Position: Clinical Pre- Authorization Agent

Location: Centurion, Gauteng

Position Purpose: To ensure the accurate issuing of appropriate pre-authorisations that meets the requirements of clinical appropriateness, medical necessity and clinical risk management

Experience: A minimum of 2-3 years’ experience in a Managed Healthcare will be advanteagous..

Qualifications: A formal nursing qualification and registration/enrolment with SANC or a formal healthcare professional qualification (Registered / Enrolled Nurse). (MANDATORY REQUIREMENT )

KEY PERFORMANCE AREAS

• Advice on best practice health risk solutions to relevant parties
• Application of clinical intervention principles
• Advise on best practice health risk solutions to
• Excellent understanding of Call Centre technology
• Application of financial and risk assessment methodology
• Aut...