Qualifications Required:
Degree/ Diploma in Nursing
Medical Scheme – related experience in Hospital Benefit Management
2 years minimum experience as pre authorization or case manager

Experience Required:
Thorough clinical knowledge of Pre Authorization of hospital admissions and Case Management of hospital cases
Knowledge of the current coding structures in the South African Health Care environment i.e. ICD10’s, CPT4, NRPL, and PMB conditions, protocols and Scheme rules

Salary:
R 27 500.00 ctc per annum including medical aid and pension fund