Care Manager

Description

WE ARE HIRING
CARE MANAGER (2 POSTS)
OUR CLIENT IS AN INTERNATIONAL MEDICAL INSURANCE SERVICE PROVIDER

QUALIFICATIONS
• DEGREE IN NURSING OR CLINICAL MEDICINE OR RELATED FIELD.
• UNDERSTANDING OF INTERNATIONAL HEALTHCARE SYSTEMS AND INSURANCE BENEFITS.
• FAMILIARITY WITH INSURANCE TERMINOLOGY AND CLAIMS PROCESSES IS AN ADDED ADVANTAGE.
• STRONG ETHICAL STANDARDS AND COMMITMENT TO CLIENT CONFIDENTIALITY.
• ABILITY TO WORK ACROSS DIVERSE CULTURAL AND HEALTHCARE SYSTEMS.
• KNOWLEDGE OF AI-BASED HEALTHCARE MONITORING OR CLINICAL SUPPORT SYSTEMS IS A PLUS.

MAIN RESPONSIBILITIES
• ASSIST WITH PREAUTHORIZATIONS FOR MEDICAL SERVICES- WORK WITH PHYSICIANS AND THE INSURERS MEDICAL REVIEW TEAMS TO OBTAIN REQUIRED PRE APPROVALS FOR TREATMENTS OR PROCEDURES.
• ENSURE ALL NECESSARY MEDICAL DOCUMENTATION IS SUBMITTED ON TIME AND APPROVALS ARE GRANTED BEFORE THE SERVICES ARE RENDERED.
• COORDINATE WITH HOSPITALS, DOCTORS, AND MEDICAL PROVIDERS- COMMUNICATE PROACTIVELY WITH HEALTHCARE FACILITIES AND PROFESSIONALS TO GATHER TREATMENT PLANS, MEDICAL RECORDS, AND DISCHARGE SUMMARIES.
• CONFIRM THAT THE CARE BEING PROVIDED IS MEDICALLY NECESSARY, APPROPRIATE AND ELIGIBLE FOR COVERAGE UNDER THE CLIENTS INSURANCE POLICY.
• SUPPORT CLIENTS AND THEIR FAMILIES THROUGH THE MEDICAL PROCESS- ACT AS A KNOWLEDGEABLE POINT OF CONTACT FOR CLIENTS AND FAMILIES, HELPING THEM NAVIGATE COMPLEX MEDICAL SYSTEMS. PROVIDE CLEAR EXPLANATIONS ABOUT WHAT TREATMENTS ARE COVERED.

Salary: KSHS. 80,000 – 120,000 PLUS COMPANY BENEFITS

Send your application and CV to:
recruit@skillsgeographic.com
Deadline: 1st Sept 2025
Shortlisting Is Done On A Rolling Basis

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+254714980231 or +254734736083
www.skillsgeographic.com
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