Hire Resolve is currently seeking a Plant Hire Facilitator to join a reputable civil engineering company's and email it with the subject line "Plant Hire Facilitator" to Gustav Vogel at Hire Resolve, or connect
Junior Clinical Assistant PMB Location: Pretoria Salary: Market related Ref: JCAPMB/BM/TB Medical Aid
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)
Company Top Medical Aid company in SA striving to be 1 Purpose Administration of PMB and CDL treatment plan authorisations. Preparation, referral and finalisation of PMB applications for members in and out of hospital. Responsibilities Approval of referred PMB applications. Management of PMB referra
utilisation management, education/training, and other clinically based activities as assigned, to coordinate care membership files and medical scheme rules. • Facilitates admission of the member to a suitable facility Communicates with the admitting facility to establish the clinical status of the patient. • Communicates updates stay and value to the hospital subject to the clinical guidelines and protocols of the company. • Communicates be. • Collaborates with the treating doctor to facilitate a discharge plan for the member. • Arranges for
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 culture which builds rewarding relationships, facilitates feedback and provides exceptional client service
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 culture which builds rewarding relationships, facilitates feedback and provides exceptional client service
commercially viable clinic through the promotion and delivery of professional, value-adding clinic services in client base through effective promotion of the Clinic's services to Clicks' customers and by delivering and customer service To provide a multitude of clinic services, including but not limited to, providing management screening tests, conducting ‘well baby' clinics, health immunisations, baby health monitoring, rendered To ensure the efficient running of the clinic through effective administration, booking of locums
commercially viable clinic through the promotion and delivery of professional, value-adding clinic services in client base through effective promotion of the Clinic's services to Clicks' customers and by delivering and customer service To provide a multitude of clinic services, including but not limited to, providing management screening tests, conducting ‘well baby' clinics, health immunisations, baby health monitoring, rendered To ensure the efficient running of the clinic through effective administration, booking of locums
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)