Job Description
About the Role
We are seeking an experienced Enrolled Nurse/Paramedic to join our team as a Pre-Authorisation Consultant in Johannesburg. With 35 years of experience in pre-authorization within managed healthcare, you will play a crucial role in ensuring that hospital admissions align with scheme guidelines and funding.
Key Responsibilities
- Authorize hospital admissions per scheme guidelines
- Verify in-hospital benefits and funding
- Manage surgical and medical cases within defined cost limits
- Handle queries related to designated service providers, co-payments, and penalties
- Refer complex and high-cost cases for further review
Requirements
- Enrolled Nurse/Paramedic with 35 years of experience in pre-authorization
- Knowledge of PMB conditions, clinical guidelines, ICD-10 codes, and hospital systems
- Familiarity with medical scheme regulations and billing procedures
Qualifications
- Matric
Salary & Benefits
Not specified
How to Apply
Click the green “Go Apply” button below to apply directly online with the employer.
About Healthcare / nursing Jobs in Gauteng
In Gauteng, the healthcare sector is a significant contributor to the local economy, employing thousands of professionals in various roles. The demand for skilled healthcare workers remains high due to an aging population and increasing healthcare needs. This has led to a growing number of job opportunities in this field.
Typically, salaries for nursing positions in Gauteng fall within broad ranges, with entry-level positions often ranging from R600 000 to R1 200 000 per annum, depending on the specific role and employer. More experienced professionals can expect higher salaries, up to R2 500 000 or more, but these figures may vary widely depending on factors such as experience, company size, and industry sector. For example, those working in high-demand areas like emergency care or critical care may earn higher salaries.
Common skills required for nursing positions in Gauteng include a strong foundation in life sciences, excellent communication and interpersonal skills, the ability to work well under pressure, and proficiency in medical software systems. Other essential skills often include critical thinking, problem-solving, and leadership abilities. While specific requirements may vary depending on the employer, these general skills provide a solid foundation for success in this field.
Many industries in Gauteng employ nursing professionals, including the healthcare sector itself, as well as various other sectors such as technology industry, manufacturing sector, and financial services sector. These roles often involve working in hospitals, clinics, or community health settings, but may also require working in non-traditional environments like corporate offices or research institutions.
For those considering a career in nursing, there are numerous opportunities for professional development and advancement. Typically, registered nurses can expect to progress into specialist positions, such as nurse practitioner or clinical nurse manager, within 5-10 years of experience. Additionally, many employers offer training programs and continuing education opportunities to help staff develop new skills and stay up-to-date with industry developments. With dedication and hard work, nursing professionals in Gauteng can enjoy a rewarding and challenging career in this dynamic field.
This information provides general career guidance. Actual salaries and requirements vary by employer.
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