Registered Nurse - N....
Registered Nurse - National Risk Managers Pty Ltd
نُشرت في :
09-01-2024
صاحب العمل نشط
1 وظيفة شاغرة
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حالة تأهب وظيفة
سيتم تحديثك بأحدث تنبيهات الوظائف عبر البريد الإلكترونيValid email field required
أرسل الوظائف
حالة تأهب وظيفة
سيتم تحديثك بأحدث تنبيهات الوظائف عبر البريد الإلكترونيValid email field required
أرسل الوظائف
الراتب الشهري
لم يكشف
لم يتم الكشف عن الراتب
عدد الوظائف الشاغرة
1 وظيفة شاغرة
نُشرت في :
09-01-2024
الوصف الوظيفي
رقم الوظيفة : 2442956
A Medical Insurance Company based in Benoni is looking for a Registered Nurse who will consult with members via relevant platforms to diagnosis and provide treatment plans for members according to Primary Healthcare Guidelines. Ensuring best clinical practice and quality is always provided to members. Handling of calls within Service level agreements.
Key Performance Areas
Key Tasks
Determine appropriate treatment once diagnosed.
Perform administrative duties.
Secondary Tasks / Activities
Other requirements
Essential Qualifications
Desirable Qualifications
Essential Experience
Desirable Experience
Knowledge and Skills
Attributes
- Determine appropriate treatment once diagnosed.
- Perform administrative duties.
Key Tasks
Determine appropriate treatment once diagnosed.
- Establish members primary diagnosis based on signs and symptoms.
- Identify the most appropriate treatment plan according to Clinical Guidelines for the member.
- Communicate correct benefits and Product knowledge.
- Evaluation of firsttime resolution of members calls.
- Action cases sent to Medical Consultant within the SLA
- Encourage appropriate OTC utilization.
- Encourage appropriate Acute Medication Benefit utilization.
- Deliver appropriate information to healthcare users.
- Educate members of potential side effects to medication
- Provide members with information and advice on prescribed over the counter medication.
Perform administrative duties.
- Improve areas identified by the QA
- Continue with ongoing Learning and Development to stay abreast with healthcare industry
- Capture of accurate clinical records on system
- Provide effective communication to encourage and maintain behavioural
- Script to schedule 4 when clinically appropriate
- Issue Sick notes when clinically appropriate
- Adhere to time and
Secondary Tasks / Activities
- Prioritize incoming authorization requests and/or queries according to urgency.
- Assess preauthorisation requests for GP visits specialist visits emergency room visits diagnostic procedures hospitalisation for illness and accident events including the appropriate facilities (day clinics subacute facilities home nursing and preferred providers)
- To check the reasons for authorisation and documentation received are appropriate and confirm if it according to set protocols guidelines formularies and preferred provider agreements. Based on protocols approved or decline. If the reason for authorisation is not defined in the protocols or guidelines escalate the case for clinical review
- Approve or decline benefits accurately according to the benefits per benefit option and strictly according to the protocols.
Other requirements
- Registered with SANC
- Call Centre experience
- Dispensing Certificate
Essential Qualifications
- Matric
- Nursing Diploma/Degree
Desirable Qualifications
- Dispensing Certificate
Essential Experience
- Experience in clinical evaluation of patients signs and symptoms
- IT system navigation
Desirable Experience
- Primary Healthcare
- Call Centre experience
- Dispensing Certificate
- Experience in issuing of scripts as per regulation
- Experience in issuing of sick notes as per regulation
Knowledge and Skills
- Extensive MS Office knowledge
- Strong written and verbal communication skills
- Good telephonic etiquette
- Good listening skills
- Strong administration skills
- Knowledge in Primary Healthcare
- Strong organisation skills
- Good time management skills
Attributes
- Holistic thinker
- Critical thinker
- Able to work under pressure
- Team player
- Compassionate
- Honest hardworking and humble
For more information please contact:
Angelique Hart
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نوع التوظيف
دوام كامل
المهارات المطلوبة
الإبلاغ عن هذه الوظيفة
إخلاء المسؤولية: د.جوب هو مجرد منصة تربط بين الباحثين عن عمل وأصحاب العمل. ننصح المتقدمين بإجراء بحث مستقل خاص بهم في أوراق اعتماد صاحب العمل المحتمل.
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