client Care Centre. To drive the referral, disposal, or acknowledgement of complaints received through...
Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our...
Who are we? SOLEVO is a leading distributor of chemicals and inputs for specific industrial and agricultural segments in Africa. SOLEVO assists African farmers and industries succeed by providing them with a full range of fertilizers, seeds, crop protection products and industrial chemicals they need with a guaranteed quality and good value. With over 75 years at the frontier of economic growth...
- Introduction Momentum Health Solutions (MHS), an entity of Momentum Metropolitan Holdings; delivers sustainable, integrated health and wellness solutions that meet the needs of clients in the different segments and maximises lifetime client value. We build and maintain a culture of innovation and create value through unique insights of how to achieve specific outcomes by using a defined set of...
The key responsibility will be liaison between the patients and medical aid companies, ensure that correct coding (ICD & CPT) is used, authority received for LOS and monitoring of patients costs to ensure the hospital receive payment for services rendered. Requirements:General Nursing Diploma and SANC registeredMinimum of 3 years working experience as General Case ManagerGood knowledge of ICD...
Introduction Momentum Health Solutions (MHS), an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health and wellness solutions that meet the needs of clients in the different segments and maximize lifetime client value. We build and maintain a culture of innovation and create value through unique insights of how to achieve specific outcomes by using a defined set of...
AristoSourcing LLC is an Outsourcing company highly focused on the Digital Marketing Industry. Our company has been in the industry for more than 7 years. We hired and referred skilled and experienced Virtual Assistants to work and collaborate directly with our respective clients from different parts of the globe that offer 100% remote work for talented and qualified individuals SALARY - $ 1500...
Position Purpose: To manage the spending of member funds by means of clinical interventions and managed care protocols. Experience: At least 3 years general medical and surgical nursing experience in the private sector. ICU training and/or at least 1 year ICU nursing experience and 1 year hospital case management experience will be advantageous. In conjunction with above, at least 18 months...
ISTA Personnel Solutions South Africa is a global BPO partnering with a USA-based healthcare client providing services within Skilled Nursing Facilities (SNFs), post‑acute care, and revenue cycle management. Clinical Case Manager This remote role requires a detail‑oriented professional who can manage complex healthcare cases, coordinate with US insurance providers, and ensure compliant billing...
Overview AfroCentric Health is on an ambitious journey to 2030, driven by our purpose to make healthcare more accessible, affordable, and sustainable for all South Africans. Are you a clinically skilled professional with a passion for patient advocacy and healthcare coordination? We are building a Talent Pool of experienced Case Managers for future opportunities within our healthcare network....
BILINGUAL AGRICULTURAL EQUIPMENT REPRESENTATIVE - CASE IH JOB DESCRIPTION: BILINGUAL AGRICULTURAL EQUIPMENT REPRESENTATIVE - CASE IH Location: Dunvegan, ON Delta Power Equipment is a full-service equipment dealership with 400+ employees providing sales, service and parts support at multiple locations across Ontario. Delta Power Equipment is looking for people who are passionate and who want...