Minet Kenya Care Manager – Healthcare Jobs in Kenya

Minet Kenya Care Manager – Healthcare 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

Case management & pre-authorization

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

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 reports

Any other duty as may be assigned by the supervisor

Key Competencies

Knowledge And Skills Required

Clinical /medical background & knowledge

Data analytics & computer literacy

Flexibility

Teamwork

Time Management

Excellent verbal and written communication skills

Solution oriented

Professional and Academic Qualifications

The job holder must possess:

Diploma in nursing or clinical medicine

B.Sc. health systems management will be an added advantage

Two (2)years’ experience in health insurance operations

How to Apply

For more information and job application details, see; Minet Kenya Care Manager – Healthcare Jobs in Kenya

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