Pre Authorisations Consutlant

**Description**: 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...

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...

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/...

**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 is seeking a Qualified Enrolled or Registered Nurse to join their HBM (Hospital Benefit Management) team in Pretoria. (Office Based) **Job purpose**: - Delivering cost-effective managed healthcare services to accomplish member satisfaction. **Qualifications**: - SANC Registered - Excellent Communication Skills - Computer Literate...

**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...

Gauteng, Tshwane (Pretoria) - Market related - Market related Monthly Cost To Company (Market related) Our client, in the Medical Industry has a permanent vacancy in for a client Relationship Manager. Th Company is an equal opportunity organisation with various businesses and/ or subsidiaries that service clients in the medical scheme and insurance...

Our client in the Healthcare industry is looking for a Quality Assurance Coach, with Healthcare experience, to manage and implement the various service quality assurance measures and quality improvement programmes across all aspects of service delivery, both clinical and operational in nature.Qualifications:MatricBusiness Management or Nursing diploma/...

Our client in the Healthcare industry is looking for a Quality Assurance Coach, with Healthcare experience, to manage and implement the various service quality assurance measures and quality improvement programmes across all aspects of service delivery, both clinical and operational in nature. Qualifications: Matric Business Management or Nursing diploma/...

17 May 2024 **INTRODUCTION**: - Cure Day Hospitals is a dynamic and energetic company that is expanding rapidly with Twelve (12) operational hospitals. We are looking for a dynamic and energetic RECEPTIONIST AND ADMISSIONS CLERK to join our team at MEDKIN, PRETORIA.**DEPARTMENT**: Reception **BUSINESS UNIT**: Cure Day Hospitals - Medkin **PROVINCE /...

**JOB REQUIREMENTS**: - The ideal applicant will possess the following: - _ - A **minimum of Grade 12 (Std. 10)** or equivalent academic qualification. - **National diploma in Accounting / Finance or equivalent qualification**: - Computer Literacy - ** 5 years relevant experience in an operational and revenue environment in a transport/logistics...

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...

**Job Advert Summary**: **PURPOSE**: - To operate the corporate centre control room and monitor the corporate centre for any potential risk related incidents. - To coordinate and supervise the activities of own/contracted security officers during the shift. Ensure that resources are utilised correctly. Liaise with departments regarding schedules, material...

Our well known commuter transport client based in Pretoria is looking to employ an experienced Revenue Control Manager. - The position involves shifts and working on Saturdays, and will require the incumbent to start an early shift at Ekangala at 03:00AM, and then proceed to other BU’s for the day, relatively twice a week. - Must have managed accounts /...

-To provide managerial leadership and strategic direction to the International Engagements Division and ensure the provision of value - added international engagement coordination and inputs for the South African Reserve Bank (the Bank). -Detailed Description Provide input into the departmental strategy and policy aligned to the SARB strategy and...