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Care Manager at
1 day ago
Avenue Healthcare Nairobi, Kenya Full timeAvenue Hospital was founded in 1995 for the purpose of managing the outpatient department at the Hospital, and to extend medical services to corporate clientele through an innovative concept of Managed Healthcare. · Mission: · To provide high-quality care that exceeds our clients ...
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Care Manager at
6 days ago
Imara Mediplus Medical Centre Nairobi, Kenya Full timeThe Imara Mediplus Centre is a multi-specialty outpatient medical facility, attended by doctors and specialists, focused on providing holistic all inclusive care.We create better lives, by providing access to world-class healthcare services with compassion. · JOB SUMMARY: · The C ...
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Care Management Assistant at
6 days ago
Britam Nairobi, Kenya Full timeBritam is a leading diversified financial services group, listed on the Nairobi Securities Exchange. The group has interests across the Eastern and Southern Africa region, with operations in Kenya, Uganda, Tanzania, Rwanda, South Sudan, Mozambique and Malawi. · Job Purpose: · Re ...
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Assistant Consultant, Care Management at
5 days ago
Zamara Kenya Nairobi, Kenya Full timeZamara is a financial services firm that primarily offers Actuarial Services, Pensions Administration and Consulting and Insurance Brokerage Services. Zamara has been in the Kenyan Market for over 23 years, initially operating as Hymans Robertson and more recently as Alexander Fo ...
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Manager - Critical Care & Renal Services at
1 week ago
Aga Khan University Hospital Nairobi, Kenya Full timeThe Aga Khan Academy Nairobi is operated by Aga Khan Education Service Kenya (AKESK), a non-profit organization, with close to a hundred years' experience operating schools in Kenya · The position · The Aga Khan Hospital, Kisumu is an institution of the Aga Khan Health Service, K ...
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Chronic Care Lead Nurse at
2 days ago
Avenue Healthcare Nairobi, Kenya Full timeAvenue Hospital was founded in 1995 for the purpose of managing the outpatient department at the Hospital, and to extend medical services to corporate clientele through an innovative concept of Managed Healthcare. · Job Objective/Purpose · The Chronic Care Lead Nurse performs car ...
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County Director
3 days ago
CARE International Nairobi, Kenya Full timeABOUT THE COMPANY · CARE is a global leader within a worldwide movement dedicated to ending poverty. · JOB SUMMARY · QualificationsEducation: A bachelor's degree in a related field. Master's degree preferred.Experience: Minimum of 10 years of experience in international developme ...
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County Director
4 days ago
CARE , Nairobi, Kenya , Full timeYour Role: As Country Director, you will play a pivotal role in shaping the direction and impact of CARE's work in Kenya. Your responsibilities will include: · Strategic Leadership: Designing and implementing organizational change processes to align with the CARE 2030 vision and ...
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Clinical Nurse, Medical Surgical Units at
3 days ago
Aga Khan University Hospital Nairobi, Kenya Full timeAga Khan University Hospitals in Karachi, Pakistan and Nairobi, Kenya are private, not-for-profit institutions providing high quality health care. The Main Hospitals serve as the principal sites for clinical training for the University's Medical Colleges and Schools of Nursing an ...
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Medical Specialist II
5 days ago
Kenyatta National Hospital Nairobi, Kenya Full timeKNH has turned 115 years and it had its Centenary Celebration in 2001. The Hospital was built to fulfill the role of being a National Referral and Teaching Hospital, as well as to provide medical research environment · Job Purpose · The Medical Specialists (Paediatric Surgery) ar ...
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Medical Officer at
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International Rescue Committee (IRC) Nairobi, Kenya Full timeThe International Rescue Committee is a global humanitarian aid, relief and development nongovernmental organization. · Key Responsibilities · Program management. · Ensure all patients are attended to daily in the hospital. · Ensure the hospital is running effectively in all the ...
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Regional Change
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CARE Nairobi, Kenya Full timeCARE International is a major humanitarian agency delivering emergency relief and long-term international development projects. · Job Summary · The Regional Change & Deployment Manager for East & Central Africa (ECA) and Southern Africa (SA) Regions is a role sitting within the T ...
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Unit Manager
4 days ago
The Mater Hospital Nairobi, Kenya Full timeABOUT THE COMPANY · The Mater Hospital has the mission to deliver timely and compassionate medical services to our patients and their families to the highest possible standard through the provision of qualified staff, the most appropriate equipment and staff training programmes. ...
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Human Resource Manager
4 days ago
CARE International Nairobi, Kenya Full timeABOUT THE COMPANY · CARE is a global leader within a worldwide movement dedicated to ending poverty. · JOB SUMMARY · Under the guidance and supervision of the Country Director, the Human Resources Manager is responsible for the formulation and transparent implementation of HR str ...
