with our valued client to seek a Clinical Pre-Authorisation Consultant. We are looking for an ideal candidate
with our valued client to seek a Clinical Pre-Authorisation Consultant. We are looking for an ideal candidate
Pretoria, we are recruiting for a Medical Pre-Authorisation Consultant. The ideal candidate must have a applications for all services, which require pre-authorisation and attend to the request.
role of a Member Care Clinical Consultant (Pre-Authorisations) involves ensuring that healthcare services and funding guidelines.
Consultant (Pre-Authorisations) involves ensuring that healthcare services requiring pre-authorisation are evaluated protocols and funding guidelines. Loading of authorisations and the application of standard predictable funding guidelines across all services and authorisation categories. Clinical Risk Management to reduce the risks associated with hospitals and other authorised services. Establish the presence of any co-morbid well-grounded clinical knowledge of the pre-authorisation of hospital admissions (including Length of
protocols and funding guidelines. ● Loading of authorisations and the application of standard predictable funding guidelines across all services and authorisation categories. ● Clinical Risk Management to reduce well-grounded clinical knowledge of the pre-authorisation of hospital admissions (including Length of and other healthcare services requiring pre-authorisation ● Excellent telephonic and written communication
programs that promote best practices in pre-authorisation processes. DUTIES & RESPONSIBILITIES: Quality and Monitoring: Conduct regular audits of pre-authorisation cases to ensure compliance with clinical guidelines Compliance and Documentation: Ensure that all pre-authorisation activities comply with relevant regulations
programs that promote best practices in pre-authorisation processes.
Job Description: Monitoring:
Assurance Coach Reporting to: Team Leader: Pre-Authorisations Location: Head Office, Pretoria Contract Type: programs that promote best practices in pre-authorisation processes. DUTIES & RESPONSIBILITIES: Quality and Monitoring: Conduct regular audits of pre-authorisation cases to ensure compliance with clinical guidelines
Monitoring:
Conduct regular audits of pre-authorisation cases to ensure compliance with clinical guidelines
and Documentation:
Ensure that all pre-authorisation activities comply with relevant regulations