Job Summary

Nursing requires not only treating patients who are sick and injured, but also offering advice and emotional support to patients and their families, taking care of paperwork, helping doctors diagnose patients and providing advice and follow-up care.

  • Minimum Qualification: Diploma
  • Experience Level: Entry level
  • Experience Length: 2 years

Job Description

Key responsibilities 
  1. Pre-authorise scheduled and non-scheduled admissions within the set guidelines
  2. Liaise with the hospitals and doctors for prompt submission of the admission summary form.
  3. Monitor procedures being carried out on patients and see to the general well being of the patient.
  4. Assess and authenticate inpatient and outpatient medical claim documents.
  5. Revise reserves after discharge of a member.
  6. Ensure smooth discharge process and coordinate any necessary post-hospitalization care.
  7. Visit health care Institutions in the assigned region to confirm admissions.
  8. Prompt collection of claims paid out of policy liability
  9. Process reimbursements within the stipulated time.
  10. Assist in carry out verification and medical audit of claims invoices before settlement.
Knowledge, experience and qualifications required
  • Diploma in Nursing
  • Basic understanding of insurance concepts
  • 1-2 years’ experience in case and claims management
Technical Competencies
  • Registered Nurse with Nursing Council of Kenya
  • Knowledge of case management processes and procedures
  • Knowledge of insurance regulatory requirements and concepts
  • Proficient in use of Microsoft office suites and packages
Interested candidates should attach the following when submitting their applications:
  1. Curriculum Vitae
  2. Two recommendation letters from persons familiar with applicants’ work
  3. Copies of relevant Academic Transcripts
  4. Three referees with physical /Telephone contact addresses
  5. Copy of National ID and diploma certificate and practicing licence where applicable

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China Gezhouba Group Company Limited
Rest of Kenya
| Full Time |
KSh Confidential
China Gezhouba Group Company Limited
Rest of Kenya
| Full Time |
KSh Confidential
Rest of Kenya
| Full Time |
KSh Confidential