clinical coding during patient stay in hospital. Risk management Application of clinical knowledge in
Responsibilities: ● Attend to incoming calls from healthcare service providers and members/ beneficiaries. ● Verification of the eligibility of cover within available benefits as per scheme rules, clinical protocols and funding guidelines. ● Loading of authorisations and the application of sta
Our client in the Medical Industry, based in Pretoria, has a Permanent vacancy for a Member Care Clinical Consultant (Pre-Autorisation).
Job Purpose:
The role of a Member Care Clinical Consultant (Pre-Authorisations) involves ensuring that healthcare services requiring
JOB PURPOSE The role of a Member Care Clinical Consultant (Pre-Authorisations) involves ensuring that healthcare services requiring pre-authorisation are evaluated and processed efficiently, aligning with medical necessity and policy guidelines. Summary of Responsibilities: Attend to incoming calls
B Cur Degree
3-5 years experience in Clinical Risk management
Demonstrable experience in managing an organisations clinical risk function
Extensive IPC and nursing knowledge is a non-negotiable
Develops and implements programs, policies, and practices to identify and manage clini