CLINICAL CONSULTANT (RN-MANAGED CARE) CAPE TOWN:EE IN SOUTH AFRICA

Our client, a leading Managed Care and Medical Scheme Administration Service Provider seeks the above resource to audit, authorise and process the accurate payment of hospital and case management claims. In addition, the successful candidate must ensure that patient treatment, material and equipment usage for each claim is in accordance with claim rules and regulations. Requirements: · Matric (ESSENTIAL) · Registered Nurse (Registered with the SANC) with the relevant experience · 2-3 years’ experience in Managed Healthcare or Hospital Claims · Theatre experience is a requirement · Knowledge of scheme rules and contractual negotiations · Knowledge and application of processes and procedures · Knowledge and application of relevant legislation In line with the client’s Employment Equity targets, only African Black (South African) candidates will be considered. Please apply to response'@'mvgrecruitment. co. za (no spaces when emailing) Call: 0860 100 MVG (684) to enquire