Integrated Care Pre-Authorisation Consultant

Core Purpose

At Medihelp, we live our values daily excellence, compassion, collaboration, and transparency to make a real difference in the lives of our members. Were looking for someone who lives these values through their mindset, work ethic, and interactions with others.

The core purpose of the role is to ensure that all applications for pre-authorisation justify clinical intervention and are finalized fairly, effectively and in full and to deliver exceptional client services.

Requirements

Grade 12, with a completed degree/diploma as a Registered nurse or a certificate as an Enrolled Nurse

Two years of relevant experience

Must be registered with the SANC

Key Competencies

Good verbal and written communication skills with a good understanding of spoken and written Afrikaans communication

Computer literate

Customer focus

Good negotiation and decision-making skills

Comprehensive knowledge of the Medical Scheme Act

Willing to be multi-skilled in other sections within managed care

Join a team where our values guide everything we do from how we work together to how we serve our members.