Clinical Care Specialist Talent Pool - Gauteng
Job Description
Business Unit: Discovery Health
Function: Clinical
Date: 13 Apr 2026
Clinical Care Specialist Key Purpose:To holistically review the needs of clinically complex members and coordinate their care in the most appropriate setting, liaising with internal and external stakeholders to ensure the best clinical outcomes.
- Perform health assessments on patients in order to identify individual patient risk factors
- Perform interventions to influence individual patient risk
- Promote behavior change to ensure greater treatment compliance and condition management
- Authorizing of admissions and treatment as per agreed protocols
- Assist members with clinical related queries
- Proactively assist complex member with understanding their plan benefits and maximizing their use to effect risk savings in the long term
- Monitor patient progress through ongoing patient interaction and follow up
- Co ordination of integration of care including social services where appropriate
- Maintain relationships between key internal and external stakeholders
- Refer to other departments where appropriate to ensure that the relevant benefits are provided
- Action oriented
- Business insight
- Cultivates innovation
- Interpersonal savvy
- Nimble learning
- Organizational savvy
- Plans and aligns
- Situational adaptability
The following requirements are essential:
- Registered Nurse qualification
- At least 3 years clinical nursing experience, post training
The following requirements will be advantageous:
- Managed care experience
- Discovery Health system knowledge and experience
- Learns on the Fly
The Company's approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.
About This Role
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