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  • Posted: Feb 11, 2020
    Deadline: Feb 18, 2020
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    PPS has more than 200 000 members who enjoy access to a comprehensive suite of financial and healthcare products that are specifically tailored to meet the needs of graduate professionals. PPS is the largest South African company of its kind that still embraces an ethos of mutuality, which means that it exists solely for the benefit of its members. Thus, ...
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    Registered Nurse

    THE IDEAL CANDIDATE SHOULD HAVE:

    • A minimum of Grade 12
    • A Registered Nursing qualification.  
    • Intensive Nursing Science & Operating Theatre Techniques qualification will be an added advantage.
    • Previous exposure in Renal Dialysis, Oncology and/or Psychiatric environment would be most preferred
    • Exposure to Theatre and/or ICU in a private hospital will be an added advantage.
    • Sound knowledge of the Coding Systems: ICD10 & CPT4 Principles and sound knowledge of the Medical Aid Industry, Rules & Regulations, ISO and other related legislation
    • Previous exposure in a Managed Healthcare Call Centre
    • Excellent business writing & communication skills with exceptional telephone etiquette
    • Must have strong organisational awareness in order to anticipate the impact of actions on other groups.
    • Time Management & good administration skills
    • Effective conflict resolution skills and the ability to work under pressure
    • Must be a strong team player and results driven
    • Computer literacy (MS Office and Medical Administration system) 

    KEY RESPONSIBILITIES INCLUDE:

    • Ensuring successful & smooth Pre-Authorisation and case management process telephonically in a call centre environment, on email and online chat.
    • Ensure adherence to Scheme Rules on all Hospital Authorisations and clinical updates
    • Ensure correct allocation of facilities for our Members
    • Effective handling of Internal/External Clinical Queries Communicate with members and service providers in order to address hospital utilisation matters 
    • Assist with Health Risk Management Monitoring & Management of hospital re-admissions
    • Compile & submit detailed reports to the Scheme on costs and patient’s progress

    Closing date: 18 February 2020

    Method of Application

    • A covering letter accompanied by a comprehensive CV should be submitted electronically to [email protected]. Please quote the reference number PR0107 in the subject heading.
    • If you do not hear from us after 72 hours after the closing date, then please consider your application as being unsuccessful. 
    • All enquiries should be referred to [email protected]
    Interested and qualified? Go to PPS on www.linkedin.com to apply

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