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Ref No: HR 4/4/6/02
Salary (OSD)
- Grade 1: R324 384 – R382 107 per annum
- Grade 2: R396 132 – R466 623 per annum
- Grade 3: R476 367 – R610 662 per annum
Centre: Labour Centre, Modimolle
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Requirements
- Qualifications:
- Four (4) year degree (NQF7) / three (3) year Diploma in Nursing (NQF6).
- Postgraduate Diploma (NQF8) in Occupational Health, Theatre Technique, or Critical Care will be an added advantage.
- Experience:
- Grade 1: 2–9 years’ post-registration experience.
- Grade 2: 10–19 years’ post-registration experience.
- Grade 3: 20 years or more post-registration experience.
- Experience in trauma, emergency, internal medicine, general surgery, orthopaedics, or theatre at regional public/private hospital level.
- Experience in medical claims processing or insurance environment will be an advantage.
- Registration: Must be registered with the South African Nursing Council (SANC).
- Knowledge:
- Medical legislation, Medicines and Related Substances Act.
- Medical aid knowledge (case management).
- Occupational health knowledge.
- Compensation Fund objectives, policies, and processes.
- Relevant nursing legislation, ethical practices, and regulatory frameworks.
- Public Service Act, Public Service Regulations, PFMA, National Treasury Regulations.
- Health Professions Act, Health Act, OHS Act, COIDA Act, regulations, and tariffs.
- Skills:
- Post claims management and settlement.
- Claims handling and settlement management.
- Medical policy management, clinical excellence, and advisory.
- Project management and planning.
- Information analysis and interpretation.
- Digital acumen and medical IT systems.
- Clinical coding, quality assurance, research, and benchmarking.
Duties
- Provide advice and recommendations regarding acceptance of liability.
- Recommend approval for medical accounts.
- Provide medical advice on the processing of occupational injury claims.
- Determine Permanent Disability (PD) and Total Temporary Disability (TTD).
- Assess medical accounts on occupational injury claims and occupational disease accounts.
Enquiries
Contact Person: Mr. M.I. Makgobola
Tel No: (015) 290 1723
Applications
Submit applications to:
Chief Director: Provincial Operations
Private Bag X9368, Polokwane, 0700
Hand delivery: 42a Schoeman Street, Polokwane
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Email: JobMOD@labour.gov.za