Job Openings at The Nairobi Hospital

REF: TNH/HRD/CM/03/2023

Reporting to Director Strategy & Innovation, the successful applicant will be the liaison person for patients and the Hospital. The role will be key in ensuring the process of patient care is of high quality, efficient and cost effective resulting in positive health outcomes throughout the patients’ journey.

ROLES AND RESPONSIBILITIES

• Enhancing and maintaining good relationship with corporate clients to increase and sustain business.
• Identifying gaps in service delivery and give feedback to management towards effective & efficient service delivery.
• Monitoring, evaluating, and ensuring smooth referral handling from corporates and admitting doctors.
• Coordinate smooth execution of corporate operational guidelines to ensure effective service delivery and enhancing good corporate relationship.
• Minimizing bad debt by advising patients on alternate levels of care facilities and by ensuring proper bill allocation has been done.
• Verifying itemized bills – daily and assessing coverage with health insurers to ascertain that the patient is appropriately billed, resulting in satisfied corporates and facilitating the discharge process of patients.
• Coordinating with the corporate Patient Progression Managers and ensuring that they promptly respond to the hospital on all queries/requests/preauthorization, to eliminate financial declines/exhaustion of insurance cover.
• Working with the marketing team towards obtaining market intelligence and being abreast with the changes occurring in the environment affecting the Hospital’s competitive position.
• Managing the institution’s admission and discharge process and overall bed management.
• Monitor patients’ turnaround time and apply corrective measures.
• Any other responsibilities that may be assigned to the job holder by the supervisor from time to time.

EDUCATION SKILLS AND EXPERIENCE

• Bachelor of Science Degree in Nursing (B.Sc.) or related field.
• 5 years’ experience working in busy hospital or claims management.
• Minimum 2 years’ experience in care coordination.
• Knowledge of insurance regulatory requirements and concepts.
• Knowledge of case management process and procedures.
• Professional qualification ACII/COP is an added advantage.
• Excellent communication and interpersonal skills, with a strong leadership aptitude.
• Awareness and sensitivity to diversity of culture, with excellent critical thinking and analytical skills.

CORE COMPETENCIES

• Leadership skills
• Drive and openness to learning
• Time management skills
• Interpersonal skills
• Patient care skills
• Basic counselling skills
• Effective decision making and judgement skills
• Research skills
• Analytical skills
• Attention to detail
• Planning and organizing skills
• Communication skills including presentation and facilitation skills
• Team working skills
• Accountability
• Integrity
• Confidentiality

go to method of application »

REF: TNH/HRD/DAO/03/2023

Reporting to the Head of ICT, the successful candidate will ensure the Hospital leverages and capitalizes on big data and its various applications to improve and drive the quality of health care and patient experience in line with the Hospital's objectives.

ROLES AND RESPONSIBILITIES

• Apply knowledge of data, data structure and analytical tools to research or identify trends, expenditures, and utilization of patients' healthcare needs.
• Respond to requests for data by determining user's needs, collecting, organizing, and analyzing data, and providing accurate and complete reports and information. Gather and interpret data from a variety of sources such as billing claims, cost reports, and patient satisfaction surveys to help the Hospital to improve the quality of care, lower the cost of care, and enhance the patient experience.
• Identify, develop and implement methods and techniques for improving reporting efficiency for in the department.
• Check and audit various data sources to ensure data adheres to data governance and maintenance policies.
• Maintain and apply knowledge of current trends, practices and developments in the health care sector.
• Educate and assist in problem solving to promote the implementation of the health care initiatives and research.
• Suggest ways to both increase healthcare quality and reduce costs.
• Contribute to data integrity, governance, and data structure standards and policies. Ensure compliance with all HIPAA, Confidentiality and Privacy laws.
• Any other responsibilities that may be assigned to the job holder by the supervisor from time to time.

EDUCATION AND EXPERIENCE

• Bachelor of Science degree in Computer Science, Software Engineering Health Informatics, Actuarial Science, Statistics, or Mathematics or any other related field from a recognized institution.
• Minimum of 3 years' IT experience preferably in data analytics.

CORE COMPETENCIES

• Knowledge of SQL-Server, including stored procedures, table definitions and queries.
• Good understanding of the Hospital's claims processing, rules, and regulations.
• Knowledge of Enterprise Data Warehouse (EDW), data management systems, and knowledge of Extract, Transform, and Load (ETL) frameworks.
• Ability to work effectively with key stakeholders on complex cross-team or work group projects.
• Ability to apply discretion and judgment in discussing confidential information and demonstrate the ability to change direction in response to changing work situations. Excellent problem-solving skills and a keen eye for details to carefully assess and accommodate detailed data requirements.
• Proficient with Microsoft Office tools, especially PowerPoint, Excel, Access, and Word for data analysis and presentation.
• Ability to analyze, explain, and draw logical conclusions based on complex data from multiple content areas.
• Ability to clearly articulate ideas and concepts both verbally and in writing.
• Must be organized, able to prioritize tasks, and work effectively on multiple assignments.
• High-level interpersonal and cross-cultural skills, including ability to build consensus, alliances, and collaborative relationships with sensitivity to diversity/ inclusion.
• Creativity and innovation skills, with ability to use technology and other modern tools to drive decision making and implementation.
• Professionalism and integrity in line with the Hospital values.
• High-level oral and written communication skills.
• Critical and analytical thinking and problem-solving skills.
• Personal motivation and drive exhibited through commitment to hard work, continuous improvement, and achievement of goals.