Manager- Clinical Services Doctor- Medical Schemes

**Job Opportunity: Experienced Medical Doctors at Elite Care Hospitals in Johannesburg** Are you an experienced medical doctor looking for a rewarding career opportunity in Johannesburg's thriving healthcare landscape? Elite Care Hospitals, two newly constructed private hospitals, are actively seeking skilled professionals with a minimum of four years'...

**Role Purpose** To provide a medical advisory function within the Clinical Risk Division and Scheme to ensure the limiting of the Scheme’s exposure and to inform key strategic decisions. **Key Areas of Responsibility** Provide input into the development of the sub-division’s strategy. Provide input into the tactical plan for the Clinical Risk...

Case Manager is responsible for developing and implementing intensive multifaceted risk management interventions on a patient-specific basis with the purpose of preventing or reducing the medical schemes’ exposure to potentially high-cost members (in/out of hospital) who have been identified and risk stratified through claims analyses and clinical...

**Head of Clinical Services - Indian Ocean Islands** **One of our International Client a Hospital Group has an opening for the Head of Clinical Services, who will work with the Head of Nursing and Head of Medical Services to deliver strong leadership and engaging communication amongst our staff, patients, doctors, and hospital.** **As a key member of the...

Our client, a private hospital based in Johannesburg are currently recruiting for a Hospital Clinical Coder who will be responsible, in collaboration with the Hospital Case Management Teams for liaising between the patients, treating clinicians and managed care organisations in order to provide clinical coding that is updated in accordance with the patient...

Responsible for the analyses, developing, and implementing of multifaceted risk management interventions on chronic patient-specific cases telephonically utilizing their clinical, disease and case management skills, to prevent or reduce the Scheme’s medical exposure **Duties** - Contacting of members and building of positive relationships with the members...

EE Position: **Summary** The Clinic Manager has an overall responsibility to manage and control the operational environment of a clinic. The successful incumbent will be accountable for achieving specific revenue and profit targets in combination with key performance metrics. The incumbent will also be responsible for the operational efficiency of the...

3Sixty Health has a great opportunity for a suitably qualified individual to fulfil the advertised position and join their team. 3Sixty Health is a black owned and managed, reputable and a major player in driving South African economy by investing in ‘’black excellence’’3Sixty Health is 100% black owned and black managed administrator as well as...

**Job Title**:PA & Medical Receptionist to Specialist Psychiatrist **Experience Required**: minimum 3-4 years working as a medical receptionist. **Employment type**:Full Time, onsite **Salary**:R15 000 gross per month (no benefits) **Hours**:8:30 am to 5pm (Mon-Fri), 1 hour lunch break - **Must be above 35 years old **and want to stay in a career as a...

**SENIOR MANAGER: CLINICAL CONSULTING SERVICES** The purpose of the job is to oversee the provision of services, administer the Prescribed Minimum Benefits (PMB) portfolio to ensure medical scheme members are protected and their entitlements are guaranteed, and to develop and implement the Prescribed Minimum Benefits regulation strategy. As a Senior...

The purpose of the job is to oversee the provision of Clinical services, administer the Prescribed Minimum Benefits (PMB) portfolio to ensure medical scheme members are protected and their entitlements are guaranteed and to develop and implement the Prescribed Minimum Benefits regulation strategy. As a Senior Manager of clinical Consulting Services, you will...

**Job Specification** Locum doctor needed for a private healthcare facility specialised in physical rehabilitation based in the southern Johannesburg area. Join a multi-disciplinary team focused on ensuring comprehensive, goal-directed care. **Requirements**: - A MBBCh and registration with the **HPCSA**: - Current **ALS **accreditation - Experience in...

Case Manager is responsible for developing and implementing intensive multifaceted risk management interventions on a patient-specific basis with the purpose of preventing or reducing the medical schemes’ exposure to potentially high cost members(in/out of hospital) who have been identified and risk stratified through claims analyses and clinical criteria....

**Job Advert Summary**: Our client, a well-known and dynamic medical scheme, is urgently looking for an experienced **Medical Advisor** for a **permanent opportunity** **in **Randburg** in** Johannesburg (Gauteng).** - A Bachelor of Medicine and Bachelor of Surgery (MBBCh/MBChB) Degree - At least 5 years' experience in the medical insurance environment in a...

**Job Advert Summary**: Our client, a well-known and dynamic medical scheme, is currently looking for an experienced **Medical Advisor** for a **permanent opportunity** **in **Randburg** in** Johannesburg (Gauteng).** - A Bachelor of Medicine and Bachelor of Surgery (MBBCh/MBChB) Degree - At least 5 years' experience in the medical insurance environment in a...

**ROLE PURPOSE** Accountable for the provision of specialist knowledge, delivery plans and associated practices of clinical data requirements through the extraction, analysis, validation and modelling of data with the purpose of drawing conclusions to drive clinical and operational decision making within the Scheme. **Key Areas of...

(Freelance/Project-based) Clariness is a fast-growing international company in the life sciences domain with locations in Germany, the USA, the UK, China, Serbia, and Switzerland. We provide online patient recruitment, retention, patient surveys, study feasibility, and site selection services for clinical trials. Using our ClinLife® platform, we recruit...

Chief Pet Doctor Job Summary:We are seeking an experienced and compassionate Chief Pet Doctor to join our veterinary team. As a senior veterinarian, you will be responsible for providing high-quality medical care to pets, including conducting medical diagnostics and treatments, maintaining accurate records, and advising pet owners on animal health...

The incumbent’s role is to be the central player in the Clinical Advisory Services area to identify and ensure that optimal clinical decision making is made on every escalated case. The individual is directly responsible for aligning the teams within the division to fulfil strategic clinical needs within these sectors. Identifying and establishing best...

**EE Position** An exciting opportunity for an analytical and attention-to-detail Pre **THE IDEAL CANDIDATE SHOULD HAVE**: - Nursing qualification. - Emergency Services qualification or any other Clinical/Medical qualification - Previous exposure in a Managed Healthcare Call Centre - 10 years Pre-Auth experience if no clinical qualification - Previous...