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)
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)
staff. The role requires strong leadership skills, clinical expertise, and a commitment to excellence in mental years of demonstrated leadership experience Strong clinical assessment and critical thinking skills Excellent conducive to patient recovery and well-being: Clinical Leadership Team Management Patient Care Coordination
procurement, and stock in the clinic Lead the clinic team to ensure that all clinical trials are conducted in within the clinic Troubleshoot daily clinic operational issues in collaboration with the clinical operations comprehensive support of all operational aspects of clinical trials including overall delivery of protocol measure related initiatives in collaboration with the clinic operations manager Oversee maintenance and deployment/use related guidelines, etc.) in collaboration with the clinic operations manager Enforce organizational standard
procurement, and stock in the clinic Lead the clinic team to ensure that all clinical trials are conducted in within the clinic Troubleshoot daily clinic operational issues in collaboration with the clinical operations comprehensive support of all operational aspects of clinical trials including overall delivery of protocol measure related initiatives in collaboration with the clinic operations manager Oversee maintenance and deployment/use related guidelines, etc.) in collaboration with the clinic operations manager Enforce organizational standard
years demonstrated leadership experience Strong clinical assessment and critical thinking skills Excellent staff The role requires strong leadership skills, clinical expertise, and a commitment to excellence in mental patient recovery and well-being: Clinical Leadership: Ability to provide clinical leadership and oversight,
negotiating annual increases for clients. Ensure clinics comply with all legal requirements and internal reporting findings. Training of new employees on clinic protocols and procedures. Manage onboarding of of new client contracts. Ensure that clinics have necessary resources to deliver on expected services. various clinics as and when required. Coordination of staffing and leave management at various clinics. Recruiting
negotiating annual increases for clients. Ensure clinics comply with all legal requirements and internal reporting findings. Training of new employees on clinic protocols and procedures. Manage onboarding of of new client contracts. Ensure that clinics have necessary resources to deliver on expected services. various clinics as and when required. Coordination of staffing and leave management at various clinics. Recruiting
possess a solid educational background, significant clinical experience, and a commitment to excellence in (NALS), etc. Skills & Qualifications: Strong clinical knowledge and critical thinking skills. Excellent
possess a solid educational background, significant clinical experience, and a commitment to excellence in (NALS), etc. Skills & Qualifications: Strong clinical knowledge and critical thinking skills. Excellent