Clinical Team Lead - Managed Care (Centurion)
Core
Lead a team of 6–8 multiskilled consultants in a managed healthcare environment, overseeing Pre-Auth, Case Management, and Integrated care operations.
Role type
Senior clinical team lead (registered nurse)
Builds
Sustainable managed care delivery services
Domain
Healthcare / Managed Care
Deliverable
client delivery
Required skills
Registered Nurse qualification, team leadership, managed healthcare rules knowledge, ICD-10 coding, medical scheme legislation knowledge, operational dashboard monitoring, complex case management
Preferred skills
Coaching and guidance, trend identification, risk assessment, capacity pressure management, ethical decision-making, MS Office proficiency
Responsibilities
Lead and manage a team of 6–8 consultants, oversee daily workflow and task allocation, ensure adherence to scheme rules and SOPs, monitor team performance and SLA adherence, escalate trends and risks to Service Managers
Seniority
Senior, hands-on IC with leadership mandate