Job Title
Disease Management Specialist
Position Purpose
To provide information, advice and explanations on clinical outcomes or systems of a complex clinical nature or to resolve complicated
process challenges. To ensure the effective use of the relevant healthcare benefits and system to optimise targeted communication
interventions telephonically and digitally, according to the clinical guidelines to ensure the GEMS disease management outcomes are achieved.
Experience
Minimum 5 years managed healthcare experience. Comprehensive knowledge of scheme rules, operational clinical process, and systems is essential.
Knowledge of internal business processes.
Qualifications
Relevant clinical qualification (registered nurse or pharmacist).
Accountabilities
Continuous improvement:
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