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)
have a strong background in case management and clinical coding within a private hospital setting, we want services to ensure optimal outcomes - Utilize clinical coding expertise to ensure accurate billing and Enrolled Nurse with proven case management and clinical coding experience of at least 3-5 years - Private
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)
Office Support Lead overseeing receptionists, porters, and drivers, your role is crucial in ensuring charge of supervising and training receptionists, porters, and drivers to ensure they provide excellent customer
for a Call Centre Nurse Consultant to join our Clinical team who will be the liaison between Unity Health incoming calls from Network GP rooms and members Clinically assess members and triage accordingly Where triage example, Intercare, Pharmacy Nurse Clinic, and Reality Wellness Manage clinical risk by promoting sound principles to decrease GP claims over utilisation Perform clinical audits on authorised GP claims and ensure the years' experience in a similar role Excellent clinical and risk management knowledge MIP Application
ALMA-Clinics” (Alma), is a Primary healthcare (PHC) Nurse-led Medical Technology Clinic Network that Ethics/conduct and standards related to primary clinical care; Identifies ethical dilemmas and make a critical assessment, diagnosis and management of the patient. Clinical Assessment Conducts a comprehensive and holistic investigation results to confirm the final diagnoses. Clinical Diagnosis Interprets history and physical examination consultation with the supervising Clinical Associate and Doctor. Clinical Treatment Discusses with patient
medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port Elizabeth hospital nursing experience. Previous exposure to clinical auditing is highly advantageous. Be available Responsibilities Internal Process: Apply scheme rules, clinical policies and protocols to funding. Action allocated case managers for resolution. Act as clinical support to non-clinical hospital claim auditors in terms of of hospital tariff applications and clinical guidance (e.g. procedures, devices and drug utilization)
Provide clinical inputs on ex-gratia funding requests -Open, review and resolve all clinical queries queries and assessments through providing a clinical decision or requesting more information where required authorisation and claiming is facilitated -Provide clinical training / support to identified stakeholders -Knowledge and application of clinical principles and processes -Knowledge of clinical and funding protocol development development -Clinical research and assessment -Knowledge of scheme rules and contractual negotiations
Provide clinical inputs on ex-gratia funding requests -Open, review and resolve all clinical queries queries and assessments through providing a clinical decision or requesting more information where required authorisation and claiming is facilitated -Provide clinical training / support to identified stakeholders -Knowledge and application of clinical principles and processes -Knowledge of clinical and funding protocol development development -Clinical research and assessment -Knowledge of scheme rules and contractual negotiations
and Control; Clinical Facilitation Skills: Auditing and accreditation processes Clinical risk management