The Aga Khan Hospital, Mombasa is an Institution of Aga Khan Health Service, Kenya which is an Agency of Aga Khan Development Network.
The Hospital is part of an integrated health system that includes Hospitals and outreach health centers across East Africa.
AKHS is one of the most comprehensive private not-for-profit health care systems in the developing world.
The hospital seeks to recruit an ideal candidate for the following position: –
Position Title: Care Manager
(1 Position)
Reporting to the Head of Business Development, Marketing and Care Management, the incumbent will be the liaison person for patients and the hospital.
The role will be key in ensuring the process of patient care is of high quality, efficient and cost effective – resulting in positive health outcomes throughout the patients’ journey.
Job Summary
1. Enhancing and maintaining good relationship with corporate care managers to increase and sustain business
2. Identifying gaps in service delivery and give feedback to management towards effective & efficient service delivery.
3. Monitoring, evaluating, and ensuring smooth referral handling from corporates and visiting doctors
4. Coordinate smooth execution of corporate operational guidelines to ensure effective service delivery and enhancing good corporate relationship.
5. Minimizing bad debts by advising patients on alternate levels of care facilities and by ensuring proper bill allocation has been done
6. Verifying itemized bills – daily and assessing coverage with health insurers to ascertain that the patient is appropriately billed, resulting in satisfied corporates and facilitating the discharge process of patients.
7. Coordinating with the corporate care managers and ensuring that they promptly respond to the hospital on all queries/requests/Preauthorization, to eliminate financial declines/exhaustion of cover.
8. Working with the marketing team towards obtaining market intelligence and being abreast with the changes occurring in the environment affecting the hospital’s competitive position.
9. Managing the institution’s admission and discharge process and overall bed management.
Required qualifications, attributes, and experience
- Bachelor of Science Degree in Nursing (BScN) or related field
- 5 years’ experience working in busy hospital or claims management
- Minimum 2 years’ experience in care coordination.
- Knowledge of insurance regulatory requirements and concepts.
- Knowledge of case management process and procedures.
- Professional qualification ACII/COP is an added advantage
- Excellent communication and interpersonal skills, with a strong leadership aptitude
- Awareness and sensitivity to diversity of culture, with excellent critical thinking and analytical skills
Application Procedure:
Candidates are invited to send their Resume and Covering Letter ONLY to recruitment.msa@akhskenya.org
Please indicate the position you are interested in on the subject line
Deadline of submitting applications is on 16th September 2022
Only shortlisted candidates will be contacted.
“The Aga Khan Hospital, Mombasa is an equal opportunity Employer”
“AKHS is concerned about the climate and environmental crises we face and is doing everything possible to reduce our own impact, encouraging others to do the same, and advancing understanding in this field. AKHS has set itself the task of getting as close to net-zero carbon operations as possible by 2030.
We expect all staff to contribute to achieving these aims in the context of their roles.