Enrolled/ Registered Nurse

4 months ago


Pretoria, South Africa Careforce Medical Recruitment Full time

**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 SANC

**Skills and Competencies Required**:

- Minimum 2-3 years’ experience in a similar role within a managed healthcare or medical scheme environment
- Sound knowledge of the South African Healthcare industry and prevailing legislation, current coding structures i.e. ICD10’s, CPT4, NRPL, PMB conditions and clinical protocols
- Thorough, well-grounded clinical knowledge of the pre-authorisation of hospital admissions (including Length of Stay and Level of Care), in-rooms procedures and other healthcare services requiring pre-authorisation
- Excellent telephonic and written communication capability within a call centre environment _(will be tested)_
- Computer literate _(will be tested) _- MIP Application System experience will be advantageous
- Customer service orientation
- Ability to liaise with external parties - clinicians and members - and to make decisions
- Demonstrated ability to effectively deal with emotionally charged and stressful situations
- Self-motivator and the ability to work effectively in an independent environment
- Good organisational and task prioritisation skills
- Outstanding multitasking skills
- Proficiency in English - written and verbal _(an additional language will be advantageous)_
- Ability to research and analyse information
- High degree of accuracy and attention to detail
- Compile and submit relevant reports in accordance with strict deadlines
- Results orientated
- Maintaining confidentiality of information

**Summary of Responsibilities**:

- Attend to incoming calls from healthcare service providers and members/ beneficiaries
- Verification of the eligibility of cover within available benefits as per scheme rules, clinical protocols, and funding guidelines
- Strict adherence to benefits, scheme rules, clinical protocols and funding guidelines across all services and authorisation categories
- Clinical Risk Management to reduce the risks associated with hospital and other authorised services
- Establish the presence of any co-morbid conditions from the caller or beneficiary if caller is not able to assist
- Refer to member management if co-morbid conditions are present for intervention and follow-up
- Attend to general enquiries
- Prepare and present cases for escalation to member management for discussion and resolution

Provide member care and education to patients with and without chronic conditions who need to participate in any of the registered active disease management programs.

**Salary**: R30,000.00 - R40,000.00 per month

Ability to commute/relocate:

- Johannesburg, Gauteng: Reliably commute or planning to relocate before starting work (required)

License/Certification:

- Nursing Council registration (preferred)


  • Enrolled Nurse

    4 months ago


    Pretoria, South Africa Premium Consulting Full time

    Enrolled Nurse (Locum)Job DescriptionThe EN Must be registered with the South African Nursing CouncilMin of 2 years working experience.

  • Enrolled Nurse

    1 week ago


    Pretoria, South Africa PRETORIA OOGINSTITUUT HOSPITALE BEDRYF Full time

    **JOB PURPOSE** Provides quality patient care according to assessed and monitored individual needs, under the direction of the registered nurse and will supervise activities of the enrolled nursing auxiliaries and Care workers. **REPORTING TO** Unit Manager **KEY PERFORMANCE AREAS** 1. Deliver quality clinical care 2. Provide a safe patient...

  • Enrolled Nurse

    3 months ago


    Pretoria, South Africa Ikho Direct Full time

    **Enrolled Nurse - Medical Ward** Our client a national private hospital group is looking for an Enrolled Nurse - Medical Ward to work at their hospital. **Requirements and Expertise**: - Qualification as an Enrolled Nurse - Registration with South African Nursing Council (SANC) - Previous experience in a Medical Ward environment will be an advantage -...


  • Pretoria, South Africa PRETORIA OOGINSTITUUT HOSPITALE BEDRYF Full time

    **JOB PURPOSE** Provides basic, personal patient care, under the direction of the registered nurse to support the team in properly caring for ill, injured or disabled people according to specific individual needs. **REPORTING TO** Unit Manager **KEY PERFORMANCE AREAS** 1. Effective clinical care 3. Effective people management 4. Effective relationship...

  • Enrolled Nurse

    3 months ago


    Pretoria, South Africa Ikho Direct Full time

    We are actively seeking Enrolled Nurses (ENs) and Enrolled Nursing Assistants (ENAs) to join our team for rewarding locum positions at esteemed hospitals in Johannesburg and Pretoria. If you are a dedicated healthcare professional with a passion for delivering exceptional patient care and are looking for flexible working arrangements, we would love to hear...

  • Nurse Practitioner

    1 week ago


    Pretoria, Gauteng, South Africa Stethoscope SA Full time

    Job SummaryStethoscope SA is seeking a skilled Enrolled Nurse to provide high-quality patient care in a dynamic healthcare environment.Key ResponsibilitiesDeliver direct and indirect nursing care to patients, working under the supervision of a Registered Nurse.Assume total responsibility for patient care activities, adhering to the Scope of Practice.Prepare...

