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Senior Specialist: Managed Care
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4 months ago636 views
General Details
Location:
Advertised By:Agency
Company Name:Executive Placements
Job Type:Full-Time
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Our client is looking for a Pre-Auth Consultant (Enrolled Nurse) to deliver cost-effective managed healthcare services primarily via email correspondence, ensuring member satisfaction. The ideal candidate will have a Grade 12 qualification, Auxiliary Nursing certification, active SANC membership, a minimum of 5 years experience as a nursing practitioner, and at least 1 year of experience in the medical funding industry.Functions:Employ negotiation skills to facilitate the pre-authorisation process.Maintain accurate record-keeping and documentation of pre-authorisation requests.Provide cost-effective managed healthcare services primarily through email correspondence.Utilise strong writing skills in English to effectively communicate with members.Utilise computer skills and knowledge of MS Word, MS Excel, MS Office, Outlook, and Internet applications.Demonstrate strong organisational skills, attention to detail, and ability to prioritise tasks effectively.Maintain strong interpersonal communication skills and effectively work within a team environment.Demonstrate a caring attitude and behaviour towards members.Adapt to change and management decisions to achieve common goals.Utilise problem-solving techniques to address member queries and concerns.Provide training to staff on a continual basis and demonstrate leadership skills.Take responsibility for tasks and foster good interpersonal relationships with staff. Requirements:Grade 12 qualification.Enrolled NurseActive SANC MembershipMinimum 5 years clinical related work experience Skills:Strong writing skillsComputer skills and knowledge of MS Word, MS Excel, MS Office, Outlook and Internet.Strong organizational skills, attention to detail and ability to prioritize.Strong negotiation skillsLanguage skills and strong interpersonal communication skills.Ability to work with people and be team player.Caring attitude and behavior.Strong sense of self-esteem and confidenceFlexibility in adapting to change and management decisions in order to achieve common goals.The application of problem-solving techniques.Ability of record keeping and documentationPrepared to train staff on continual basisLeadership skills.Taking responsibility, must have good interpersonal relationship with the staff Remuneration:Competitive salary commensurate with experience.Exceptional benefits program including 23 days of annual leave, 8-hour workday with a 30min break, life cover, disability benefits, funeral cover, pension fund, medical aid, and more.Office perks:
https://www.jobplacements.com/Jobs/P/Pre-Authorisation-Consultant--Enrolled-Nurse-1243023-Job-Search-11-28-2025-02-00-14-AM.asp?sid=gumtree
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