Clinical Consultant

Momentum Metropolitan Holdings Limited; Bellville; On-site; ZAR 300,000 - 500,000; Full time

Job summary

A leading healthcare firm in Western Cape, Bellville is seeking a Clinical Consultant to ensure optimal medical care and implement best practices. Candidates should possess a Bachelor of Nursing or equivalent and 3-5 years of nursing experience. This role involves providing clinical guidance and building relationships with healthcare providers. Applications are due by August 6, 2025.

Qualifications

• Matric or National Senior Certificate required.
• 3-5 years of experience as a registered nurse required.
• 2-3 years of experience in managed care or healthcare consulting preferred.

Responsibilities

• Ensure implementation of clinical best practices.
• Monitor cost-effective care through hospital utilization.
• Provide quality customer service to members.

Skills

Evidence-based clinical guidelines

Healthcare system knowledge

Quality improvement

Cultural competence

Education

Bachelor of Nursing Science or equivalent

Registration with South African Nursing Council

Job description

Job Title: Clinical Consultant

Job Location: Western Cape, Bellville

Deadline: August 31, 2025

Role Purpose

To ensure the implementation of best practices and optimal medical care for members through expert clinical guidance, collaboration with healthcare professionals, and continuous improvement initiatives.

Requirements

• Matric or National Senior Certificate
• A nursing degree (Bachelor of Nursing Science or equivalent) or National Diploma in Nursing
• Registration with the South African Nursing Council (SANC) for nursing professionals
• 3 - 5 years of experience as a registered nurse practitioner or equivalent
• 3 - 5 years of experience within the healthcare industry
• 2 - 3 years of experience within the managed care environment and/or healthcare consulting industry (advantageous)
• 3 years’ experience within theatre (advantageous)

Knowledge

• Evidence-based clinical guidelines, protocols, and best practices
• Medical conditions, diseases, and treatment modalities
• Healthcare system and regulations in South Africa
• Quality improvement, patient safety, and healthcare outcomes monitoring
• Adverse event reporting, risk management, and quality assurance
• Health information systems, EHRs, and healthcare technologies
• Ethical principles, confidentiality, informed consent, end-of-life care
• Research methodologies and evidence-based practice
• Cultural competence and sensitivity
• Guidelines and regulations on scheme rules and minimum benefits

Duties & Responsibilities

Process

• Maintain proactive communication with members and meet KPIs
• Streamline bin management and resolution processes
• Implement policies related to scheme benefits for consistency and clarity
• Monitor hospital benefits utilization for cost-effective care
• Apply benefit exclusions accurately per policy and regulation

Client

• Provide quality customer service and address inquiries promptly
• Build relationships with hospitals and providers for coordinated care

People

• Refer cases to case management for comprehensive care
• Support case management with clinical expertise

Finance

• Monitor healthcare utilization and costs
• Identify cost-saving opportunities and process improvements

Competencies

• Examining Information
• Resolving Conflict
• Upholding Standards
• Exploring Possibilities
• Team Working
• Taking Action
• Directing People
• Following Procedures

Note: The deadline for applications is August 6, 2025. This is a medical/healthcare position.