(Jobs in Kenya) Case Management Nurse – FT-1 at Old Mutual Kenya - Gazeti Jobs

(Jobs in Kenya) Case Management Nurse – FT-1 at Old Mutual Kenya

2 months ago 9

Old Mutual Kenya is based in Nairobi and is part of a larger group that offers solutions in long-term savings, asset management and investment. We offer solutions to individuals and corporates underpinned by our core values which are: Respect, Integrity, Accountability and Pushing beyond boundaries.


  • Pre-authorize scheduled and nonscheduled admissions within the set guidelines.
  • Negotiate/discuss professional fees as appropriate for each admission.
  • Set the appropriate parameters for each admission (claim reserve, initial authorized cost and duration).
  • Visit all admitted clients within Nairobi region and its environs
  • Liaise with Doctors on the day to day management of patients and obtain medical reports/ expected length of stay where indicated.
  • Ensure smooth discharge process and co-ordinate any necessary post-hospitalization/ step down facility care.
  • Revise reserves after discharge of member.
  • Collect feedback from admitted clients on quality and scope of service by the service provider.
  • Assist in carrying out verification and medical audit of claims/invoices before settlement.
  • Develop and maintain monthly database on admissions, large claims and extended length of stay.
  • Respond to queries from clients, intermediaries and service providers.
  • Liaise with other medical underwriter for purposes of market surveys and development of new controls, standards and products.
  • Any other duty assigned by management.


  • Diploma or Degree in Nursing
  • Diploma in Insurance/ COP
  • Degree in Health systems Management/ Business management
  • 3 years’ experience in clinical setting +2 years in insurance set up
  • Provides a service as a temporary employee covering many fields

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