Junior Clinical Assistant Pmb

**Junior Clinical Assistant PMB** **Company** One of the largest private Medical Aid companies in SA. They have been established for 20 years and are striving to be #1 in SA. **Purpose** **Responsibilities** - Management of PMB referrals and supervisor escalation inbox. - Daily stats report - Provide Efficient Quality Service - Support manager/team...

reputable Medical Aid is seeking a Junior PMB Consultant to join their team in Pretoria. **Duties**: - Administration of PMB and CDL treatment plan authorisations - Managing PMB referrals and supervising escalation inbox - Daily stats reporting - Supporting the Manager/Team Leader and other Managers in tasks and initiatives beneficial to the teams and to...

**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...

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/...

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...

Minimum 2-3 years experience within 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., ICD10s, CPT4, NRPL, PMB conditions and clinical protocols - Thorough, well-grounded clinical knowledge of the pre-authorisation and...

The position of Senior Manager: Clinical Risk Management is vacant. The Senior Manager: Clinical Risk Management will report directly to the Chief Healthcare Officer and forms part of the Healthcare Division. The position is based in Head Office in Pretoria. The total remuneration package for this position is negotiable based on qualifications and...

Core PurposeThe purpose of the job is to investigate short payments or non-payments on all account enquiries from customers regarding hospital, private nursing and sub-acute facility claims. The incumbent is responsible for the clinical evaluation of the enquiry and to apply clinical knowledge on the feedback or granting of benefits. Applying PMB benefits as...

Work Description_ The Clinical Advisor is responsible for providing clinical advice and strategic direction to the to the support district/s and the appropriate internal and external clinical staff. They will building capacity among HCW to strengthen the TB HIV response and ensure clinical governance standards at all times. The position will assist the...

**JUNIOR MARKETING ASSISTANT - OWN VEHICLE ESSENTIAL** **Location**: Mooikloof - Pretoria East **Remuneration**: R 8 000, 00 **Starting Date**: ASAP Our client has a vacancy for a young dynamic lady with experience in an office environment who is fluent in Afrikaans and has excellent communication skills and is looking for an opportunity to be trained up...

A reputable Medical Aid in Pretoria is seeking a Pre-Authorisation Consultant to join their Hospital Benefit Management team. (Please note: This is a Monday-Friday post, with office hours, 8am-5pm, with no week-ends and no shifts) **Duties**: - Answering calls within a Call Centre environment and providing authorisation for hospitalization and/or clinical...

Our busy laboratory in Pretoria East seeks to employ 3 Junior Laboratory Assistants to join their team **Salary**: R12,500.00 - R15,000.00 per month Ability to commute/relocate: - Pretoria, Gauteng: Reliably commute or planning to relocate before starting work (required)

CLINICAL EDUCATOR - ADVANCE WOUND CARE POS25073AArea : PretoriaSalary : R55000.00pm - R65000.00 pmRequired Experience Registered Nurse with a bachelors degreePreferred WHASA or recognized wound management certificate2+ years experience in a clinical setting working with patients and/or end usersPrevious medical industry experiences an assetDomestic travel...

Core Purpose Manages integrated teams across various managed care functions, ensuring strategic execution of hospital utilization and care coordination. Drives operational improvements, fosters collaboration, and maintains a member-centered approach while overseeing clinical and operational oversight.Job Requirements A relevant three-year clinical degree or...

About the RoleWe are seeking an Integrated Healthcare Director to lead our efforts in managing integrated teams across various managed care functions. The ideal candidate will have a proven track record of success in driving operational improvements, fostering collaboration, and maintaining a member-centered approach.ResponsibilitiesCare Coordination and...

Core PurposeThe core purpose of the role is to enhance the management of the Scheme's clinical risks and ensure cost-effective use of benefits by providing clinical expertise and aiding in the creation of industry-standard guidelines. This role supports the holistic member-centric care within the Managed Care division, in accordance with Scheme rules and...

Job OverviewThe ProDevelopment Group seeks an experienced Senior Care Operations Manager to oversee the management of integrated teams across various managed care functions. This role is responsible for ensuring strategic execution of hospital utilization and care coordination, driving operational improvements, fostering collaboration, and maintaining a...

**Job ID**: 58557**Date Posted**: Posted 6 hours ago**Location**: Pretoria, Gauteng**Job Title**: AMBULATORY BENEFITS MANAGEMENT SPECIALIST - PERSONS WITH DISABILITIES - PRETORIA **Duties**: - Support the Scheme’s strategic objectives and mandates in developing and implementing of Clinical Risk Management Platform in relation to access to out-of-hospital...

Core PurposeManages integrated teams across various managed care functions, ensuring strategic execution of hospital utilization and care coordination. Drives operational improvements, fosters collaboration, and maintains a member-centered approach while overseeing clinical and operational oversight.Job RequirementsA relevant three-year clinical degree or...

Our client is a leading creative agency known for delivering innovative solutions and exceptional services in the world of design and branding. They are currently seeking a proactive and detail-oriented Junior Practice Assistant to join their talented team Pretoria East. This is a fantastic opportunity for individuals looking to start their career in a...