Clinical Pre-Authorisation Consultant

These jobs were popular with other job seekersTogether with our client in Pretoria, we are recruiting for a Medical Pre-Authorisation Consultant. The ideal candidate must have a completed qualification as an Enrolled Nurse and must be registered with SANC, with at least 2 years experience in Managed Healthcare.Duties & ResponsibilitiesReceive applications...

Together with our client in Pretoria, we are recruiting for a Medical Pre-Authorisation Consultant. The ideal candidate must have a completed qualification as an Enrolled Nurse and must be registered with SANC, with at least 2 years experience in Managed Healthcare.Duties and responsibilities: Receive applications for all services, which require...

A reputable Medical Aid is seeking a Pre-Auth Consultant to join their Call Centre team in Pretoria.A reputable Medical Aid Scheme, based in Pretoria, is seeking a Pre-Authorisation Consultant to join their Hospital Benefit Management team.Duties: Delivering costeffective managed healthcare services to accomplish member satisfaction. Assisting the Client by...

Position: Coordinator: Member Care (Pre-authorisations)Reporting to:Contact Centre Operational Manager Location: On-site at the Head Office, Pretoria _You will be required to work shifts between 7h00 and 19h00 (Monday to Sunday)_ Qualifications:Registered/ Enrolled Nurse Valid registration with SANCSkills and Competencies Required: Minimum 23 years'...

A reputable Medical Aid Scheme, based in Pretoria, is seeking a Pre-Authorisation Consultant to join their Hospital Benefit Management team.Duties: Delivering costeffective managed healthcare services to accomplish member satisfaction. Assisting the Client by approving appropriate funding. Delivering an effective Call Centre service in order to achieve...

3Sixty Health has a great opportunity for a suitably qualified individual to fulfil the advertised position and join their team.3SIXTY HEALTH 3Sixty Health is a black owned and managed, reputable and a major player in driving South African economy by investing in ''black excellence''3Sixty Health is 100% black owned and black managed administrator. It...

Position:Member Care Clinical Consultant (Pre-authorisations)Reporting to**:Operations Manager: Contact CentreLocation: Head Office - Lynnwood, PretoriaSalary: Market related CTC package that includes medical scheme and provident fundQualifications: Registered/ Enrolled Nurse Valid registration with SANC- _You will be required to work shifts between 07h00...

About the job Member Clinical Associate, PretoriaMember Clinical Consultant (Pre-authorisations), PretoriaOur client, focusing on a risk and clinical assessment offering, is requiring a Member Clinical Consultant.Roles and Responsibilities (but not limited to):Attend to incoming calls from healthcare service providers and members/ beneficiaries. Verification...

Our client, a medical aid scheme in Pretoria are currently looking for a Clinical Auditor/Snr Clinical Auditor. This is a full-time hybrid position, and it will be expected of the successful individual to work at the office at least 3 days a week.About the role: To conduct clinical/coding audits according to the established internal, IIA and ISACA...

Our client, a medical aid scheme in Pretoria are currently looking for a Clinical Auditor/Snr Clinical Auditor. This is a full-time hybrid position, and it will be expected of the successful individual to work at the office at least 3 days a week.About the role: To conduct clinical/coding audits according to the established internal, IIA and ISACA...

CompanyOne of the largest private Medical Aid companies in SA. They have been established for 20 years and are striving to be #1 in SA.PurposeDelivering cost-effective managed healthcare services to accomplish member satisfaction.Responsibilities: Client Relations, To assist the client by approving appropriate funding To deliver an effective call centre...

valid registration with SANC. Also financial background working in the accounts department of a hospital is a crucial requirement.Minimum 2 years experience working within a private hospitals account department responsible for raising accounts with and billing medical schemes.Sound knowledge of the South African Healthcare industry and prevailing...

ESSENTIAL SKILLS REQUIREMENTS: SAP ERP Authorisations SAP BW Authorisations SAP GRC Any additional responsibilities assigned in the Agile Working Model (AWM) CharterADVANTAGEOUS SKILLS REQUIREMENTS: Functional knowledge of SAP Modules EWM, WM & MM. ABAP debugging beneficial (Workbench related knowledge of new development/enhancements). Ability to understand,...

Permanent JHB00898 IT Gauteng, Tshwane (Pretoria) Monthly Basic Salary (Market related, Negotiable)SAP Authorisation ConsultantESSENTIAL SKILLS REQUIREMENTS: Min 3 years' experience years' experience SAP Authorisation experience. SAP S/4 Hana and Fiori: Fiori Launchpad and Administration At least 1 full project implementation. Applications operations...

Registered Nurse/Case Manager/Nurse Practitioner utilization review or prior authorisation experience is preferred. Must have 3 years clinical and or related experience in Oncology. Well organized and able to multi-task quickly and effectively.Application Deadline: 2023/03/31

The purpose of the job is to oversee the provision of Clinical services, administer the Prescribed Minimum Benefits (PMB) portfolioto ensure medical scheme members are protected and their entitlements are guaranteed, and to develop and implement the Prescribed Minimum Benefits regulation strategyAs a Senior Manager:Clinical Consulting Services you will be...

Gauteng, Tshwane (Pretoria) To be discussed To be discussedMonthly Cost To Company (Market related)Our client, in the Medical Industry has a permanent vacancy in for a Co-ordinator: Member Care (Pre-Autorisation).To qualify for this position you must be:Registered/ Enrolled Nurse. Valid registration with SANC.This position will require you to work shifts...

We are recruiting for a Senior Manager Clinical Consulting Services. Driving the implementation of Clinical Consulting Services planned activities and projects:Oversee the functioning of the Clinical Consulting Services sub-division by managing the sub-division projects and day to-day function of the Clinical unit including performance management,...

Dis-Chem is looking for a Qualified Clinic Sister to join their team in Northgate. The key purpose of the position is to manage and operate a profitable, Primary Health Care Clinic that is situated in a pharmacy within the scope of practice of a registered nursing practitioner.Minimum Requirements:Essential: Grade 12 – MatricTertiary qualification in...

Our client, a non-profit, medical scheme is seeking a Junior Clinical Assistant - PMB based in Pretoria.Duties include the following, but not limited to:Administration of PMB and CDL treatment plan authorisations.Requirements: Grade 1 Post Basic Pharmacist Assistant or Enrolled Nurse Minimum of 4 Years' work experience in PMB administrationSalary: Market...