is seeking to employ an experienced Logistics Technologist . Experience with applying statistical methods
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)
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)
Nursing Diploma or Degree. Minimum of 2 years clinical experience within a private hospital is essential level of care. Liaise with the service provider on clinical updates, as well as outstanding information. Engage implement and communicate the practice and/or clinical guidelines for cost effective care. Authorize and escalate accordingly. Provide clinical support to non-clinical team's if/when required. Drive and
Nursing Diploma or Degree. Minimum of 2 years clinical experience within a private hospital is essential level of care. Liaise with the service provider on clinical updates, as well as outstanding information. Engage implement and communicate the practice and/or clinical guidelines for cost effective care. Authorize and escalate accordingly. Provide clinical support to non-clinical team's if/when required. Drive and
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
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