Position: Care Manager
Overview
Avenue Healthcare is one of the leading private healthcare groups
in East Africa running 3 Hospitals, and 13 clinics across Kenya, and a Homecare
business. With over 25 years in the healthcare industry, Avenue Healthcare runs
300 hospital beds with over 1,000 staff members, and more than 400 specialists
and serves over 400,000 patients annually, offeringprimary, secondary, and
tertiary.
|
Position |
: |
Care
Manager |
|
Department |
: |
Medical
Services |
|
Reports to |
: |
Medical
Services Manager |
|
Location |
: |
Parklands
Hospital |
|
No. of Posts |
: |
1 |
|
Application Deadline |
: |
2023-01-27 |
Job Objective/Purpose
To Monitor ongoing
quality, productivity, efficiency and cost effectiveness of services and
liaison person with third party payers.
Key Responsibilities
1.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.
2.Ensure only authentic
pre-authorizations are issued for clients seeking medical services in
collaboration with the clinical medical team.
3.Draw monthly reports for
specific corporate clients inclusive of trends,analysis, market intelligence
for improved business development
4.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.
5.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.
6.Enhance customer
experience – establish and maintain good relationships with external and
internal stakeholders such as underwriter’s, brokers, agents, and policy
holders.
7.Source, analyze and
provide relevant information to the management for further decision making.
8.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.
9.Prepare the business
reports on a daily or weekly basis as and when need be.
10.Ensure incidents are
documented by respective staff and discussed with the head of department at all
times.
11.Attend inter-phasing
departmental meetings and convene meetings every fortnight to identify gaps in
care co-ordination in-order to improve services.
12.Collaborate and
co-ordinate with other departments, Consultants and other Clinicians to improve
overall health service delivery in the department.
13.Conduct continuous
impact assessments and identified the most appropriate strategies to bridge
established gaps in order to enhance efficiency in service delivery.
14.Induction of new staff
working in inter phasing departments as per the departmental/unit procedure
manuals.
15.Continuously improve on
the hospital business NPS
16.Any other duty as
assigned by the supervisor in line with the job description.
Personal Specifications
- A
BScN in nursing and administrative training
- 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.
- Updated
BLS certificate
- 3
years proven experience as a care manager
- ln-depth
knowledge of health and safety guidelines and procedures
How to Apply
Application documents (CV and Certificates) must be emailed to vacancies@avenuehealthcare.com with the job position you are applying for as the subject of the
email by 27th January 2023
Only shortlisted candidates will be contacted. Avenue Healthcare
is an Equal Opportunity Employer
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