Job Details

📌 Job Title: Clinical Care Specialist
🏢 Company: Discovery Health
📄 Job Type: Permanent (Full-Time)
🏭 Industry: Healthcare / Managed Care
📍 Location: South Africa (Primary offices in Sandton, Johannesburg)

Company Overview

Discovery Health is a leading South African healthcare organization focused on improving people’s health and enhancing their lives. As part of the Discovery Group, the company is known for its innovation in managed care and health insurance. Discovery fosters a fast-paced, purpose-driven environment where employees are encouraged to grow, innovate, and make a meaningful impact on society.

Job Overview

The Clinical Care Specialist is responsible for managing and coordinating care for clinically complex members. This role involves assessing patient needs, guiding treatment plans, and working closely with internal and external stakeholders to ensure optimal clinical outcomes. It is ideal for experienced nurses who are passionate about patient care coordination and healthcare innovation.

Key Responsibilities

Conduct health assessments to identify patient risk factors
Implement interventions to manage and reduce clinical risks
Promote patient behavior change for better treatment adherence
Authorize hospital admissions and treatments in line with protocols
Assist members with clinical queries and healthcare guidance
Monitor patient progress through follow-ups and ongoing engagement
Coordinate integrated care, including referrals to social services
Support members in understanding and maximizing their healthcare benefits
Build and maintain relationships with internal and external stakeholders
Refer cases to relevant departments for appropriate care delivery

Qualifications

Education

Matric (Grade 12)
Registered Nurse qualification
Valid SANC registration

Experience

Minimum 3 years’ clinical nursing experience post-qualification
Managed care experience (advantageous)
Knowledge of Discovery Health systems (advantageous)

Skills

Strong clinical assessment and decision-making skills
Excellent communication and interpersonal abilities
Ability to manage complex cases and multiple stakeholders
Customer-focused with strong problem-solving skills
Organizational and planning skills
Computer literacy (MS Office)
Ability to adapt in a fast-paced environment

CV Tips

Clearly state your Registered Nurse qualification and SANC registration
Highlight your clinical experience and patient care coordination
Include examples of complex case management or managed care exposure
Emphasize your communication, problem-solving, and stakeholder management skills
Tailor your CV to reflect healthcare outcomes and patient impact

Benefits of Joining the Company

Work with a leading and innovative healthcare organization
Opportunity to make a meaningful impact on patient outcomes
Career growth and continuous development opportunities
Dynamic and purpose-driven work environment
Exposure to advanced healthcare systems and processes
Collaborative and supportive team culture

Company Policy

Discovery Health is committed to Employment Equity and diversity in the workplace. The company encourages applications from individuals with disabilities and supports inclusive hiring practices. All employees are expected to align with Discovery’s values, maintain professionalism, and adhere to healthcare regulations and ethical standards.