M.P. Shah Hospital Care Manager Jobs in Kenya

M.P. Shah Hospital Care Manager Jobs in Kenya

M.P. Shah Hospital provides equal employment opportunities to all applicants without regard to race, religion, gender identity, disability, marital status or sexual orientation, or any other protected status in accordance with applicable laws of Kenya.

The Care Manager will facilitate transition of care planning with an interdisciplinary healthcare team to achieve quality outcomes, reduce costs and ensure patient safety.
Actively support Care Management plans and processes to measure, assess and improve quality, resource management, patient outcomes and Care Management metrics.


Responsibilities

• Implement strategies in collaboration with the healthcare team to reduce length of stay (LOS) and resource utilization, never compromising quality or outcomes.
• Ensure patients are in the appropriate level of care according to evidenced based, physician
approved criteria and standards and prescribed plan of care
• Ensure pre-authorizations for services are obtained in a timely manner
• Facilitate the discharge planning process to ensure patient throughput by collaborating with the healthcare team.
• Report to Care Management leadership, the identification avoidable days and other Care
Management measures including, but not limited, readmissions, saved days, core measure
monitoring, interventions, and delays, to ensure data is accurately collected.
• Prioritize patient’s need for Care Management services based on: target/high volume DiagnosisRelated Group, high cost, outlier, LOS, frequent inpatient admissions, unplanned readmission or significant variance.
• Identify risk factors for potential crisis intervention needs related to clinical diagnosis, prognosis and/or patient/family dynamics.
• Identify and report ethical situations to manager/medical director for resolution.
• Ensure the multidisciplinary discharge plan is consistent with the patient’s clinical course, continuing care needs and covered services. Evaluate on an ongoing basis the patient’s status and progress toward reaching goals set forth in the plan of care.
• Collaborates with patients, families and other members of the healthcare team to facilitate

care coordination.
• Handle all patient care concerns in a prompt and courteous manner; assess and direct to
appropriate person to deal with concerns as needed.
• Act as the liaison for insurance companies and other corporate clients and performing care
management functions to ensure accurate and timely dissemination of information to
insurances companies.
• Vetting and confirming validity medical reports & diagnostics prescribed in the hospital are accurate and reflective of what is required as per the patient’s ailment/condition and following up with the doctors/clinical staff in case of any discrepancies.

Requirements

Degree/ Diploma in Nursing or Clinical Medicine.
• Previous experience in an Insurance company / Extensive understanding of the concepts of health
insurance.
• Good interpersonal, communication and negotiation skills.
• Knowledge of computers and MS office operating programmes.
• Proven ability to build strong client relationships and maintain excellent customer focus.

How to Apply

Interested candidates are kindly encouraged to forward their CVs and application letters to
recruitment@mpshahhosp.org clearly indicating on the subject of the email the position applied for, on or before Saturday, 21st September 2019.

Please note that M P Shah Hospital does not charge a fee at any stage of the recruitment process (application, interview, pre-employment medical examinations or any other fees).Only shortlisted candidates will be contacted.

For more information and job application details, see; M.P. Shah Hospital Care Manager Jobs in Kenya

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