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Branch Manager
3 days ago
Jacaranda Maternity Nairobi, Kenya Full timeABOUT THE COMPANY · An NHIF accredited provider for maternity and gynecological procedures, we provide high quality, affordable, client-centric, respectful maternal & child health care, pediatric, gynecology, and family care assistance at our family care medical centre in Nairobi ...
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Deputy Chief Medical Officer
6 days ago
M.P Shah Hospital Nairobi, Kenya Full timeABOUT THE COMPANY · M.P. Shah Hospital is a Social Service league Hospital which has been in existence for the last 83 years, as a 'not for profit' organization. The Hospital has one single social objective of providing quality, affordable health care services to the community at ...
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Medical Specialist II
6 days ago
Kenyatta National Hospital Nairobi, Kenya Full timeKNH has turned 115 years and it had its Centenary Celebration in 2001. The Hospital was built to fulfill the role of being a National Referral and Teaching Hospital, as well as to provide medical research environment · Job purpose · The Medical Specialists (Radiology) are respons ...
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Duty Manager
5 days ago
Avenue Healthcare Nairobi, Kenya Full timeABOUT THE COMPANY · Avenue Hospital was founded in 1995 for the purpose of managing the outpatient department at the Hospital, and to extend medical services to corporate clientele through an innovative concept of Managed Healthcare. · Our Purpose · Our purpose is to maintain and ...
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Unity Manager
5 days ago
Avenue Healthcare Nairobi, Kenya Full timeABOUT THE COMPANY · Avenue Hospital was founded in 1995 for the purpose of managing the outpatient department at the Hospital, and to extend medical services to corporate clientele through an innovative concept of Managed Healthcare. · Our Purpose · Our purpose is to maintain and ...
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Unit Manager at
4 days ago
Mater Hospital Nairobi, Kenya Full timeThe Mater Hospital was opened in 1962 by the Sisters of Mercy, a Catholic Order of Nuns originating from Ireland, three years after registering themselves as the Registered Trustees of an entity under the Perpetual Succession Act (the succeeding legislation after independence). · ...
Care Manager at - Nairobi, Kenya - Avenue Healthcare
Description
Avenue Hospital was founded in 1995 for the purpose of managing the outpatient department at the Hospital, and to extend medical services to corporate clientele through an innovative concept of Managed Healthcare.
Job Objective/PurposeEnsure efficient and cost effective patient services as the case manager in liaison with third party payers, and ensure accurate and complete billing of patient services in accordance with the Hospital's policies and procedures.
Key ResponsibilitiesConducts daily inpatient rounds of the specific schemebeneficiaries admitted in the hospital while ensuring timelyand appropriate admission, diagnosis, and care of patientsand advise the hospital and the corporate accordingly.
Ensure only authentic pre-authorizations are issued forclients seeking medical services in collaboration with theclinical team.Draw monthly reports for specific corporate clients inclusiveof trends, analysis, market intelligence for improvedbusiness development.
Liaise daily with other concerned units especially creditcontrol and clinical department to seek amicable solutions toproblems related to our billing and invoicing system.
Respond to inquiries concerning billing activities frompatients, insurance companies, consultants or colleagues ina professional and efficient manner.Conduct a regular review of the case process to identify gapsto enhance profitability as well as efficiency andeffectiveness in the case management process.
Enhance customer experience – establish and maintain goodrelationships with external and internal stakeholders such asunderwriter's, brokers, agents, and policy holders.
Conduct review of patients' billing statements and alldischarged patients' bills for accuracy and completenessprior to finalization of the invoices.
Provide billing information by collecting, analyzing, andsummarizing third-party billings, accounts pending, andlate charges data and trends.Prepare billing statements for insurance companies,patients and other third parties.
Participate in audits, service evaluations and processreviews to enhance the delivery of billing service tocustomers/stakeholders.
Ensure that Avenue Healthcare corporate governancepolicies are adhered to, including preventing, detecting,and reporting any fraud or criminal activities, andImplementing audit recommendations.
Ensure adequate knowledge of, and compliance to allAvenue Healthcare policies, procedures, and systems,especially policies pertaining to the provision of medicalservices and finance.
Personal SpecificationsDiploma in Nursing (KRCHN) and a valid Nursing License from NCK
Finance, Accounting or Insurance Professional qualification
Minimum of - 4 years' experience in a similar role
Customer focus and results oriented
Strong interpersonal skills, team playing abilities, and communication skills.
Highly responsive, ethical and responsible