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Care Officer Job in Nairobi, Kenya

Our client a hospital in Nairobi is seeking to Care Officer urgently.

Main Purpose of the Job (Overall):
 To provide clinical care to the capitation clients as part of a multidisciplinary care process leading to desired patient care outcomes, service standards, and best practice standards.

Key Roles: The Care Officer will be responsible for day-to-day liaison with the Company’s capitation clients by implementing quality standards and ensuring that all services meet the clients’ needs and expectations.

Duties:

  • Participate in the formulation, dissemination and implementation of capitation services
  • Enroll and maintain an up-to-date database of all capitation clients
  • Handle all communications to capitation clients whether through telephone, e-mail, letters and face-to-face
  • Resolve any issues raised by clients in a timely manner which include communicating on held / declined claims
  • Liaise with other officers in customer care, finance and clinical departments to ensure efficient service provision to clients and service providers
  • Compile trend reports on the clients based on performance and clinical audit
  • Make hospital visits to all admitted patients
  • Confirm receipt of claims, evaluate and validate them
  • Keep an updated benefit schedule and details often communicated to scheme users
  • Maintain an updated care protocol
  • Liaise with accounts department for timely payments to service providers
  • Assess service requests and provide pre-authorization
  • Often provide training on the scheme to the clients
  • Any other duties that may be assigned to you from time to time
Education and Relevant Experience
Formal Academic and Professional Education:
  • Undergraduate degree/diploma in a health-related field
  • Post graduate certification in a business-related field
Skills and Relevant Experience:
  • A minimum of 3 years’ work experience in health care service delivery
  • 2 years experience in a similar capacity
  • Computer Knowledge - Microsoft Word, Excel, Power Point
  • Excellent people management skills and interpersonal skills and high integrity
  • Self-motivated and proactive with ability to work under minimal supervision
  • Excellent oral and written communication skills
Key Performance Indicators
  • Timely resolution of client complaints
  • Updated and standardized database of capitation clients
  • Provision of accurate information on capitation clients
  • Quality standards implemented across all service providers
If qualified, kindly send your CV to jobs@jantakenya.com clearly indicating ‘Care Officer’ on the subject line by 20th April, 2015. 


DO NOT attach any certificates.

Only shortlisted candidates shall be contacted

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