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Care Specialist - Cape Town

Care Specialist - Cape Town

AfroCentric GroupWes-Kaap, South Africa
1 day ago
Job description

Human Resource Administrator | Recruiter | Industrial Psychology

Position Purpose : To enable the management of the patient is appropriate according to medicine formulary, clinical protocols and guidelines with specific focus on chronic disease management and overall special touch cases. Holistically identifying and handling complex care requests for the patient and their support structures.

Experience : 2 years Managed Healthcare Operations advantageous

3 years Allied Health Professional Experience essential

Qualifications : Allied Healthcare professional (physiotherapist's qualification). Relevant and active registration with regulatory body

Accountabilities

Client Service Delivery & Quality

  • Follow procedures and collaborate with peers and leaders for optimal service delivery.

Compliance & Risk Management

  • Maintain legal, statutory, and regulatory compliance.
  • Adhere to operational risk and governance frameworks; elevate issues when necessary.
  • Contribute to departmental cost‑saving initiatives to meet financial targets.

    • Operating Model

  • Collaborate across teams to meet delivery objectives.
  • Resolve performance issues and elevate unresolved problems.
  • Support successful delivery by meeting targets.

    • Operational Implementation of Strategy

  • Stay informed on operational changes due to external factors.
  • Deliver work aligned with quality standards and departmental priorities.
  • Apply best practices and seek continuous improvement.

    • Operational Leadership

  • Perform within Human Capital policies and frameworks.
  • Participate in coaching, mentoring, and development.
  • Promote diversity and align behavior with Afrocentric values.

    • Stakeholder Management

  • Build and maintain effective relationships with customers and stakeholders.
  • Address complaints in line with policies to ensure stakeholder satisfaction.

    • Position‑Specific Outputs

    Manage Care Service Requests

  • Service stakeholders across all channels until requests are resolved.
  • Educate on digital self‑help tools and deliver a seamless, intuitive experience.

    • Identify & Handle Complex Care Requests

  • Ensure optimal clinical outcomes through correct benefit and treatment plan usage.
  • Manage authorizations and case management holistically.
  • Resolve complex service requests effectively.
  • Provide accurate, consistent information that meets quality standards.
  • Drive customer satisfaction and continuous improvement.
  • Share ideas and collaborate for peer learning.

    • Drive Brand Loyalty

  • Act as a brand ambassador, delivering experiences that reflect Afrocentric’s values.

    • Knowledge

  • Customer service operations
  • Health legislation and regulatory frameworks
  • Healthcare facilities industry
  • Application of service processes
  • Customer preferences and personality styles

    • Skills

  • Problem solving
  • Engagement coping
  • Agility, resilience, and adaptability
  • General administration
  • Customer care
  • Proficiency in Microsoft Suite
  • Written and verbal communication skills
  • Computer technology skills
  • Numerical ability

    • The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of line managers.

    Our Commitment to Transformation

    AfroCentric is committed to transformation and embracing diversity. Our Employment Equity plan and targets will be considered as part of the recruitment process. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society as well as people with disabilities.

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    Specialist Cape Town • Wes-Kaap, South Africa