Minet Kenya Assistant Manager, Case Management Jobs in Kenya

Minet Kenya Assistant Manager, Case Management Jobs in Kenya

Purpose for the Job

The main purpose for the job is to ensure that Minet clients receive quality healthcare at the most reasonable cost, enhance customer experience and offer clinical support to the business.

Duties and Responsiblities

Supervise and support pre-authorization and care management functions to ensure accurate decisions on levels of care and appropriate treatment to patients

Ensure timely adjudication and issuance of approval letters as per policy guidelines

Ensure that all admitted patients are visited and case management process is compliant to ISD protocol

Management of Special Cases & Arbitration

Management of ACOS & ALOS

Manage local and abroad evacuations

Cost containment

Enforcement of rates

Discount negotiations

Client advisory

Step down management,

Discharge planning,

Homecare management

Call Centre Management - Effective management of the 24-hour call centre

Ensure seamless access to care

Professional, accurate and timely responses to clients.

Attend to customer feedback/complaints

Timely escalation and reporting of any incidences

Maintain desired call drop rate

Enhance Customer Experience

Establish and maintain good relationships with internal and external stakeholders such as health care service providers, insurers, contracted providers etc.

Referral to CDM Programs - process

management

Preparation of relevant management/ business reports

Provide direction, coaching, mentorship and motivation to the direct reports and their team members

Any other duty as may be assigned by the supervisor

Key Competencies

Knowledge And Skills Required

Clinical /medical background & knowledge

Data analytics & computer literacy

Time management

Excellent verbal and written communication skills

Solution oriented

5 years of experience in health insurance operations 3 of which must be in a managerial role

Professional and Academic Qualifications

The job holder must possess:

BSc. Nursing , Clinical Medicine, B.Sc. Health systems management

Professional qualification in insurance will be an added advantage

How to Apply

For more information and job application details, see; Minet Kenya Assistant Manager, Case Management Jobs in Kenya

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