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Pre Authorisation Case Manager Jobs in South Africa

Jobs 1-10 of 19667

Pre Authorisation Consultant Pretoria

 Qetello HoldingsPretoria

with our valued client to seek a Clinical Pre-Authorisation Consultant. We are looking for an ideal candidate bring a minimum of two years of experience in Managed Healthcare or Private Hospital settings to the applications that necessitate pre-authorization. Telephonic Authorizations: Handle pre-authorizations for hospital Special Requests: Evaluate and process special pre-authorization requests. Code Accuracy: Ensure the protocols to minimize the scheme's risk. Data Management: Thoroughly and accurately record all relevant


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Pre Authorisation Consultant Market Related

 Qetello HoldingsPretoria

with our valued client to seek a Clinical Pre-Authorisation Consultant. We are looking for an ideal candidate bring a minimum of two years of experience in Managed Healthcare or Private Hospital settings to the applications that necessitate pre-authorization. Telephonic Authorizations: Handle pre-authorizations for hospital Special Requests: Evaluate and process special pre-authorization requests. Code Accuracy: Ensure the protocols to minimize the scheme's risk. Data Management: Thoroughly and accurately record all relevant


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Medical Pre-authorisation Consultant (enrolled Nurse)

Pretoria

Pretoria, we are recruiting for a Medical Pre-Authorisation Consultant. The ideal candidate must have with SANC, with at least 2 years experience in Managed Healthcare.

Duties and responsibilities: applications for all services, which require pre-authorisation and attend to the request.

  • Capture codes.
  • Validate and evaluate special pre-authorisation requests.
  • Prepare a summary of the
  • Monitor the flow of documents between the pre-authorisation division and the medical advisor.
  • Approve


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  • Member Care Clinical Consultant (pre-authorisations)

    Pretoria  Market related

    Permanent vacancy for a Member Care Clinical Consultant (Pre-Autorisation).

    Job Purpose:
    Pre-Authorisations) involves ensuring that healthcare services requiring pre-authorization and funding guidelines.

  • Loading of authorisations and the application of standard predictable across all services and authorisation categories.
  • Clinical Risk Management to reduce the risks associated associated with hospitals and other authorised services.
  • Establish the presence of any co-morbid


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  • Case Manager

    Pretoria

    they are seeking a dedicated and experienced Case Manager to join their team.

    Functions updates of cases on the hospital list.

  • Follow up on long-term and high-cost cases of hospitalised process for cases requiring input from management or the medical advisor.
  • Manage telephonic calls providers.
  • Identify and manage complicated and high-cost cases impacting the scheme financially
  • Flexible in adapting to changes and management decisions.
  • Proficient in problem-solving


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  • Case Manager

    Pretoria  35 000 Monthly

    Automotive industry is looking for an experienced Case Manager

    Minimum requirements:
    case follow-ups from complainants and the automotive


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    Case Manager

     Ultra Personnel : Pharmaceutical, Insurance, EngineeringSouth Africa

    group requires a Case Manager who is a REGISTERED NURSE and 2 years Case Management experience . Qualification: operations will secure 2-3' experience as a Case Manager within a medical aid entity or hospital environment Liaise with Receptionist for authorisations Ensure compliance to case management procedures, standards and hospitalisation Ensure the correct categorisation and management of different patient accounts to facilitate reimbursement Funders Ensure accurate and timeous finalisation of cases to facilitate reimbursement by Funders Minimise


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    Case Manager

    Johannesburg  Monthly

    operations will secure

  • 2-3 experience as a Case Manager within a medical aid entity or hospital env with Receptionist for authorisations
    Ensure compliance to case management procedures, standards hospitalisation
    Ensure the correct categorisation and management of different patient accounts to facilitate
    Ensure accurate and timeous finalisation of cases to facilitate reimbursement by Funders
    Minimise />Minimise financial risk by the effective management of patient hospitalisation
    Follow the established


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  • Case Manager - Soweto

    Johannesburg  Monthly

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    You will plan, coordinate and execute case management work at hospital level.
    The incumbent with Receptionist for authorisations
    Ensure compliance to case management procedures, standards hospitalisation
    Ensure the correct categorisation and management of different patient accounts to facilitate reimbursement Funders
    Ensure accurate and timeous finalisation of cases to facilitate reimbursement by Funders
    Minimise />Minimise financial risk by the effective management of patient hospitalisation
    Follow the established


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    Case Manager Pretoria East

     Dante Group Pty LtdPretoria

    Reference: PTA023099-VS-1 Case Manager - Automotive industry Pretoria-East Area R35 000 CTC (Including Automotive industry is looking for an experienced Case Manager Minimum requirements: Matric Motor vehicle technical telephonic inquiries, requests for advice, and current case follow-ups from complainants and the automotive


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    Average Annual Salary

    for Pre Authorisation Case Manager jobs in South Africa
    R 472,126