Clinical Pre Authorisation Consultant

Our client is seeking a Clinical Pre-Authorisation Consultant to join their dynamic team. If you're a healthcare professional registered with the South African Nursing Council (SANC) as a Registered Nurse or Enrolled Nurse, with at least two years of experience in Managed Healthcare or Private Hospital settings, we encourage you to apply! Key...

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

Our client is seeking a Clinical Pre-Authorisation Consultant to join their dynamic team. If you're a healthcare professional registered with the South African Nursing Council (SANC) as a Registered Nurse or Enrolled Nurse, with at least two years of experience in Managed Healthcare or Private Hospital settings, we encourage you to apply! Key...

Our client is seeking a Clinical Pre-Authorisation Consultant to join their dynamic team. If you're a healthcare professional registered with the South African Nursing Council (SANC) as a Registered Nurse or Enrolled Nurse, with at least two years of experience in Managed Healthcare or Private Hospital settings, we encourage you to apply!Key...

**Pre-authorisations Consultant, Pretoria** Our client, focusing on a risk and clinical assessment offering, is requiring a Pre-Authorisations Consultant. **Roles and Responsibilities (but not limited to)**: - Attend to incoming calls from healthcare service providers and members/ beneficiaries. - Verification of the eligibility of cover within available...

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**: -...

Position**:Coordinator: Member Care** **(Pre-Reporting to: Contact Centre Operational Manager)** Location: On-site at the Head Office, Pretoria - **Please Note: 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...

**Job Overview:** Qetello Holdings seeks a skilled Clinical Pre-Authorisation Consultant to enhance its dynamic team. This role involves reviewing and evaluating pre-authorisation applications, ensuring seamless service delivery to healthcare providers and patients.**Responsibilities:**Review and process pre-authorisation applications with meticulous...

**Pre-Authorisation Consultant** **Introduction** One of the largest private Medical Aid companies in SA. They have been providing healthcare to the lives of South Africans for over 56 years. And are striving to be #1 in SA. **Purpose** Delivering cost-effective managed healthcare services to accomplish member satisfaction. **Duties &...

A reputable Medical Aid is seeking a Pre-Authorisation Consultant to join their Hospital Benefit Management team in Pretoria. **What will you be doing in this role?** - You will work in a Call Centre, answering calls on a daily basis and you will provide Members and/or Service Providers with Authorisation, for clinical procedures in hospital. (Training will...

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...

Job Title: Medical Pre-Authorisation SpecialistIn collaboration with our esteemed client in Pretoria, Qetello Holdings is recruiting a skilled Medical Pre-Authorisation Specialist. The ideal candidate must possess a completed qualification as an Enrolled Nurse and be registered with SANC, boasting at least 2 years of experience in Managed Healthcare.The...

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 cost-effective managed healthcare services to accomplish member satisfaction. - Assisting...

About the Role:We are seeking a highly skilled Healthcare Authorisation Consultant to join our team in Pretoria. The ideal candidate must hold a completed qualification as an Enrolled Nurse and be registered with SANC, boasting at least 2 years of experience in Managed Healthcare.The successful candidate will be responsible for reviewing and processing...

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 e.g ICD10s, CPT4, NRPL, PMB conditions and clinical protocols. - Thorough, well-grounded clinical knowledge of the pre-authorisation of...

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

Our client, a managed care organisation in Pretoria are currently looking for a Member Care Clinical Consultant (Pre-authorisations). - **You will be required to work shifts between 07h00 and 19h00 (Monday to Sunday).**_ **Reporting to**:Operations Manager: Contact Centre **Location**:Head Office - Lynnwood, Pretoria (On-site) **Salary**:Market related...

**Member Clinical Consultant (Pre-authorisations), Pretoria** Our 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 of the eligibility of cover...

A reputable Medical Aid based in Pretoria is seeking a strong Registered Nurse who is keen to start their career in the Managed Healthcare industry. **Requirements**: - SANC Registered Nurse - ICU / Theatre trained (Advantage) - ER/Trauma experience - A minimum of 5 years as a Nursing Practitioner - Excellent clinical knowledge - Excellent written and...

About the job Member Clinical Associate, Pretoria **Member Clinical Consultant (Pre-authorisations), Pretoria** Our 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/...