nursing experience.
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
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
Nursing Diploma or Degree. Minimum of 2 years clinical experience within a private hospital is essential level of care. Liaise with the service provider on clinical updates, as well as outstanding information. Engage implement and communicate the practice and/or clinical guidelines for cost effective care. Authorize and escalate accordingly. Provide clinical support to non-clinical team's if/when required. Drive and
Diploma or Degree.
Nursing Diploma or Degree. Minimum of 2 years clinical experience within a private hospital is essential level of care. Liaise with the service provider on clinical updates, as well as outstanding information. Engage implement and communicate the practice and/or clinical guidelines for cost effective care. Authorize and escalate accordingly. Provide clinical support to non-clinical team's if/when required. Drive and
demonstrated leadership experience
and stock in the clinic