Clinical advisor jobs

To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: Provide clinical inputs on ex-gratia funding requests -Open, review and resolve all clinical queries and assessments through providing a clinical decision or requesting more information w...

To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: Provide clinical inputs on ex-gratia funding requests -Open, review and resolve all clinical queries and assessments through providing a clinical decision or requesting more information w...

Senior Medical Advisor - SandtonFull job description Business Unit: Discovery HealthFunction: ClinicalDate: 9 May 2024Discovery Care Senior Medical Advisor Gauteng About Discovery Discovery s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with...

Continence Advisor - DurbanFull job descriptionLocation:Durban, KZN, ZAJob Family: ConsumerCountry/Region: South AfricaThe roleThe clinical education and training of the Patients referred for Self-Intermittent catheterisation, in order to minimise the risk of UTI s.The nurse must establish a sound working relationship with the referring doctors in order to develop their confidence in the Coloplas...

Discovery CareSenior Medical Advisor GautengAbout DiscoveryDiscovery's core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, self-driven people to be their best. As global...

Senior Medical Advisor - SandtonFull job descriptionBusiness Unit: Discovery HealthFunction: ClinicalDate: 9 May 2024Discovery Care Senior Medical Advisor Gauteng About Discovery Discovery s core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with ...

A global leader in evidence-based weight loss - we're on a mission to bring healthier habits within reach for everyone! Our flagship Counterweight Plus programme, the intervention used in the groundbreaking diabetes remission clinical trial DiRECT, has revolutionised the treatment of type 2 diabetes worldwide. We pride ourselves on being an inclusive, friendly, and highly dedicated team. Our dyna...

Position Purpose:To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources.Experience:5 years experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working experie...

Position Purpose:To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources.Experience:5 years' experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working experi...

A global leader in evidence-based weight loss - we're on a mission to bring healthier habits within reach for everyone! Our flagship Counterweight Plus programme, the intervention used in the groundbreaking diabetes remission clinical trial DiRECT, has revolutionised the treatment of type 2 diabetes worldwide. We pride ourselves on being an inclusive, friendly, and highly dedicated team. Our dyna...

To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: Provide clinical inputs on ex-gratia funding requests Open, review and resolve all clinical queries and assessments through providing a clinical decision or requesting more information wh...

To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds Accountabilities Continuous improvement: Provide clinical inputs on ex-gratia funding requests Open, review and resolve all clinical queries and assessments through providing a clinical decision or requesting more information wh...

Position Purpose: To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources. Experience: 5 years' experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working exp...

To ensure that the scheme or organisation is protected from over-utilisation or inappropriate claiming by service providers that leads to abuse of member and scheme funds.Experience:8 years Managed Care experience preferred.Qualifications:Accountabilities:- Provide clinical inputs on ex-gratia funding requests - Open, review and resolve all clinical queries and assessments through providing a cli...

Position Purpose: To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources. Experience: 5 years experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working expe...

Position Purpose:To facilitate the setting of quality standards, policies, and procedures (clinical and non-clinical) for area. Ensure adherence to audit requirements, reporting and planning through evaluation, and coaching internal resources.Experience:5 years' experience in the Managed Care environment in pre-authorisation call centre/ hospital case management or hospital claims. Working experi...

Continence Advisor - SandtonFull job descriptionLocation:Sandton, ZAJob Family: ConsumerCountry/Region: South AfricaThe roleThe clinical education and training of the Patients referred for Self-Intermittent catheterisation, in order to minimise the risk of UtI s. The nurse must establish a sound working relationship with the referring Doctors in order to develop their confidence in the Coloplast ...

Clinical Psychologist - Adult Mental Health at Te Whatu Ora - Health New Zealand Southern, Southland Invercargill Community Mental Health teamSouthland HospitalSalary $83,708 - $120,691 and KiwisaverPermanent, full-time position (40 hours per week)Interested in a lifestyle changeAre the traffic jams and high cost of living in a big city getting too much?Ours is an innovative service, working with...

Clinical Psychologist - Adult Mental Health at Te Whatu Ora - Health New Zealand Southern, Southland Invercargill Community Mental Health team Southland Hospital Salary $83,708 - $120,691 and KiwisaverPermanent, full-time position (40 hours per week)Interested in a lifestyle changeAre the traffic jams and high cost of living in a big city getting too much?Ours is an innovative service, working wi...

Clinical Psychologist at Te Whatu Ora - Health New Zealand Southern, Otago Central Lakes - CAFMHS, QueenstownSalary band: $75,000 - $110,000 and KiwisaverWork in beautiful Central OtagoWant to continue your great work supporting young people and their families12 month fixed-term opportunity0.7FTE (28hours per week)About the teamWorking from the Queenstown base in Frankton in the heart of beautifu...

Manager: Disease Management - Randburg, South Africa - M&M Staffing SolutionsAccountable for the implementation of tactical work plans and formulate associated procedures to minimise the financial risk of the Scheme by implementing, maintaining, and improving the defined care programs with special emphasis on Medicine Management, Disease Management, and Ambulatory Care; providing clinical support...

Clinical Psychologist at Te Whatu Ora - Health New Zealand Southern, Otago Central Lakes - CAFMHS, Queenstown Salary band: $75,000 - $110,000 and Kiwisaver Work in beautiful Central OtagoWant to continue your great work supporting young people and their families12 month fixed-term opportunity0.7FTE (28hours per week)About the team Working from the Queenstown base in Frankton in the heart of beaut...

Doyou want to join us in helping to fight the world's most threatening diseasesand enabling access to care for more people around the world? At SiemensHealthineers, we pioneer breakthroughs in healthcare. For everyone. Everywhere.Weoffer you a flexible and dynamic environment with opportunities to go beyondyour comfort zone to grow personally and professionally. Sound interesting? Thencome and jo...

Clinical Research and Development Specialist: HBM Ref: CRS/BM/LM Salary: Market related Location: Pretoria Large Managed Care organisation seeks to employ a suitably qualified and experienced Professional Nurse or Pharmacist to join the HBM department. Key responsibilities: Draft detailed, option-specific funding guidelines for HBM that are compliant with the principles of evidence -based medicin...