Registered Nurse | Affinity Health

Affinity Health Job Vacancies – Registered Nurse

A Medical Insurance Company in Benoni is seeking a Registered Nurse – General. The Registered Nurse will consult with Health members via relevant platforms to diagnose and provide treatment plans according to Primary Healthcare Guidelines and handle calls within Service Level Agreements.

Job Summary

Consult with Affinity Health members via relevant platforms to diagnose and provide treatment plans according to Primary Healthcare Guidelines. Ensure best clinical practice and quality care is provided to members. Handle calls within Service Level Agreements. Work under direct supervision of a Registered Nurse.

Key Performance Areas

• Determine appropriate treatment once diagnosed.
• Perform administrative duties.

Key Tasks

Determine appropriate treatment once diagnosed:

• Establish the member’s primary diagnosis based on signs and symptoms.
• Identify the most appropriate treatment plan according to Clinical Guidelines.
• Communicate correct benefits and product knowledge.
• Evaluate first-time resolution of members’ calls.
• Action cases sent to Medical Consultant within the service level agreement.
• Encourage appropriate OTC and Acute Medication Benefit utilization.
• Provide members with information and advice on prescribed over-the-counter medication.
• Educate members on potential side effects of medication.

Perform administrative duties:

• Improve areas identified by Quality Assurance.
• Continue ongoing Learning and Development to stay abreast of the healthcare industry.
• Capture accurate clinical records on the system.
• Provide effective communication to encourage and maintain behavioral.
• Issue Sick notes when clinically appropriate.
• Adhere to time and secondary tasks according to urgency.
• Assess pre-authorization requests for various medical visits and procedures.
• Approve or decline benefits accurately according to protocols.

Other requirements

• Registered with SANC.
• Call Centre experience.
• Dispensing Certificate.

When the job will be performed

24 hours according to shift roster.

Essential Qualifications

• Matric.
• Nursing Diploma.

Desirable Qualifications

• Dispensing Certificate.

Essential Experience

• Experience in clinical evaluation of patient signs and symptoms.
• IT system navigation.
• Hospital setting experience in OPD/Casualty (minimum 5 years).

Desirable Experience

• Primary Healthcare.
• Call Centre experience.
• Clinic PHC setting experience.

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 organization and time management skills.

Attributes

• Holistic thinker.
• Critical thinker.
• Able to work under pressure.
• Team player.
• Compassionate.
• Honest, hardworking, and humble.