Job Description: Provide enhancement and management of a cost-effective Managed Health Care project with the objective of promoting rational utilisation of Hospital facilities and containing associated costs generated by these services. Job Responsibilities: Authorise appropriate and cost effective medical care and treatment. Educate and guide all members regarding health care and their benefits. Manage quality and cost of clinical and medical care by liaising with members and providers and manage the reduction of recurring costly events and medicine spend. Ensure the consistent and correct application of exclusions. Ensure discharge planning is done and arrange post hospital care where necessary. Develop, implement and communicate the practice and/or the clinical guidelines for cost effective care. Job Requirements: Registered Nurse with Degree or Diploma (General, Psychiatric and Midwife.) is essential Minimum of 3 years clinical experience Experience in private institutions would be advantageous Minimum 3 years' experience in managed health care industry is advantageous Current registration with SANC, on application is essential Matric