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Sianne Lucas

Sianne Lucas

Medical adjudicator, case manager

Talent
JohannesburgMember since September 27, 2026
Risk ManagementClinical ResearchClinical Research CoordinatorClinical Data ManagerClaims AssessorMedical BillingRegistered Nurse
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Risk ManagementClinical ResearchClinical Research CoordinatorClinical Data ManagerClaims Assessor

About

I’m a professional nurse with post graduate qualifications with extensive experience in disability and rehabilitation. I am a problem solver who loves taking in new challenges. Competencies

  • Disability Case Management (AMA 6th Ed.)
  • Medico-Legal & Injury Adjudication
  • Hospital & Home Visit Assessments
  • Client Needs & Risk Assessments
  • Multidisciplinary Team Coordination
  • Rehabilitation & Return to Work Planning
  • ICD10, CPT, and Tariff Code Review
  • Training & SOP Development
  • HIV/TB Clinical Management
  • Patient & Caregiver Education Utilization Review
  • Discharge Planning
  • Clinical Documentation
  • Patient Advocacy
  • Hospital Admissions & Authorizations
  • Case Load Management
  • Transition of Care
  • Managed Care Principles
  • Quality Improvement
  • Medical Record Review
  • Patient Throughput Optimization
  • Insurance Liaison
  • Post-Acute Care Planning

Experience

Clinix Tshepo Themba - hospital case manager

Siyakubamba case management - Director

RAF - Acting team lead - clinical adjudication, case management, undertakings

GEMS - hybrid case manager

Discovery Health - case manager

King Faisal Hospital - registered nurse neurosurgery

Brenthurst clinic - second in charge

Folateng - unit manager

See attached CV for full update

Education

Post grad public health, DIPLOMA IN NURSING GENERAL,

Ann Latsky Nursing College

PSYCHIATRY, COMMUNITY AND MIDWIFERY

2008 NQF 7

ENROLLED NURSING AUXILIARY Netcare Training college Parklands

2005 NQF 5

Secondary Education

Matric Brettonwood High School

1998 NQF 4

Education: Other Education

AMA Guides to the Evaluation of Permanent

Impairment, 6th ed

American College of Independent Medical Examiners

& American Board of Independent Medical

Examiners

2021 Certificate

AMA Guides 6 Advanced/ Complex Case studies

American College of Independent Medical Examiners

& American Board of Independent Medical

Examiners

2021 Certificate

Causation in Medico-Legal Claims Certificate American College of Independent Medical Examiners

& American Board of Independent Medical

Examiners

2021 Certificate

Building a successful IME & Expert Witness

Practice

American College of Independent Medical Examiners

& American Board of Independent Medical

Examiners

2021 Certificate

Return to Work & strategies that work American College of Independent Medical Examiners

& American Board of Independent Medical

Examiners

2021 Certificate

NIMAART Foundation for professional development (FPD)

2019 Certificate

Management Advancement Programme University of the Witwatersrand JHB – Faculty of

Commerce, Law & management (Business school)

2018 Certificate

Certificate program in Executive management

  • Strategic Management & international marketing (Strategic management &

operational management)

University of La Verne – California - USA

2018 Certificate

Mentoring and couching Imsimbi Training

2018 Certificate

Adherence Counselling for ART Management

& TB management

Foundation for professional development (FPD)

2017 Certificate

Communication & Negotiation skills Profounder

2016 Certificate

Skills

Medical adjudicatorcase manager

Reviews