Clinical Coder/ Case Manager

To plan, coordinate and execute case management work for RAF Business in the CHG Facilities. The incumbent utilises clinical and RAF knowledge in managing RAF Business in the facilities to minimise financial risk and ensure accurate billing through comprehensive accurate coding and classification of RAF available products offered in the facilities,...

Registered Nurse with case management experienced needed in the insurance sector! **Scope of Responsibility**: - Overall responsibility for incoming calls from Hospitals Case Managers relating to authorisations for procedures in Hospitals, Casualty, Specialist, GP, or Dental provider rooms. - Hospital case management from issuing a guarantee of payment...

**General description of the Job**: Language**:French / Portugues (Advantageous)** The Clinical Coordinator will work closely with the Clinical and Admin members of the International team to ensure alignment of activities as well as the achievement of client Service level objectives. He/ she is also responsible for the management of all pre-authorisation...

**Business Unit**:Discovery Life**Function**:Case Management**Date**:2 Oct 2024- Discovery - Discovery Life Case Management Consultant**About Discovery** - Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own...

**General description of the Job**: Language**:Portugues (Advantageous)** The Clinical Coordinator will work closely with the Clinical and Admin members of the International team to ensure alignment of activities as well as the achievement of client Service level objectives. He/ she is also responsible for the management of all pre-authorisation and medical...

The role will primarily work with cross functional teams across data analytics, actuarial analytics, data science, clinical (coders and doctors), and data engineers in an international team. The objective of the role is to ensure timeous, robust and accurate delivery of relevant data science methods including responsibility of research, development, and...

The role will primarily work with cross functional teams across data analytics, actuarial analytics, data science, clinical (coders and doctors), and data engineers in an international team. The objective of the role is to ensure timeous, robust and accurate delivery of relevant data science methods including responsibility of research, development, and...

Our client a Global Tech firm is seeking a Data Scientist to join their team in Sandton on a contract basis. They offer stability, growth, attractive rates and a great working environment. The role will primarily work with cross functional teams across data analytics, actuarial analytics, data science, clinical (coders and doctors), and data engineers in an...

**Business Unit**:Discovery Health**Function**:Client Service**Date**:10 Sep 2024**About Discovery** Discovery’s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced...

**Direct Reporting Line**: Dean: Faculty of Law **Overall Purpose of the job**: **Duties and Responsibilities**: **Case Management and Legal Processes** - Interpreting laws, rules, and regulations - Manage all matters from time of consultation until such time as matter is litigated, closed or referred to an Attorney or Advocate within the required standards...

**Purpose of the Role**: Clinical Risk Management by underwriting, authorisation according to protocol, case management and claim auditing. Provide support and education to clients/providers relating to claims and claim queries. Project a professional company image through customer/provider interaction. Provide support and education to clients and...

**Key purpose**: The role will be responsible to oversee a range of analytical teams from data analytics, data science, and clinical in South Africa and co-ordinate with technical heads who will be based in Singapore. The objective of the role is to ensure timeous, robust and accurate delivery of analytical products and frameworks. Effective communication...

**Minimum qualifications and experience**: - Pharm Degree and a postgraduate qualification in Clinical Pharmacy. - Current Registration with the South African Pharmacy Council as a Pharmacist. - Five (5) years’ experience as a pharmacist (post internship) of which two (2) years must be in Clinical Pharmacy inclusive of Antibiotic Stewardship,...

Our Client a Global Tech firm is seeking a Data Analyst with Healthcare experience to join their team in Sandton. They offer stability, growth, attractive rates and a great working environment. The role will be responsible to oversee a range of analytical teams from data analytics, data science, and clinical in South Africa and co-ordinate with technical...

Dis-Chem is looking for a Qualified Clinic Sister to join their team in Bryanston. 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 Matric Tertiary qualification in...

The Head Office of a large Private Hospital Group situated in Sandton, JHB, is seeking a Senior Clinical Internal Auditor, who will be accountable for planning and managing the execution of large and complex field audit engagements in the clinical audit space. The incumbent will assist the Internal Audit Manager in directing a comprehensive audit program (to...

Job Title: Primary Health Care Clinic ManagerAbout Us: Dis-Chem Pharmacies is a leading pharmacy and health retailer in South Africa, committed to providing high-quality healthcare services to our customers.Salary: Market-related salary, estimated to be around R250,000 - R350,000 per annum, depending on experience.Job Description:We are seeking a highly...

To ensure medical equipment in all CHG facilities are safe and effective and provide educational services to clinical staff as it relates to medical equipment and technology. **Minimum Qualifications and Experience**: - National Diploma/ B-Tech in Electrical Engineering: Clinical specialisation. - 5-7 years’ experience. - Hospital experience is...

**Requirements to Apply**: - 2 years+ experience as Medical Aesthetician - 2 years+ experience as Laser Therapist - 2 years+ Clinic Management Experience **Start date**: ASAP **Job Types**: Full-time, Permanent Ability to commute/relocate: - Sandton, Gauteng: Reliably commute or planning to relocate before starting work (required)

**Job Summary**: To monitor, coordinate and administer risk activities across CHG facilities. The incumbent is responsible for identifying, assessing and recommending actions for actual and potential exposures to the Group with the aim of improving patient safety. **Minimum Requirements**: - Cur degree. - Certificate or Diploma in Risk Management. - 3-5...