Job Description

Introduction

Momentum Health, an entity of Momentum Group delivers sustainable,integrated health solutions that meet the needs of clients in the different segments and maximise 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 Health capabilities.

Disclaimer

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Role Purpose

The purpose of this role is to manage members' chronic conditions, personalise treatment plans and assist members to lead a healthier lifestyle under the supervision of clinical support within the holistic integrated model.

Requirements

A National Senior Certificate is essential
Basic / Post Basic Pharmacist Assistant qualification
Knowledge of anatomy and phusiolology
Experience in a counselling and training on HIV/other chronic conditions would be an advantage
Understanding of a managed health care environment would be an added advantage

Duties & Responsibilities

Identification of beneficiaries who are eligible for enrolment onto disease management programmes (DMP) - including high risk chronic - HIV, hypertension and diabetes, mental health, maternity and oncology programmes.
To enrol members as identified or referred by other clinical teams onto the Disease Management Programmes and appropriately escalate for follow ups according to managed care protocols and guidelines.
Provide health education, basic counselling, and care co-ordination to at risk members under the supervision of clinical support based on documented policies and processes.
Optimise outcomes for enrolled members with high quality interventions and empowering clients to prevent disease complications and hospitalisation.
Monitoring of medication and care plan compliance including routine pathology monitoring and interventions.
Load pre-authorisations to facilitate access to benefits including PMB baskets, medication and specialists. Accurate record keeping of interactions on each beneficiary profile.
Provide input for monthly, quarterly and ad-hoc client reports as required.

Competencies

A sense of urgency, focus, accountability, agility and execution to deliver results
Innovative
Sensitivity to individual and cultural differences
Excellent communication (both verbal and written) and interpersonal skills
Excellent strategic planning and prioritising abilities
Ability to work independently
Critical thinking abilities
Demonstrate passion in influencing healthcare
* Demonstrate ability to work well within a team and across functional units