Care Manager at Avenue Healthcare

Job Objective/Purpose

To 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.
• Any other duty as assigned by the supervisor in line with the job description.

Personal Specifications

• A BScN in nursing and administrative training
• Kenya Registered Community Health Nurse or Kenya Registered
• Nurse / Midwife with 3 years’ experience and above or other relevant
• qualification
• Certificate in computer application skills from a recognized institution.
• Valid Kenyan nursing practice license.
• Updated BLS certificate
• 3 years proven experience as a care manager
• ln-depth knowledge of health and safety guidelines and procedures