Dental Pre-Authorisation Nurse

The Dental Pre-Authorisation Nurse is responsible for dental utilisation management, clinical review, education/training, and coordination of care between the medical aid fund, members, healthcare providers, and the broader healthcare network. The role ensures that dental treatments are clinically appropriate, cost-effective, and aligned with fund rules and clinical protocols.Duties and Responsibilities

• Verify Eligibility: Confirm cover using membership files and scheme rules.
• Assess Claims: Authorise dental treatment based on clinical guidelines and benefits.
• Provider Liaison: Communicate authorised treatments, benefits, and Namibian Dollar values to providers.
• Data Entry: Capture and update member clinical and demographic details on internal systems.
• Case Preparation: Prepare summaries and present complex cases to the Dental Advisor.
• Reporting: Provide clinical input and compile reports as needed.
• Special Projects: Complete departmental assignments and special projects.

• Industry Experience: 3 – 5 years in a medical scheme or managed care call centre.
• Clinical Background: Dental Nursing qualification and clinical experience is an advantage.
• Communication: Strong verbal and written communication skills.
• Service Focus: Excellent customer service and customer-friendly problem-solving skills.
• Local Knowledge: Working knowledge of the Namibian healthcare system and funding models.

Core Requirements

• Language: Fluent in English (read, write, speak). Additional languages are an advantage.
• Registration: Current and continued registration with the HPCNA.
• Logistics: Based in Namibia, own transport is essential, and willing to work long hours if needed.
• Tech Skills: Proficient in MS Office (Word, Excel, Outlook) and medical administration systems.

Closing date: 10 July 2026