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7 Jun 2022

Permanent PHC Registered Nurses Benoni Needed

National Risk Managers ( Affinity Health) – Posted by Jobland24 Benoni, Gauteng, South Africa

Job Description

PHC Registered Nurses Benoni Needed

Location: Benoni
Job Type: Permanent
Company/Employer: National Risk Managers ( Affinity Health)
Job Title: PHC Registered Nurses Benoni Needed


Vacancy Details

We are currently looking for Registered Nurses to consult with Affinity Health members via relevant platforms to diagnosis and provide treatment plans for members according to Primary Healthcare Guidelines.

Tasks:

Determine appropriate treatment once diagnosed:

  • Establish member’s 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 first time 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 team
  • Continue with ongoing Learning and Development to stay abreast
  • withhealthcare industrychanges
  • Capture of accurate clinical records on system
  • Provide effective communication to encourage and maintain behavioural change
  • Script to schedule 4, if and when clinically appropriate
  • Issue Sick notes if and when clinically appropriate
  • Adhere to time and attendance
  • Prioritize incoming authorization requests and/or queries according to urgency
  • Assess pre-authorisation requests for GP visits, specialist visits, emmergency room visits, diagnostic procedures, hospitalisation for illness and accident events, including the appropriate facilities (day clinics, sub-acute 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
  • Candidate Requirements

Essential Experience:

  • Primary Healthcare (trained experience and Qualification)
  • Experience in clinical evaluation of patients signs and symptom
  • IT system navigation
  • Call Centre experience (advantage)
  • Experience in issuing of scripts as per regulation (advantageous)
  • Experience in issuing of sick notes as per regulation (advantageous)
  • Prepared to work shifts

Essential Qualifications:

  • Diploma/Degree in nursing
  • Primary Healthcare
  • Registered with SANC
  • Dispensing Certificate (advantageous)

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

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