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.

EXPERIENCE
• REGISTERED HEALTHCARE PROFESSIONAL (E.G., NURSING, CLINICAL OFFICER) WITH AT LEAST 2 YEARS OF EXPERIENCE.
• EXPERIENCE IN CASE MANAGEMENT, HOSPITAL COORDINATION, OR INSURANCE CARE ROLES PREFERRED.

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

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.

Visit Our Website For The Full JD and more jobs.
+254714980231 or +25473476083
www.skillsgeographic.com
Nairobi, Mombasa Road Vision Plaza, 1st Floor-Suite 37

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

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