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)
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
medicine formulary.
position demands a confident dentist with outstanding clinical capabilities and exceptional communication skills
Pre-Authorisations that meets the requirements of clinical appropriateness. The role is performed in a contact
trends by reading all literature and relevant clinical papers as provided/recommended by line manager
trends by reading all literature and relevant clinical papers as provided/recommended by line manager
consultants or facilities, i.e., hospitals or emergency clinics depending on in-country arrangements and assist communication skills required. Work Experience: Relevant clinical experience in primary care after medical school