Professional Nurse (Medical Adjudication) Grade 1-3 at The Department of Employment and Labour

Company:

The Department of Employment and Labour

The Department of Employment and Labour

Industry: Government

Deadline: Not specified

Job Type: Full Time

Qualification: Bachelors, Higher National Certificate, National Certificate

Experience: 2 – 20 years

Province: Gauteng

City:

Field: Medical / Healthcare

REQUIREMENTS:  

  • Four (4) years’ degree (NQF7)/ three (3) years’ Diploma in Nursing (NQF6). Post Graduate Diploma (NQF8) in Occupational Health / Theatre Technique / Critical Care will be an advantage.
  •  Grade 1: 2-9 Years’ experience gained after registration, 
  • Grade 2: 10-19 Years’ experience gained after registration, 
  • Grade 3: 20 Years’ – above experience gained after registration.
  • Experience in trauma/emergency/internal medicine/general surgery/orthopaedics/theatre at the regional public hospital level or private hospital. Experience in medical claims processing/insurance environment will be an added advantage. Registration with the South African Nursing Council. 

DUTIES :   

  • Provide advice and recommendation in the acceptance of liability. Recommend the approval for medical accounts.
  • Provide medical advice on the processing of occupational injury claims. Determine PD (Permanent Disability) and TTD (Total Temporary Disability).
  • Assess medical accounts on occupational injury claims and OD medical accounts.

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