Together with our client in Pretoria, we are recruiting for a Medical Pre-Authorisation Consultant. The ideal candidate must have a completed qualification as an Enrolled Nurse and must be registered with SANC, with at least 2 years experience in Managed Healthcare.
Duties and respo
Enrolled/Registered Nurse
Minimum of 3-5 years of experience, with at least 2 years in a quality assurance or coaching role within the healthcare industry.
Quality Assurance and Monitoring:
Conduct regular audits of pre-authorisation cases to en
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
JOB PURPOSE: The Quality Assurance Coach is responsible for ensuring that the team maintains high standards of clinical quality and compliance. This role involves monitoring, evaluating, and coaching staff to enhance their performance, improve accuracy, and ensure adherence to policies and regulatio
One of our clients in the Healthcare Industry specialising in the provision of customised integrated health risk and clinical management services, has a permanent vacancy available for a Clinical Quality Assurance Coach to join their dynamic team in Pretoria.
Job Purpose:<
Our client, a managed care organisation based in Pretoria is looking for a Clinical Quality Assurance Coach. This is an equal opportunity organisation with various businesses and/ or subsidiaries that service clients in the medical scheme and insurance industries. Position: Clinical Quality Assuranc
Bestmed is a non-profit, mutual medical scheme registered with the Council for Medical Schemes. We have been providing healthcare to the lives of South Africans for over 60years. Bestmed strives to be an employer of choice by: • creating a Personally Ours culture where we can all contribute in our