Our client a hospital 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.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.
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:
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
How to Apply
If qualified, kindly send your CV to
jobs@jantakenya.com clearly indicating ‘Care Officer’ on the subject line by
20th March, 2015.
DO NOT attach any certificates.
Only shortlisted candidates shall be contacted.
Only shortlisted candidates shall be contacted.