Case Manager Job

AXA Mansard is one of the foremost Financial Institutions in Nigeria, that has been offering world class financial services over the years.

We are recruiting to fill the position below:

Job Position: Case Manager

Job Location: Lagos
Job type: Full-time

Job Objective

• Ensures enrollee’s are managed according to internationally acceptable clinical guidelines while also ensuring cost efficiency
• Responsible for the facilitation of effective coordination and continuity of care as enrollee transitions across providers and specialists.

Educational /Professional Qualifications

• MBBS from a reputable tertiary institution.
• Possession of an MBA, MPH or other of similar equivalence will be an added advantage

Experience:

• Must have 3 – 5 years of total work experience (Clinical experience)

Key Skills & Competencies Requirements

• Case Management (Admitted enrollees, usually when they are there or discharged recently. It is a care management and control process)
• Hospital Visitation when indicated
• Care follow up and counselling when indicated – virtual or physical visit
• Care approval and follow up for complex and intensive care cases
• Ensuring care is in line with applicable benefits and following up on approvals and patient care progress.
• Scheduling patients for major and highly specialized procedures
• Care review for admitted patients and complex cases requiring secondary and tertiary care
• Holding clinical meetings monthly to discuss cases and adjust protocols where necessary for better/improved outcomes when required
• Investigate the root cause of death of an enrollee at a partner hospital
• Identify quality gaps that may have occurred in the care of the enrollee and provide recommendations to the hospital to prevent a reoccurrence