Overseeing the day to day work of the Clinical Hospital Case Managers and Clinical Pre-Authorisation Case Managers, supporting them in such a way as to monitor and improve their performance, ensuring that the team meets its objectives and that all work complies with the highest quality standards. Supervises and control production within the Team

BCur Degree/ Diploma in Nursing - NOT NEGOTIABLE
Thorough, well-grounded clinical knowledge of Pre Authorization of hospital admissions and Case Management of hospital cases in order to take cost-effective and appropriate decisions in evaluating treatment, LOS and LOC.
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
Expert understanding of the medical scheme industry
Experience in the medical funding industry


R 320k - R350k ctc per annum