Job Description

Closing Date 2024/07/25
Reference Number MMH240711-18
Referral Platform URL
Job Title Registered Nurse: Clinical Consultant
Position Type Permanent
Role Family Client Services
Cluster Health Solutions
Remote Opportunity None of the time
Location - Country South Africa
Location - Province Eastern Cape
Location - Town / City Port Elizabeth / Gqeberha
IntroductionMomentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation and create value through unique insights of how to achieve specific outcomes by using a defined set of health capabilities.
Disclaimer As an applicant, please verify the legitimacy of this job advert on our company career page.
Role PurposeTo effectively contribute to the Hospital Pre-Auth Team, ensuring that key performance indicators and service level agreements are met and that hospital procedures are authorised according to protocol.
Requirements

• A National Senior Certificate is essential
• It is essential to have a Nursing Diploma or Degree
• Minimum of 1 yearsxe2x80x99 clinical experience within a private hospital is essential
• The incumbent must be registered with the South African Nursing Council as a Registered Nurse
• Knowledge of the Medical Scheme industry would be highly advantageous
• Experience in a call centre environment would be an advantage
• MS Office / Office 365 proficiency

Duties & Responsibilities

• Pre-authorisation of in-hospital procedures, specialised radiology, medical appliances and oxygen for all schemes according to protocols.
• Assistance with clinical related queries and escalations according to protocols.
• Presenting of complicated cases at clinical meetings when required.
• Assistance with ongoing training and support within the Pre-Auth Team.
• Accurate and comprehensive recording of notes on the system.
• Rotational filing of audit reports.
• Timeous resolution of client queries to ensure excellent client service.
• Act as a reliable backup to the Team Leader in their absence, ensuring seamless continuity within the Pre-Auth Team.
• Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
• Demonstrate exemplary team behaviour through personal involvement, commitment and dedication in support of organisational values.
• Be part of a culture that directs best practice, fostering an environment of continuous learning, improvement and cohesiveness.
• Identify own training and development needs and discuss interventions to enable ongoing personal growth.

Competencies

• Telephone etiquette & communication - verbal and written
• Accountability
• Time management
• Attention to detail
• Relationship building and interpersonal understanding
• Customer orientation and results orientation
• Empathy
• Teamwork and cooperation
• Business administration skills

PolicyWe are committed to Employment Equity, diversity and inclusion when recruiting internally and externally. All appointments are made in alignment to our Employment Equity goals and we encourage people with disabilities to apply.

Momentum Metropolitan