Company in managed healthcare is looking for a qualified Nurse (BCur/ Diploma in Nursing) for a PMB Assistant position. Knowledgeable individual with a sound knowledge of the Medical Schemes Act, PMB legislation and ICD-10 coding may apply

Main responsibility: Administration of PMB and CDL treatment plan authorisations. Preparation, referral and finalisation of PMB applications as well as approval of PMB applications (in and out of hospital)

Minimum Requirements:

Grade 12

BCur Degree/ Diploma in Nursing ESSENTIAL

Minimum 1-2 years Managed Healthcare - PMBs and claims assessing, Clinical and medical schemes related experience - NB

Experience in the Medical Schemes industry and Managed healthcare NOT NEGOTIABLE

Salary:

R220K - 250K ctc per annum (depending on experience and qualification) includes medical aid and provident fund

Plus yearly performance bonus