ROLE SUMMARY We are seeking a professional and experienced Nurse to join our team.
The purpose of this role is to provide medical expertise and to contribute towards the successful delivery of the Company's service output. The employee will do this by performing tasks and assuming responsibilities which may include hospital pre-authorization and claims, international patient case management and medical repatriations, providing medical advice and counselling services.
If you are passionate about healthcare, possess strong administrative and communication skills, and thrive in a dynamic and collaborative environment, we encourage you to apply for this exciting opportunity.
Able to work standby shifts. QUALIFICATIONS Minimum: Grade 12 Registration with Nursing Council (SANC) Nursing Diploma (General / Midwifery) Advantageous: Nursing Diploma specialising in Community Nursing and Psychiatry EXPERIENCE Minimum of 3 years' working experience in relevant field Call center experience will be an advantage SKILLS & KNOWLEDGE Strong clinical background Excellent telephonic and written communication skills Multilingual Proficiency in Microsoft Office suite Knowledge of local medical aid and medical insurance and international patient case management principles and healthcare management Short-Term Insurance principles and workings RESPONSIBILITIES Operational Provide compassionate, caring and friendly care and guidance to clients. Assist with GP, emergency and hospital pre-authorization and claims. Provide health advisory services according to prescribed protocols. Provide counselling services according to prescribed protocols. Coordinate international case management, medical repatriations and the repatriation of mortal remains. Adjudicate cases as per product benefits, limits and conditions. Maintain detailed and accurate records of client interactions, appointments, and treatment outcomes. Assist and support medical team members. Liaise with Corporate clients. Attend and participate in client wellness days. Compile and present reports. COMPETENCIES Showing Composure: Remains calm and does not get anxious before or during important events. Works well under pressure. Examining Information: Analyses and processes information very effectively when solving problems. Very curious and good at asking probing questions. Conveying Self Confidence: Self-confident and positive about themselves. Strong sense of own worth and feels in control of their future. Documenting Facts: Communicates well in writing, readily understands the logic behind an argument and will ensure that all the relevant facts are taken into consideration. Checking Things: Very thorough and even perfectionistic, ensures that things are done properly, delivering high quality work with great attention to detail. Producing Output: Works at a fast pace, works well when busy and copes well with multi-tasking. Managing Tasks: Very effective at planning and organizing, identifies clear priorities and milestones. Articulating Information: Is articulate in giving presentations; is eloquent and explains things well; projects social confidence when articulating information. Following Procedure: Extremely rule-following, procedural and risk averse. Understanding People: Good at listening and understanding how others are feeling and why people behave as they do. Is attentive and understands what motivates others.
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