Hospital Benefit Management
2 weeks ago
A reputable Medical Aid is seeking a Nurse who has experience within the Medical Aid environment, to join their HBM Case Management team.
**Duties**:
- Providing clinical knowledge of hospital pre-authorisation and Case Management of hospital cases in order to take cost effective and appropriate decisions in evaluating treatment, LOS and LOC.
**Requirements**:
- Grade 12 / Matric
- B Cur Nursing Degree / Diploma: Registered Nurse (SANC)
- A minimum of 1 year experience working within a Medical Aid environment
- Knowledge of current coding structures (ICD 10 / CPT 4 / NRPL / PMB Conditions)
- Experience working with Medical Aid Scheme Rules and protocols
- Excellent communication skills
- Team Player
- South African born citizen
- Credit and Criminal Clear
**Job Types**: Full-time, Permanent
**Salary**: R1.00 - R2.00 per year
Application Question(s):
- What roles have you worked in the Medical Aid environment?
- What is your minimum salary? (Before deductions)
**Education**:
- Diploma (required)
License/Certification:
- SANC (required)
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