Jobs: pre authorization

**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 &...

Key Requirements:Possess a nursing qualification and Emergency Services qualification or any other Clinical/Medical qualification3-5 years of Pre-Auth experience is required Previous exposure to Renal Dialysis, Oncology, and/or Psychiatric environments would be highly preferred. Exposure to Theatre and/or ICU in a private hospital is an added advantageSound...

Key Requirements:Possess a nursing qualification and Emergency Services qualification or any other Clinical/Medical qualification3-5 years of Pre-Auth experience is required Previous exposure to Renal Dialysis, Oncology, and/or Psychiatric environments would be highly preferred. Exposure to Theatre and/or ICU in a private hospital is an added advantageSound...

A Medical Insurance Company based in Benoni is looking for a Pre-Authorisation Nurse who will assess the authenticity and legitimacy of requests for medical services or treatment by members or service providers in a timely, effective, efficient, equitable and client centred manner.Key Performance AreasAuthorise or Decline Medical Services or...

The Prospective Reviewer role within the pre-authorisation call centre, is responsible for authorising hospital authorisation requests ensuring that requirements of clinical appropriateness, medical necessity and clinical risk management are met. Key Activities:Authorising hospital authorization requests by applying coding principles, medical scheme rules...

Our client in Wellington is looking for a Tracking Officer. Operational Support is responsible for all administrative matters regarding the vehicle, cargo and driver. **MAIN FUNCTIONS**: *** Speed Control / Diesel orders Monitoring of High-Risk Loads *** **SPEED CONTROL** - Monitoring of vehicle speed on Mix telematics program. - Drivers driving over...

**Division**: **Regulatory Affairs** **Department**: **Integrated Product Development** **Employment Type**: Permanent **Job Purpose**: Support the Regulatory Affairs function in its pre-registration and/or post-registration dossier submission activities by assisting in data gathering, screening, collating and compiling of the dossiers, post-registration...

**Job Advert Summary**: An opportunity has arisen for Delivery Assistant to assist Delivery Driver to deliver product to customers in accordance with Clover policy and procedures. Please refer to the minimum requirements, duties and responsibilities below for further information. **Minimum Requirements**: **REQUIREMENTS**: - Grade 12 or equivalent NQF4 -...

An Ophthalmologist based in Claremont is looking for a Medical Receptionist, ideally to start beginning of September. Monday to Friday 8am to 5pm **REQUIREMENTS** - Min of 1-year previous experience - Proficiency in Microsoft Word and Excel, converting documents to PDF and previous Med E Mass / Elixer would be an advantage. - Capture and submit medical aid...

**Job Advert Summary**: An opportunity has arisen for Driver:Delivery Code 10 to deliver product to customers in accordance with Clover policy and procedures. Please refer to the minimum requirements, duties and responsibilities below for further information. **Minimum Requirements**: **REQUIREMENTS**: - Grade 12 or equivalent NQF4 - Code 10 motor vehicle...

The Sheiham programme is seeking to appoint several pre-PhD interns or PhD fellows wishing to do a PhD in the area of social determinants of heath. - Nurses’ wellbeing and mental health - Sexual health of older adults - Migration and health through the lens of intersectionality - Family interventions to support individuals with serious mental illness You...

**JOB TITLE**: Solutions Architect **DEPARTMENT**:Commercial & Industrial **REPORTING TO**: Regional Sales Manager Mining **ADDITIONAL INFO**:Frequent travel to customer sites will be required within SA, mostly within the Gauteng Province or adjacent provinces, to support clients and to drive top line growth of Gilbarco Veeder Root mining...

A well established automotive dealership based in Milnerton is looking for a **Preowned Vehicle Sales Manager** to join their sales department. **Requirements and Skills needed**: - At least 3 years experience in a Dealership Sales Manager position - Must be able to present a business plan on how to drive activity levels in the pre-owned vehicle...

Western Cape, Northern Suburbs - R 40000 - R 50000 PROJECT MANAGER NORTHERN SUBURBS SALARY R50 000 CTC **Minimum requirements**: Relevant Degree or Diploma SACPCMP registration or similar preferable Five years of experience in a similar position; experience with operations preferred Strong experience in planning and programming (MS Projects and or...

Western Cape, CPT - CBD - (Negotiable) An Energy Solution company based in Cape Town is currently seeking a Technical Director for their Energy Solution Division. Electrical Engineering degree would be highly beneficial Technical Energy (solar PV and backup) experience is a pre-requisite To manage client projects and subcontractors To design energy...

Our client is looking for a New Vehicle Sales Manager to join their team. **Responsibilities**: - Monitoring and reporting on individual and team sales performance - Ensuring customer satisfaction targets are being exceeded - Taking a hands-on approach in supporting vehicle sales executives to meet their targets - Contribute to vehicle sales - Carrying out...

**Location: Cape town** **Requirements and skills**: **Qualifications and Certification**: - ** Honours Degree in Engineering (Electrical or Mechanical) is critical.**: - ** Masters Degree in Engineering is a distinct advantage (Mechanical or Electrical).**: - **Post Graduate Diploma in business studies, project management (with a focus on renewable...

**Purpose of the role** *** The Learning and Development (L&D) Coordinator is responsible for the Planning, Coordination, Implementation and Reporting of Learning at SNG Grant Thornton. L&D Coordinator will manage the relationship with Internal and External Training Facilitators, Grant Thornton International Learning Team and the Sector Education...

Factory Manager Job, Durban, KZN As Factory Manager your job is to oversee manufacturing operations and supervise operators. The main role of the Factory Manager is to improve manufacturing productivity and to reduce lead times of the product delivery to clients. The job role of Factory Manager involves full operational control over what happens at the...

My client is currently looking for a Deputy Responsible Pharmacist reporting to the Responsible Pharmacist. **Minimum Qualifications**: - BPharm **Experience Required**: - 1-year Regulatory Affairs/Quality Assurance experience preferred - Exposure to production would be an advantage **REGULATORY AFFAIRS**: **1. Delivery of New Product Submission...