Our client is recruiting for a Senior Manager: Clinical Services to develops and implements compliant care and clinical support programmes, and provider networks. The role executes effective clinical governance governance and clinical audit practices within . The role serves as medical advisor to the Scheme and the the Clinical Governance Committee. Benefit design and medical policy management Managed Care Management be an added advantage. 8 years' experience in Clinical Services in medical schemes 6 years management
Our client is recruiting for a Senior Manager: Clinical Services to develops and implements compliant care and clinical support programmes, and provider networks. The role executes effective clinical governance governance and clinical audit practices within . The role serves as medical advisor to the Scheme and the the Clinical Governance Committee. Benefit design and medical policy management Managed Care Management be an added advantage. 8 years' experience in Clinical Services in medical schemes 6 years management
and Control; Clinical Facilitation Skills: Auditing and accreditation processes Clinical risk management
we collaborate with our valued client to seek a Clinical Pre-Authorisation Consultant (Registered Nurse) Verification: Accurately capture and validate clinical information, including ICD-10 and item codes. applied before approving benefits. Clinical Analysis: Provide clinical interpretation and analysis of medical
pre-authorisation and attend to the request. Capture clinical information and verify the information, including pre-authorisation requests. Prepare a summary of the members' clinical history for the medical advisor. Monitor the flow knowledge of CPT-4, ICD-10 and RPL codes; Extensive clinical knowledge; Able to function independently with
methodologies Productivity management in nursing Clinical risk management Healthcare industry Computer literate
and eligible family members under MED approved clinical guidelines, as well as maintenance and inventory responsible for maintaining a primary care/urgent care clinic for all ICASS eligible DHA American Employees and topics as needed. They will respond to all Mission clinical medical needs as requested/required to include MED/Clearances. Assists medical personnel with clinical examinations performed in the medical unit and laboratory specimens as necessary. 4. Immunization Clinic for routine and travel-related immunizations 10%
experience in interacting with Specialists by applying clinical knowledge or experience to medical aid related
experience in interacting with Specialists by applying clinical knowledge or experience to medical aid related
This position requires strong leadership skills, clinical expertise, and a passion for delivering exceptional development, and performance management. Strong clinical knowledge and expertise in nursing practice, patient