looking for a: Senior Registered Nurse IT/AI - Clinical and Mobile Services. "Project/Operations/Educator experience, general management in a clinical setting, hospital and or clinic. A management qualification is give input and guidance to developers that is not clinical.
Must be able to travel extensively
Requirements: Registered with SANC Clinical qualification Registered Nurse / Professional Nurse or qualified qualified Paramedic Minimum of 3 years in a clinical role Experience in Theatre and or ICU; Medical aid coding; and case management processes Application of clinical codes and finalisation thereof (Level 3 coding)
and Control; Clinical Facilitation Skills: Auditing and accreditation processes Clinical risk management
we collaborate with our valued client to seek a Clinical Pre-Authorisation Consultant (Registered Nurse) Verification: Accurately capture and validate clinical information, including ICD-10 and item codes. applied before approving benefits. Clinical Analysis: Provide clinical interpretation and analysis of medical
pre-authorisation and attend to the request. Capture clinical information and verify the information, including pre-authorisation requests. Prepare a summary of the members' clinical history for the medical advisor. Monitor the flow knowledge of CPT-4, ICD-10 and RPL codes; Extensive clinical knowledge; Able to function independently with
position demands a confident dentist with outstanding clinical capabilities and exceptional communication skills
experience in interacting with Specialists by applying clinical knowledge or experience to medical aid related
trends by reading all literature and relevant clinical papers as provided/recommended by line manager
experience in interacting with Specialists by applying clinical knowledge or experience to medical aid related
trends by reading all literature and relevant clinical papers as provided/recommended by line manager