Case Manager, Active Case Management

Company Details
Industry: Insurance
Description: Jubilee Insurance was established in August 1937, as the first locally incorporated Insurance Company based in Mombasa in 1937. Jubilee Insurance has spread its sphere of influence throughout the region to become the largest Composite insurer in East Africa, handling Life, Pensions, general and Medi… Jubilee Insurance was established in August 1937, as the first locally incorporated Insurance Company based in Mombasa in 1937. Jubilee Insurance has spread its sphere of influence throughout the region to become the largest Composite insurer in East Africa, handling Life, Pensions, general and Medical insurance. View more View less
Job Details
Job Type: Full Time
Workplace Type: On-site
Qualification: Diploma
Job Experience: Mandatory
Job Location: Nairobi County, Kenya
Closing Date: Undisclosed
Salary: Undisclosed
Other Pay: Benefits
Job Category: Medical
Job Description

Job Reference Number JHIL100016
Qualifications:

  • Bachelor's degree/Diploma in nursing or clinical medicine, or a related field.
  • Professional Nursing qualification KRCHN licensed by Nursing council of Kenya.
  • Relevant certifications in case management, healthcare management, or clinical specialtie Clinical knowledge and ability to interpret medical reports and treatment plans
  • Ability to identify and mitigate fraud, waste, and abuse in claims
  • Minimum of two (2) years of relevant experience in a similar or equivalent role within a medical insurance environment, with demonstrated expertise in inpatient care coordination, insurance benefit administration, policy interpretation, and pre-authorization processes. Experience in provider engagement will be an added advantage.
284 open positions on Semasocial right now · 6800 open positions in Nairobi County, Kenya · 24 posted in the last 7 days
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