GRADE 1-3 REF NO: HR 4/4/6/02
SALARY : Grade 1: R324 384 – R382 107 per annum, (OSD)
Grade 2: R396 132 – R466 623 per annum, (OSD)
Grade 3: R476 367 – R610 662 per annum, (OSD)
CENTRE : Labour Centre, Modimolle
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. Knowledge: Medical
related Legislation, Medicines and related Substances Act, Medical aid
knowledge (case management), Occupation Health knowledge, Regulatory
LKnowledge & Implementation, Del and Compensation Fund objectives and
business functions, Nursing legislations and related legal as well ethical
nursing practices, Compensation Fund policies, procedures and processes,
Stakeholders and customers, Customer Service (Batho Pele Principles), Fund
Values, Occupational Health and Safety Act (OHS), COIDA Act, Regulations
and Policies, COIDA tariffs, Technical Knowledge, PFMA and National
Treasury Regulations, General knowledge of the Public Service Regulations,
Public Service Act, Health Professions Act, Health Act. Skills: Post claims
management and settlement, Claims handling, Claims settlement
management, Medical Policy Management, Clinical Excellence and Advisory,
Project Management and Planning, Information Analysis and Interpretation,
Digital Acumen/Medical Systems (IT Systems Control Designs), Clinical
Coding, Quality Assurance and Improvement, Research and Benchmarking.
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.
ENQUIRIES : Mr MI Makgobola Tel No: (015) 290 1723
APPLICATIONS : Chief Director: Provincial Operations: Private Bag X9368, Polokwane, 0700 Or hand deliver at 42a Schoeman Street, Polokwane
