Assistant Manager - Care Service Management at CIC Insurance

PURPOSE:

Responsible for coordinating care management activities for effective and efficiency service delivery to our customers at the service providers.

PRIMARY RESPONSIBILITIES:

• Liaise with the relevant medical practitioners for any overseas referrals;
• Coordinates and plans the care management team to ensure prompt service delivery to our customers;
• Coordinates and plan hospital visits to all clients admitted in the hospitals across the country, to assess the care given against the costs and the appropriateness of the care;
• Checks that authorization letters have been issued and sent to the hospital as per the agreed rates and promptly;
• Prepare and compile section reports on daily, weekly and monthly basis and forwards to the management.
• Review care reports to ensure that the treatment given is within the agreed Medical protocol.
• Ensure the call centre is manned 24 hours and that we are accessible to the customers and partners.
• Ensure customer concerns related to care access are reviewed and resolved in a timely and acceptable manner.
• Ensure the service access turnaround time is within the stipulated Service Level agreement.
• Ensure daily admissions reports are shared promptly to the relevant stake holders as per spelt out expectations.

GENERIC DUTIES

• Carry out performance appraisal, coaching and mentoring staff;
• Resource allocation, staffing and leave approval;
• Participate in planning and budgeting for the department;
• Participate in various meeting and committees.

PERSON SPECIFICATIONS

Academic Qualifications

• Bachelor’s degree in Nursing or in a related field

Professional Qualifications

• Kenya Registered Nursing (KRN) Diploma/Medical Diploma – Required

Experience

• Minimum of four (4) years’ relevant experience

Skills and Attributes

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

Closes: September 26, 2022