Care Manager

Care Manager - Avenue Healthcare

Date Posted: Aug 09, 2023

Job Detail

Location:

Kisumu, Nyanza, Kenya
Company:

Avenue Healthcare
Type:

Full Time/Permanent
Shift:

First Shift (Day)
Positions:

1
Experience:

3 Years
Gender:

No Preference
Degree:

Bachelors
Apply Before:

Aug 18, 2023
Days Remaining:

-1148

Email to Friend Add to Favourite Report Abuse

Facebook Twitter Linkedin Whatsapp

Job Description

Job Objective/Purpose

Monitor ongoing quality, productivity, efficiency and cost effectiveness of services and liaison person with third party payers.

Key Responsibilities

Conducts daily in patient rounds of the specific scheme beneficiaries admitted in the hospital. To ensure timely and appropriate admission, diagnosis, and treatment, care of patients and advise the hospital and the corporate accordingly.
Ensure only authentic pre-authorizations are issued for clients seeking medical services in collaboration with the clinical medical team.
Draw monthly reports for specific corporate clients inclusive of trends,analysis, market intelligence for improved business development
Liaise daily with other concerned units especially credit control and clinical department to seek amicable solutions to problems related to our billing and invoicing system.
Conduct a regular review of the case process to identify gaps to enhance profitability as well as efficiency and effectiveness in the case management process.
Enhance customer experience – establish and maintain good relationships with external and internal stakeholders such as underwriter’s, brokers, agents, and policy holders.
Source, analyze and provide relevant information to the management for further decision making.
Support development of a preventative care program through health talks, wellness, that is a key value proposition to the hospital business chronic disease management program.
Prepare the business reports on a daily or weekly basis as and when need be.
Ensure incidents are documented by respective staff and discussed with the head of department at all times.
Attend inter-phasing departmental meetings and convene meetings every fortnight to identify gaps in care co-ordination in-order to improve services.
Collaborate and co-ordinate with other departments, Consultants and other Clinicians to improve overall health service delivery in the department.
Conduct continuous impact assessments and identified the most appropriate strategies to bridge established gaps in order to enhance efficiency in service delivery.
Induction of new staff working in inter phasing departments as per the departmental/unit procedure manuals.
Continuously improve on the hospital business NPS
Any other duty as assigned by the supervisor in line with the job description.
Personal Specifications

• A BScN in nursing and administrative training

• Valid Kenyan nursing practice license.

• 3 years proven experience as a care manager.

• In-depth knowledge of health and safety guidelines and procedures

• Extensive knowledge of insurance policies

• Knowledge of legal regulations and best practices in healthcare

• Excellent knowledge of emergency care

• Excellent interpersonal and communication skills

• Attention to detail

• Result oriented and ethical

To Apply:
https://careers.avenuehealthcare.com/careerviewer.php?jobid=53

Benefits

Confidential.

Job is expired

Company Overview

Avenue Healthcare

Nairobi, Nairobi, Kenya

0 Current Jobs Openings

Avenue Healthcare is one of the leading private healthcare groups in East Africa running 3 Hospitals, and 13 clinics across Kenya, and a Homecare business. With over 25 years in the healthcare industry, Avenue Healthcare runs 300 hospital beds with o... Read More

Job Detail

Care Manager - Avenue Healthcare

Job Detail

Share:

Job Description

Job Objective/Purpose

Key Responsibilities

Personal Specifications

Benefits

Company Overview

Related Jobs

Google Map

Quick Links

Jobs By Functional Area

Jobs By Industry

Contact Us