  • Nurse Practitioner

    1 week ago


    Pretoria, Gauteng, South Africa Stethoscope SA Full time

    Job SummaryStethoscope SA is seeking a skilled Enrolled Nurse to provide high-quality patient care in a dynamic healthcare environment.Key ResponsibilitiesDeliver direct and indirect nursing care to patients, working under the supervision of a Registered Nurse.Assume total responsibility for patient care activities, adhering to the Scope of Practice.Prepare...

  • Registered Nurse

    3 months ago


    Pretoria, South Africa Ikho Direct Full time

    **Registered Nurse - Medical Ward** Our client is looking for a Registered Nurse to join their Medical Ward team. The Registered Nurse will render and promote cost effective and quality patient care in accordance with the hospital standards. **Requirements and expertise**: - Diploma in General Nursing - Registered with SANC - Minimum of 1 year experience...

  • Registered Nurse

    3 months ago


    Pretoria, South Africa Ikho Direct Full time

    **Registered Nurse - General ICU** Our client a private hospital based in Pretoria area is looking for a Registered Nurse ICU Qualified. **Requirements and expertise**: - National Diploma in General Nursing - Post graduate ICU Qualified - 3 years minimum work experience in ICU - 3 years minimum work experience in total patient care - Professional Nurse...


  • Pretoria, South Africa Qetello Holdings Full time

    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...


  • Pretoria, South Africa Qetello Holdings Full time

    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...

  • Registered Nurse

    3 weeks ago


    Pretoria, Gauteng, South Africa Stethoscope SA Full time

    About the RoleStethoscope SA is seeking a highly skilled and experienced Enrolled Nurse to join our team as an Operating Room Assistant. As a key member of our surgical team, you will be responsible for providing high-quality patient care and assisting in the operating room.Key ResponsibilitiesAssist in Preparing the Operating Room: Ensure the operating room...


  • Pretoria, South Africa Mass Staffing Projects Full time

    **Job Information** - Location- Pretoria- Salary- R350k-R300k- Job Type- Permanent- Education- Degree/Diploma in Nursing- Experience- 3-5 years experience within surgical ward- - pharmacy.jobs(at)staffingprojects.co.za- Fax- 0866023398On the hunt for a Registered Surgical Nurse! A Registered Surgical Nurse vacancy at a private hospital in Pretoria is...


  • Pretoria, South Africa Qetello Holdings Full time

    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...


  • Pretoria, South Africa Watershed Consulting Full time

    **Job Description**: Our Client a Private Hospital based in the Pretoria area is looking for a Registered Nurse with Cath Lab experience. Applicants must have the following experience: 3 + years’ working in Theatre in Cath Lab 3 + years’ experience in Total Patient Care 3 + years’ experience in Administration 3 + years' experience working with...

  • Registered Nurse

    3 weeks ago


    Pretoria, Gauteng, South Africa Allmed Healthcare Professionals Full time

    We are seeking a skilled Nurse to join our team at Allmed Healthcare Professionals. As a Nurse, you will be responsible for providing high-quality patient care in emergency situations.Key Responsibilities:Assess and manage patient emergenciesDevelop and implement individualized care plansCollaborate with healthcare teams to ensure seamless patient...

  • Registered Scrub Nurse

    4 months ago


    Pretoria, South Africa Mass Staffing Projects Full time

    **Job Information** - Location- Pretoria- Salary- R350k-R300k- Job Type- Permanent- Education- Degree/Diploma in Nursing- Experience- +2 years relevant experience- - pharmacy.jobs(at)staffingprojects.co.za- Fax- 0866023398Registered Scrub Nurses Wanted! A vacancy for a Registered Scrub Nurse at a private hospital in Pretoria is currently...

  • Registered Nurse

    3 weeks ago


    Pretoria, South Africa Curo Oncology Full time

    Register Nurse if possible with Chemotherapy experience and taking responsibilities of the patients as well as doctors’ orders. Working hours Monday to Friday 8:00 to 17:00 Salary negotiable **Job Type**: Permanent Ability to commute/relocate: - Pretoria, Gauteng: Reliably commute or planning to relocate before starting work...

  • Registered Nurse

    4 months ago


    Pretoria, South Africa Ikho Direct Full time

    **Registered Nurse - ICU** We are searching for a dedicated intensive care unit (ICU) nurse to deliver vital care to seriously ill or injured patients in our ICU department. As a specialized nurse, you will be highly trained to treat patients in our ICU Department **Requirements and Expertise**: - Bachelor’s degree in nursing or a relevant field - At...

  • Registered Nurse

    3 weeks ago


    Pretoria, South Africa Intercare Group South Africa Full time

    **ABOUT** Intercare is a dynamic healthcare company focusing on offering value-based healthcare to patients. As ambassadors of the Intercare brand, everything we do is guided by our purpose to make people feel better. Our shared values of People-centred, Integrity, Inclusivity, Compassion, Excellence and Innovation define what we believe and who we...