Nomsa Mtshali
Case Manager/ Patient Coorsdinator
Johannesburg
Summary
I am a compassionate Case Manager experienced in medical aid disputes. Hardworking and dedicated to achieving desired case outcomes. Offers excellent problem-solving, conflict resolution and communication abilities from scheme level to CMS level.
I am skilled in Patient Care Coordinator familiar along with case management and care planning. 8 Years with Rare diseases SA coming from the corporate world was not easy but my calling in being in this position has made it effortlessly.
Overview
6
6
years of professional experience
6
6
Languages
Work History
Case Manager/Patient Care Coordinator
Rare Diseases SA
2018.04 - Current
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Streamlined service coordination efforts through diligent maintenance of client files and efficient use of case management software tools.
- Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
- Expedited prescription refills for patients by relaying requests from providers to pharmacies swiftly and accurately.
- Contributed to positive atmosphere within clinic by maintaining professional demeanor and compassionate attitude towards all patients.
- Streamlined communication between patients, providers, and medical schemes for seamless healthcare experience.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Recommended service improvements to minimize recurring patient issues and complaints.
- Taught patients and families to use at-home medical equipment.
- Organized patient records and database to facilitate information storage and retrieval.
- Engaged with patients to provide critical information.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Answered incoming calls, scheduled appointments and filed medical records.
- Followed document protocols to safeguard confidentiality of patient records.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Coordinated transportation to get patients to and from medical appointments.
- Communicated with patients, caregivers and families members to relay diagnoses and treatment options.
- Partnered with other healthcare professionals to create and implement individualized care plans for patients in various units.
- Maintained confidentiality of patient data and condition to safeguard health information.
Case Manager
Rare Diseases
2018.04 - Current
- Participated in regular professional development opportunities to stay current on best practices within the field of case management.
- Strengthened relationships with community organizations to increase access to supportive resources for clients in need.
- Achieved positive client outcomes by developing and implementing comprehensive case management plans.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
- Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
- Identified care needs of individual patients and coordinated responses based on physician advice, scheme limitations, and procedural costs.
- Evaluated treatment plans against individual goals and healthcare standards.
- Assessed community needs and identified resources for social and community service programs.
- Advocated for social and community service programs to increase awareness and funding.
Education
Associate of Science - Human Resources Management
Vaal University of Technology
Vanderbijlpark 2001.04 -
Associate of Science - Palliative Care
Patch SA
Durban 2001.04 -
High School Diploma -
Sapphire Secondary School
Vanderbijlpark 2001.04 -
Skills
Organizational Skills
Family Education
Records Management
Patient support
Community Outreach
Client Advocacy
Case Management
Organization and Multitasking
Patient Management
MS Office
Email and Telephone Etiquette
Excellent Communication
Written Communication
Professionalism
Active Listening
Proficient in Microsoft, Powerpoint, Power BI, Word
Interpersonal Communication
Written and verbal communication
Adaptability
Reliability
Self Motivation
Organizational Skills
Timeline
Case Manager/Patient Care Coordinator
Rare Diseases SA
2018.04 - Current
Case Manager
Rare Diseases
2018.04 - Current
Associate of Science - Human Resources Management
Vaal University of Technology
2001.04 -
Associate of Science - Palliative Care
Patch SA
2001.04 -
High School Diploma -
Sapphire Secondary School
2001.04 -