Resolution Insurance Disease Management Care Coordinator Job Opportunity in Kenya December 2014

 

Resolution Insurance Company Ltd is a general insurer offering innovative and responsive insurance solutions. We have learned to adapt in this constantly changing society, and develop comprehensive products that are relevant to our clients.
We currently have over 60,000 members in our fold and have partnered with over 500 medical service providers across East Africa; a strong network of hospitals, clinics and doctors.
The Resolution Insurance brand is energetic and trendy. In pursuit of our ambitious growth plan, we are looking to fill the below position in our Medical Operations Department.

Care Coordinator – Disease Management

Reporting to the Head of Medical Operations and Claims through the Manager Care Management , the Care Coordinator’s purpose is to ensure that all relevant communication and authorisations for medical services to clients under the disease management program are seamlessly executed to ensure member satisfaction and client retention.

Key Responsibility Areas:
  • Handle clients (internal and external) and providers queries on policy benefits details including but not limited to providers they can access, disease management follow up details in a timely manner.
  • Oversee and work within the systems designed to ensure consultations are arranged for chronic disease clients as needed including the active follow-up of chronic disease clients who do not present at the clinic for care.
  • Management of the disease management helpdesk and management information system operations and implementations.
  • Dissemination of relevant management reports essential for program monitoring and evaluation.
  • Assemble and analyze data to prepare monthly and departmental reports and documents.
  • Manage and maintain schedules, appointments and travel arrangements.
  • Follow up on phone and in written form to confirm receipt of letters or necessary referral communication on comprehensive care.
  • Provide preauthorization of services for clients under the Chronic disease management program In liaison with dmp care manager.
  • Ensure all the clients under chronic disease management have a comprehensive management plan and care arrangement.
  • Coordinate and actively participate in health promotion, Education and preventive chronic disease activities.
  • Provide support in the Maintenance of the chronic disease management register and records.
  • Provide administrative support system to medical service provider to ensure all chronic disease checks are met.
Qualifications and Experience:
  • A diploma/degree in customer/public relation and related field.
  • At least 1 year – 2 year relevant work experience.
  • Previous experience in health care and insurance an added advantage.
  • Excellent customer service and PR skills
  • Excellent communication and interpersonal skills
  • Good organization and problem solving skills
  • Ability to work responsibly with or without direct supervision
How to Apply

CLICK HERE to apply online

Closing Date: 19/12/2014



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