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Care Manager - Embu, Kenya - Imara Mediplus Hospital
3 days ago
Description
ABOUT THE COMPANY
The Imara Mediplus Hospital is a multi-specialty outpatient medical facility, attended by doctors and specialists, focused on providing holistic all inclusive care.
JOB SUMMARY
QUALIFICATIONS:Degree or Diploma in Kenya Registered Community nursing/Clinical medicine.Diploma in insurance.Minimum of three (3) years' experience in a clinical setting /busy health insurance environment with care Management.
RESPONSIBILITIES
Sending pre-authorizations of Scheduled and non- scheduled admissions within the set guidelines. Follow-up on third party system delays.Following up on pre-approvals sent to insurers and notifying patient's on progress.Updating medical reports and progress reports to the insurer.Liaise with doctors on the day-to-day management of patients and obtain medical reports.Ensure smooth admission and discharge process of patientsDaily reporting of pre-authorizations report shared to insurance companies.Any other duty as assigned by the supervisor in line with the job description
REQUIRED SKILLS
Following care plans, Measurement of vital signs, Medication and prescription administration, Nursing, Patient care, First aid, Medicine
REQUIRED EDUCATION
Bachelor's degree