Care Manager job at Avenue Healthcare
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17 Days Ago
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Care Manager
2025-07-14T15:38:15+00:00
Avenue Healthcare
https://cdn.greatkenyanjobs.com/jsjobsdata/data/employer/comp_8065/logo/avenue.png
FULL_TIME
 
Kenya
Kisumu
00100
Kenya
Healthcare
Healthcare
KES
 
MONTH
2025-07-23T17:00:00+00:00
 
Kenya
8
  • To Monitor ongoing quality, productivity, efficiency and cost effectiveness of services and liaison person with third party payers.

Key Responsibilities

  • 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.
  • Ensure only authentic pre-authorizations are issued for clients seeking medical services in collaboration with the clinical medical team.
  • Draw monthly reports for specific corporate clients inclusive of trends, analysis, market intelligence for improved business development
  • 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.
  • 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.
  • Enhance customer experience – establish and maintain good relationships with external and internal stakeholders such as underwriter’s, brokers, agents, and policy holders.
  • Source, analyze and provide relevant information to the management for further decision making.
  • 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.
  • Prepare the business reports on a daily or weekly basis as and when need be.
  • Ensure incidents are documented by respective staff and discussed with the head of department at all times.
  • Attend inter-phasing departmental meetings and convene meetings every fortnight to identify gaps in care co-ordination in-order to improve services.
  • Collaborate and co-ordinate with other departments, Consultants and other Clinicians to improve overall health service delivery in the department.
  • Conduct continuous impact assessments and identified the most appropriate strategies to bridge established gaps in order to enhance efficiency in service delivery.
  • Induction of new staff working in inter phasing departments as per the departmental/unit procedure manuals.
  • Continuously improve on the hospital business NPS
  • Any other duty as assigned by the supervisor in line with the job description.

Person Specification

  • 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.
  • Up to date BLS certificate
  • 3 years proven experience as a care manager
  • In-depth knowledge of health and safety guidelines and procedures
  • Extensive knowledge of insurance policies
  • Knowledge of legal regulations and best practices in healthcare
  • Excellent knowledge of emergency care
 
 
 
bachelor degree
36
JOB-687524678f6d9

Vacancy title:
Care Manager

[Type: FULL_TIME, Industry: Healthcare, Category: Healthcare]

Jobs at:
Avenue Healthcare

Deadline of this Job:
Wednesday, July 23 2025

Duty Station:
Kenya | Kisumu | Kenya

Summary
Date Posted: Monday, July 14 2025, Base Salary: Not Disclosed

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Learn more about Avenue Healthcare
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JOB DETAILS:

  • To Monitor ongoing quality, productivity, efficiency and cost effectiveness of services and liaison person with third party payers.

Key Responsibilities

  • 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.
  • Ensure only authentic pre-authorizations are issued for clients seeking medical services in collaboration with the clinical medical team.
  • Draw monthly reports for specific corporate clients inclusive of trends, analysis, market intelligence for improved business development
  • 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.
  • 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.
  • Enhance customer experience – establish and maintain good relationships with external and internal stakeholders such as underwriter’s, brokers, agents, and policy holders.
  • Source, analyze and provide relevant information to the management for further decision making.
  • 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.
  • Prepare the business reports on a daily or weekly basis as and when need be.
  • Ensure incidents are documented by respective staff and discussed with the head of department at all times.
  • Attend inter-phasing departmental meetings and convene meetings every fortnight to identify gaps in care co-ordination in-order to improve services.
  • Collaborate and co-ordinate with other departments, Consultants and other Clinicians to improve overall health service delivery in the department.
  • Conduct continuous impact assessments and identified the most appropriate strategies to bridge established gaps in order to enhance efficiency in service delivery.
  • Induction of new staff working in inter phasing departments as per the departmental/unit procedure manuals.
  • Continuously improve on the hospital business NPS
  • Any other duty as assigned by the supervisor in line with the job description.

Person Specification

  • 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.
  • Up to date BLS certificate
  • 3 years proven experience as a care manager
  • In-depth knowledge of health and safety guidelines and procedures
  • Extensive knowledge of insurance policies
  • Knowledge of legal regulations and best practices in healthcare
  • Excellent knowledge of emergency care

 

Work Hours: 8

Experience in Months: 36

Level of Education: bachelor degree

Job application procedure

Interested and qualified? Go to Avenue Healthcare on careers.avenuehealthcare.com to apply

 

All Jobs | QUICK ALERT SUBSCRIPTION

Job Info
Job Category: Health/ Medicine jobs in Kenya
Job Type: Full-time
Deadline of this Job: Wednesday, July 23 2025
Duty Station: Kenya | Kisumu | Kenya
Posted: 14-07-2025
No of Jobs: 1
Start Publishing: 14-07-2025
Stop Publishing (Put date of 2030): 14-07-2032
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