Our client is a leading medical scheme based in Pretoria, dedicated to providing comprehensive healthcare tasks to ensure timely updates of cases on the hospital list.
Fleet Controller based at their head office in Akasia, Pretoria. Responsible for capturing and updating
of experience in Managed Healthcare or Private Hospital settings to the table. Application Review: You'll Authorizations: Handle pre-authorizations for hospital and radiology services via our call center. Data Provide clinical interpretation and analysis of medical reports and doctor's motivations. Information Dissemination: private hospital setting. Legislative Knowledge : Comprehensive understanding of the Medical Schemes
of experience in Managed Healthcare or Private Hospital settings to the table. Application Review: You'll Authorizations: Handle pre-authorizations for hospital and radiology services via our call center. Data Provide clinical interpretation and analysis of medical reports and doctor's motivations. Information Dissemination: private hospital setting. Legislative Knowledge : Comprehensive understanding of the Medical Schemes
Senior Manager of Medical Advisory Services. Manage the administrative function in the Medical Advisory Services maintenance of Medical Advisory Services standard operating procedures and policies. Assist the Medical Advisory Provider Relations and Network engagements (quarterly hospital efficiency, provider society and groups and other other forums as required). Clinical review of hospital and provider efficiency and network reports. Advise years work experience in the healthcare funding / medical scheme industry with at least two (3) years at
Senior Manager of Medical Advisory Services. Manage the administrative function in the Medical Advisory Services maintenance of Medical Advisory Services standard operating procedures and policies. Assist the Medical Advisory Provider Relations and Network engagements (quarterly hospital efficiency, provider society and groups and other other forums as required). Clinical review of hospital and provider efficiency and network reports. Advise years work experience in the healthcare funding / medical scheme industry with at least two (3) years at
Our client in the Medical Industry, based in Pretoria, has a Permanent vacancy for a Member Care Clinical evaluated and processed efficiently, aligning with medical necessity and policy guidelines.
Responsibilities:
Management to reduce the risks associated with hospitals and other authorised services.
Management to reduce the risks associated with hospital and other authorized services. ● Establish the (around R30k - R35k) CTC package that includes medical scheme and provident fund Requirements: ● Registered/ a similar role within a managed healthcare or medical scheme environment ● Sound knowledge of the South clinical knowledge of the pre-authorisation of hospital admissions (including Length of Stay and Level
evaluated and processed efficiently, aligning with medical necessity and policy guidelines. Summary of Responsibilities: Management to reduce the risks associated with hospitals and other authorised services. Establish the presence a similar role within a managed healthcare or medical scheme environment Sound knowledge of the South clinical knowledge of the pre-authorisation of hospital admissions (including Length of Stay and Level
Full-Time
Health, Medical and related
utilisation regarding specific subsets