Job Vacancies 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.
• Conduct a regular review of the case process to identify gaps to enhance profitability as well as efficiency and effectiveness in the case management process.
• Enhance customer experience – establish and maintain good relationships with external and internal stakeholders such as underwriter’s, brokers, agents, and policy holders.
• Source, analyze and provide relevant information to the management for further decision making.
• Support development of a preventative care program through health talks, wellness, that is a key value proposition to the hospital business chronic disease management program.
• Prepare the business reports on a daily or weekly basis as and when need be.
• Ensure incidents are documented by respective staff and discussed with the head of department at all times.
• Attend inter-phasing departmental meetings and convene meetings every fortnight to identify gaps in care co-ordination in-order to improve services.
• Collaborate and co-ordinate with other departments, Consultants and other Clinicians to improve overall health service delivery in the department.
• Conduct continuous impact assessments and identified the most appropriate strategies to bridge established gaps in order to enhance efficiency in service delivery.
• Induction of new staff working in inter phasing departments as per the departmental/unit procedure manuals.
• Continuously improve on the hospital business NPS
• Any other duty as assigned by the supervisor in line with the job description.

Person Specification

• 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.
• Up to date BLS certificate
• 3 years proven experience as a care manager
• In-depth knowledge of health and safety guidelines and procedures
• Extensive knowledge of insurance policies
• Knowledge of legal regulations and best practices in healthcare
• Excellent knowledge of emergency care

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Main Purpose of the Job- (Job Summary

Ensure provision of high quality laboratory diagnostic services in the clinic/hospital as defined by Avenue Healthcare’s policies, protocols, procedures and standards. 

Key Responsibilities

• Maintain all laboratory equipment in good working condition.
• Timely and accurate billing of laboratory services. 
•  Stock management: 
  • Do daily/spot stock counts of lab supplies and report shortages to the Lab Superintendent. 
  • Proper storage of lab supplies.
• Ensure that Avenue corporate governance policies are adhered to. 
  • Prevent, detect and report any fraud or criminal activity
  • Fully implement audit recommendations and attain satisfactory ratings in subsequent audits, 
• Perform daily Internal Quality Control procedures as defined by Avenue Group SOPs.
• Follow laid down Lab Board approved rules for medical lab profession and adhere to Government and respective professional standards of care and treatment of patients.
• Timely response to emergencies. 
• Carry out tests based on outlined SOPs & policies.
• Record all sentinel incidents/events and report to the Laboratory Superintendent within 24 hours using the provided tools. 
• Record laboratory fridge temperature and ambient temperature and humidity twice daily and report any error to the Laboratory Superintendent.
• Escalate any issue pertaining quality to the Laboratory Superintendent.
• Infection control;
  • Maintain infection control standards when carrying out lab tests.
  • Observe proper disposal of medical waste
  • Equipment and other laboratory surfaces are properly disinfected with the right disinfectants
• Observe and practice high quality of service through effective communication, prompt feedback and escalation of any unresolved issues to the Laboratory Superintendent.     
• Maintain patient privacy and confidentiality at all times.
• Prevention of lab related errors by following the laid down policies and procedures on sample handling during pre-analytical, analytical and post-analytical phases of testing.

Person Specification

• Diploma in medical Laboratory science or any other related discipline. A degree in medical laboratory science is desirable.
• Minimum of 2 years of relevant working experience.
• A valid practicing license from medical laboratory technicians and technologist board in Kenya
• Excellent communication skills.
• Excellent interpersonal skills.
• Attention to detail.

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Job Objective/ Purpose:

Manage the reception professionally at all times and ensure that all visitors, patients and clients are accorded timely, professional and compassionate service.

Key Responsibilities:

• Welcoming and assisting patients with Registration, completing necessary forms and documentation, as well as ensuring that all information acquired is accurate and current.
• Processing admissions and clearing the patient on discharge.
• Communicating with insurance companies for pre authorization, and to verify coverage for services provided by the hospital.
• Ensuring that all the procedures / systems laid down for vetting and ensuring that all clients seeking treatment are followed for the various categories of clients i.e. Staff, GOP’s , AHC prepaid and credit/ insurance clients.
• Ensure that all incoming telephone calls are directed or transferred to the respective departments/ offices.
• Ensure client satisfaction through quality of service, communication, feedback, escalation and caring attitude, and demonstrate follow-up.
• Ensure that Avenue Healthcare corporate governance policies are adhered to, including preventing, detecting, and reporting any fraud or criminal activities, and Implementing audit recommendations.
• Ensure adequate knowledge of, and compliance to all Avenue Healthcare policies, procedures, and systems, especially policies pertaining to the provision of medical services and finance.
• Maintain patient privacy and confidentiality at all times.
• Any other duty as assigned by the supervisor.

Person Specification

• Diploma /Degree in Health Records and Management
• 2+ years’ experience in a similar role, preferably in a Hospital set-up
• Customer focus and results oriented
• Strong interpersonal skills, team playing abilities, and communication skills.
• Highly responsive, ethical and responsible