To Manage chronic members conditions, potentially chronic members, and devise treatment plans to assist members to a healthier lifestyle.
Requirements
- Matric
- Basic / Post Basic Pharmacist Assistant qualification.
- Any additional clinical knowledge will be beneficial.
- Minimum 3 years of experience in a similar clinical coach /counselling role.
- Experience in a managed care environment with clinical issues would be an advantage.
- Must handle members and providers professionally.
- Daily planning and organisation in line with defined targets stipulated in the Health Returns Model.
- Accountability for daily workload interms of referrals to chronic for potential CDL unwell members.
- Management of Health Assessment unwell members.
- Work with individual beneficiaries of the scheme to achieve better health outcomes while helping beneficiaries to understand their disease and health status. Move from HA unwell to HA well.
- Registration of chronic conditions, treatment, and medicine in line with clinical policies, clinical guidelines and relevant scheme rules
- Empower the patient by helping him/her to explore the triggers that are responsible for risk of ill health and potential deterioration and improvement in health status.
- Reduce the downstream clinical and financial risk associated with the beneficiary.
- Display excellent communication-and telephone skills daily
- Keep detailed records of patient interaction and follow ups done by updating system records.
- Ensure the effective, accurate and timeous completion of relevant documentation accompanying transactions.
- Produce tangible evidence of interventions made and the outcome thereof
- Real time provider and member interaction and decision making is essential.
- Perform an efficient and accurate administrative function.
- Identify all compliance risks.
- Develop effective relationships with stakeholders at all levels of the organisation, including 3rd parties and service providers.
- Engage in effective communication and stablish relationships with team members and assist colleagues where necessary.
- Work as part of a team to provide effective service delivery to an assigned area.
