Nurse Consultant Call Centre Job – Johannesburg North | 3-Month Temp | Healthcare Insurance Careers

Watershed Consulting Vacancies, Call centre, Johannesburg, Temporary,

Three-month temporary nurse consultant call centre in Johannesburg North

Do you hold a current SANC registration and are you a qualified nurse? A leading healthcare insurance provider in Johannesburg North is seeking a motivated and experienced Nurse Consultant for a 3-month temporary contract in their call centre division.

Key Responsibilities:

• Deliver cost-effective managed healthcare services with a focus on quality patient care.
• Provide professional call centre assistance to members, resolving queries efficiently.
• Conduct clinical assessments and triage members to suitable care levels.
• Pre-authorise General Practitioner (GP) consultations through clinical evaluations.
• Refer members to network healthcare providers, including Intercare and Pharmacy Nurse Clinics.
• Implement clinical risk management strategies to ensure optimal outcomes.
• Audit GP claims for accurate ICD-10 coding compliance.
• Maintain adherence to Service Level Agreements (SLAs) and deliver high customer service standards.

Job Requirements:

• Matric Certificate is required.
• Registered as an Enrolled Nurse or Enrolled Nursing Auxiliary with the South African Nursing Council (SANC).
• Active and valid SANC registration.
• 2-3 years of experience in healthcare or managed care settings.
• Strong clinical and risk management knowledge.
• Understanding of South African Health Industry and regulatory environment.
• Knowledge of ICD codes, RPL tariff structures, and modifiers.
• Excellent communication and interpersonal skills.
• Professional and empathetic approach when dealing with members and clinicians.

If you meet the above criteria and are ready for a rewarding temporary role in healthcare insurance, apply now and make a difference in patient care.