Medical Care Manager

Job Closed!
Company:CIC Insurance
Category:Healthcare & Pharmaceutical
Job Type:Permanent
Location:Kenya

Job details

PRIMARY RESPONSIBILITIES:

  1. Monitor inpatient authorizations and admission undertakings;
  2. Monitor cost control, average length of stay on inpatient authorizations;
  3. Pre-authorize optical and scheduled cases;
  4. Coordinate medical care monthly Rota and duty allocation and ensure conformity to rota and assigned duties/coverage;
  5. Respond to client, provider and contact person queries on cases involving medical care management;
  6. Receive and respond to Medical emergency lines and ensure 24 hour coverage and
  7. Negotiate for discounts from doctors on specific cases and procedures as they arise.

GENERIC DUTIES

  1. Participate in planning and budgeting for the department.
  2. Support all Medical business events in both for internal events and those involving CIC Stakeholders and /or the general public;
  3. Participate in premium collection and renewal follow up for clients.

PERSON SPECIFICATIONS:

Academic Qualifications

  • Minimum of A Diploma in Nursing or Health System Management

Professional Qualifications

  • KRN/KRCHN

Experience

  • Up to three (3) years’ relevant experience in busy health environment
  • Experience in a health insurance environment will be an added advantage

Skills and Attributes

  • Problem solving skills;
  • Good analytical skills;
  • Computer literate in MS Office and other office applications;
  • Understanding of the working environment /competitors;
  • Technical competence in insurance;
  • Basic knowledge of regulations by AKI and IRA;
  • High emotional intelligence

 

 

Apply Here

Be the first to know about a job posting, subscribe SMS Alerts. »
Healthcare & Pharmaceutical CIC Insurance 4 weeks ago
JOB CATEGORIES